Document Detail


Errors in the treatment of hypertensive disorders of pregnancy and their impact on maternal mortality.
MedLine Citation:
PMID:  23321369     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To describe the patients' characteristics and the factors that contributed to the maternal deaths associated with hypertensive disorders of pregnancy that occurred in the department of Antioquia, Colombia, from 2004 through 2011. METHODS: A committee of experts conducted a retrospective descriptive study to analyze the information obtained from both mandatory reports of health facilities to the Public Health Surveillance System and interviews with family members. RESULTS: From 2004 through 2011, there were 720 170 births and 389 maternal deaths in the Department of Antioquia, and 70 of the deaths were due to hypertensive disorder of pregnancy. The factors that most contributed to the deaths were a lack of emergency administration of antihypertensive drugs (64.6%); the inadequate administration of antihypertensive drugs (58.8%); retaining the patient at a health facility ill equipped to treat her appropriately for her clinical state (54.7%); untimely referral or inadequate conditions for transfer (50.8%); and an error in classifying the severity of the disorder, which prevented appropriate management (49.1%). CONCLUSION: A substandard quality of care was the determining factor in the deaths of women who presented with hypertensive disorders of pregnancy.
Authors:
John J Zuleta-Tobón; Heleodora Pandales-Pérez; Sandra Sánchez; Gladis A Vélez-Álvarez; Jesús A Velásquez-Penagos
Related Documents :
23444769 - Pheochromocytoma in ectopic pregnancy: a case report.
23302979 - Marfan's syndrome during pregnancy: anesthetic management of delivery in 16 consecutive...
16506579 - Laboratory evaluation of methylated coconut oil as a larvicide for anopheles farauti an...
23904699 - Hyperhomocysteinemia as a risk factor for iugr.
24591859 - A comparative study of folate and vitamin b12 serum levels in preeclamptic versus normo...
23112019 - Carpal tunnel syndrome in pregnancy - you need to ask!
12809629 - Expectant first-time fathers' experiences of pregnancy.
9475099 - Kyphomelic dysplasia in two sib fetuses.
14533599 - Measurement of limb circumferences with three-dimensional ultrasound for fetal weight e...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-12
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  -     ISSN:  1879-3479     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, University of Antioquia, Medellín, Colombia; NACER, Sexual and Reproductive Health, University of Antioquia, Medellín, Colombia. Electronic address: jjzuleta@une.net.co.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Incidence of adverse outcomes associated with gestational diabetes mellitus in low- and middle-incom...
Next Document:  The spectrum of ?-thalassemia mutations in Gaza Strip, Palestine.