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    
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.
John J Zuleta-Tobón; Heleodora Pandales-Pérez; Sandra Sánchez; Gladis A Vélez-Álvarez; Jesús A Velásquez-Penagos
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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.
Department of Obstetrics and Gynecology, University of Antioquia, Medellín, Colombia; NACER, Sexual and Reproductive Health, University of Antioquia, Medellín, Colombia. Electronic address:
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