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Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
VELEZ CUERVO, Sandra María; RENDON ZAPATA, Jonathan and CAICEDO BOLANOS, Ana María. Description of the contributing factors to deaths secondary to hypertensive disorders associated with pregnancy in Antioquia, Colombia (2012-2020). Ginecol. obstet. Méx. [online]. 2024, vol.92, n.3, pp.127-136. Epub June 07, 2024. ISSN 0300-9041. https://doi.org/10.24245/gom.v92i3.9211.
OBJECTIVE:
To describe the characteristics of the affected population and the delays that contributed to maternal mortality secondary to hypertensive disorders of pregnancy.
MATERIALS AND METHODS:
Descriptive and retrospective study based on the epidemiologic surveillance of sentinel cases of early maternal deaths of women residing in Antioquia, Colombia, during pregnancy, delivery and the 42 days after delivery occurring in the period 2012-2020. A database was created in Microsoft Access 2007 (Microsoft, Redmond, WA, USA), and data were analyzed in Microsoft Excel and SPSS version 22.
RESULTS:
There were 266 maternal deaths, of which 38 were secondary to hypertensive disorders of pregnancy. Eclampsia was the cause of 15 deaths; 12 due to HELLP syndrome, 9 due to intracerebral hemorrhage, and 2 due to placental abruption and disseminated intravascular coagulation. In 13 of the 38 cases, there was no adequate magnesium sulfate regimen, 19 did not receive indicated antihypertensive treatment, and 17 did not have adequate antihypertensive control.
CONCLUSION:
Antenatal care is a critical opportunity for detection, prevention, and risk stratification. All obstetric care centers should be prepared to manage emergencies associated with hypertensive disorders of pregnancy. Outcomes improve with the use of standardized, organized emergency protocols and the participation of multidisciplinary teams that ensure quality care and a positive impact on preventable maternal morbidity and mortality.
Keywords : Maternal mortality; Hypertensive disorders of pregnancy; Maternal deaths; Pregnancy; Eclampsia; HELLP syndrome; Intracerebral hemorrhage; Placental abruption; Magnesium sulfate; Antihypertensive.