Model of obstetric attention based on critical care in Latin America

Abstract

Purpose: Report the results obtained following the implementation of an OCC (Obstetric Critical Care) model.

Materials and methods: This is an observational prospective study in obstetric population with high complexity illness attended in a safety and quality model of attention in a specific unit supporting the concept of obstetric critical care. Records were used as the primary source for collecting information, using the standards of the Center for Clinical Research.

Results: In a 5-year period, 10,956 patients were admitted. About 51% had diseases that were not exclusive to pregnancy, 91% were admitted while pregnant and, from all births, 46% were by vaginal delivery. 1685 (19%) patients met the criteria for Near Miss Maternal Mortality (NMMM). Forty-three patients died, which represented a mortality rate of 0.49% of the total of hospitalized patients.

Conclusions: The implementation of an OOC model, security models, and an institutional support system improve the quality of care in the obstetric services of reference hospitals in developing countries.

Keywords:

• Critical care
• hospital nursing staff
• Intensive Care Unit
• Medical Care Team
• obstetrics
• pregnancy complications

Acknowledgements

NETWORK UNIDAD DE ALTA COMPLEJIDAD OBSTÉTRICA: there is not resource founding for them.

Details of ethics approval

This study has been approved by the institutional research centre of Fundación Clínica Valle del Lili, Cali, Colombia, with the approving information: ACT no. 08 from 28 April 2014 – Approbation letter no. 094.

Disclosure statement

No potential conflict of interest was reported by the authors.