Publicación: Informe de práctica social en Epidemiologia E.S.E. Hospital Divina Misericordia - Magangué/Bolívar
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Indicators of extreme maternal morbidity depend on the method of identification of the cases and the geographic region; however, there are similarities in the classification based on the recommendations of the World Health Organization (WHO) for the subject. Despite progress in maternal health, pregnancy-related complications remain a major public health problem in the world. Each year 585,000 women die during pregnancy, childbirth or the puerperium. Nearly fifty million maternal health problems occur annually and approximately three hundred million women suffer, in the short and long term, from illnesses and injuries related to pregnancy, childbirth and the puerperium. Within the Plan of Action 2012-2017 to accelerate the reduction of maternal mortality and extreme maternal morbidity (PAHO / WHO), in strategic area four, the need to strengthen information systems and surveillance of maternal health is stated In the countries of the region, the systematic registration of extreme maternal morbidity and the measurement of the event indicators are established within the monitoring and evaluation indicators. Perinatal and late neonatal mortality are indicators linked to reproduction and reflect preconception, prenatal, delivery and postpartum care. It is a marker of both the quality of the maternal and child health service and the nutritional condition of the mother and the environment in which she lives. Action plan: A daily monitoring of extreme maternal morbidity in public health will be monitored, which will allow the activation of an immediate response in order to improve the quality of obstetric care services in search of reducing the morbidity, avoidable disabilities and maternal and perinatal mortality at the ESE Hospital La Divina Misericordia. Conclusion: The epidemiological surveillance program of extreme maternal morbidity, perinatal and maternal mortality of the Institution ESE Hospital La Divina Misericordia was strengthened, identifying in a timely manner the risk factors that can be intervened, focused on adherence to maternal-perinatal protocols and guidelines. Articulating with the EPS a timely follow-up where risk factors that may contribute to a fatal outcome are identified in the mother and child binomial.