Calvo-Aguilar Omar, Morales-García Victor Edilberto, Fabián-Fabián Jaime
Hospital General Dr. Aurelio Valdivieso, Servicios de Salud de Oaxaca.
Ginecol Obstet Mex. 2010 Dec;78(12):660-8.
Obstetric Morbidity Extreme (OME) is a promising addition to the investigation of maternal deaths and is used for the evaluation and improvement of maternal health services is defined as a severe obstetric complication that threatens the life of the pregnant woman and requires urgent medical intervention to prevent death of the mother.
To identify association between diseases and obstetric morbidity Extreme.
Transversal review analytical records. We searched for codes related to conditions that could cause extreme obstetric morbidity and the indirect causes that might cause it.
The prevalence of OME 21 per 1000 newborns, diseases with greater association were eclampsia, liver failure and preeclampsia yielded the highest OR and statistical significance, the association of OME derived from surgery despite having a high prevalence in the analysis showed no association, in the same way if other variables showed association but had no significance and confidence intervals are below the unit that is the case of renal failure, metabolic failure and blood transfusion.
The OME is caused by group entities specific disease (FLASOG) in most cases such as preeclampsia, eclampsia and obstetric hemorrhage.
极端产科发病率（OME）是孕产妇死亡调查中有前景的补充内容，用于评估和改善孕产妇保健服务，定义为威胁孕妇生命且需要紧急医疗干预以防止母亲死亡的严重产科并发症。
确定疾病与极端产科发病率之间的关联。
横向回顾分析记录。我们搜索了与可能导致极端产科发病率的病症以及可能导致其发生的间接原因相关的编码。
OME的患病率为每1000例新生儿中有21例，关联度较高的疾病是子痫、肝衰竭和先兆子痫，其OR值最高且具有统计学意义，尽管手术导致的OME在分析中的患病率较高，但未显示出关联；同样，其他变量虽显示出关联但无显著性，且置信区间低于单位值，如肾衰竭、代谢衰竭和输血的情况。
在大多数情况下，OME是由特定疾病组实体（FLASOG）引起的，如先兆子痫、子痫和产科出血。
