Maternal and neonatal complications in the Beds Regulation Center in Maringá’s macro-region

DOI: 10.15343/0104-7809.20143802197203

Abstract

with advances in the obstetrics field, maternal mortality and morbidity are still present in the pregnancy-puerperal
cycle. The complications in this phase reflect the risks for the mother as well as for newborn infants. In this quantitative
descriptive study, the aim was to identify the main causes of maternal and neonatal complications to requests for ICU beds
in the Northwest of Paraná. Variables related to pregnant woman (age, number of pregnancies and gestational age) and
the main problems in the pregnancy-puerperal cycle and perinatal period were analysed. From January to June 2013 there
were a total of 2215 requests for ICU beds in the Hospital Beds Regulation Center, with 221 for pregnant woman and 103
for newborn infants. 9 of the cases were requests for both the mother and the baby. The women’s average age was 24.5
years, 60.5% from 20 to 34 years of age; the majority (37.44%) has had no children, and 90% were in the third trimester,
mostly with gestational age of 34 weeks. The main diagnosis that motivated the requests for ICU beds for pregnant women
(49.76%) was preterm labor (PTL), followed by premature rupture of membranes (16.11%), and edema, proteinuria and/
or hypertensive disorders (14.22%). Regarding the newborn, the prevalent diagnosis (49.5%) was prematurity and the
other half was cardiorespiratory disorders (35%) and congenital malformations (15.5%). Considering the high number of
hospital admissions because of PTL and prematurity, it becomes necessary to do more studies about the causes of these
complications aiming to reduce maternal-infant morbidity.