Resumen
Introduction: Pulse oximetry is a monitoring method that measure a patient´s arterial saturation and heart rate allowing to detect early signs of hypoxia, bradycardia or tachycardia. Its use has been implemented as a strategy to lower mortality rates. Guatemala received the donation of 142 pulse oximeters to 33 regional hospitals on November 2013. Objectives: This study aimed to evaluate the impact of pulse oximetry by
Rev. Fac. Med, 1(21): II Época, Jul-Dic 2016 - Guatemala | 49
measuring maternal mortality ratio before and after its implementation in these hospitals recovery rooms. Methods: Estimation of maternal mortality ratio from data published by the Ministry of Health during the years 2013 (before its implementation) and 2014 (after its implementation). Results: Maternal mortality ratio was 13.26% lower after the implementation of pulse oximetry, however there is no statistical significant difference. Discussion: Is not possible to conclude that the implementation of the pulse oximetry is the only reason in the decrease in maternal mortality since other factors like improvement in quality of life and more access to health services are also involved.
Citas
Dubowitz, K. B; et. al. (2013). Accuracy of the Lifebos pulse oximeter during hypoxia in healthy volunteers. Journal of the Association of Anaesthetits of Great Britain and Ireland , volume 68, issue 12, pages 1220-1223.
World Health Organization (Washington, DC. 2015). Causes of maternal and child deaths. 2000- 2010. Decade report. Obtenido de: http://www.who.int/pmnch/topics/child/CountdownReportOnly.pdf
World Health Organization., W. H. (Italy de 2012). WHO recommendations for the prevention and treatment of postpartum haemorrhage. Obtenido de: http://apps.who.int/iris/bitstream/10665/75411/1/9789241548502_eng.pdf
Organización Mundial de la Salud. (Mayo de 2014). Mortalidad Materna. Nota descriptiva N°348. Obtenido de: http://www.who.int/mediacentre/factsheets/fs348/es/
Ministerio de Salud Pública y Asistencia Social (Agosto 2015). Situación de la mortalidad materna en Guatemala. Informe Final. Guatemala. Páginas 12-37
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