Utilidad del Score MAMÁ como herramienta para detección de riesgo de morbilidad obstétrica en pacientes embarazadas que acuden al servicio de emergencia del Hospital "Teodoro Maldonado Carbo" de diciembre del 2016 a abril del 2017.

Abstract

Background: Throughout pregnancy there can be a series of pathological conditions that could complicate and even cause its termination, turning it into a high-risk pregnancy. In order to prevent these complications, the Ministry of Public Health of Ecuador establishes the use of Score MAMÁ to categorize the severity of pregnant women who attend health centers and allow a correct process of making decisions. Therefore, evaluating this tool would allow us to determine its usefulness in preventing obstetric morbidity. Objective: To determine the utility of Score MAMÁ to predict obstetric morbidity in pregnant patients in "Teodoro Maldonado Carbo" Specialty Hospital. Methods: An observational, descriptive, retrospective study of 497 pregnant women who were evaluated using Score MAMÁ. Results: The clinical records of pregnant women were analyzed and their score were compared with the presence of obstetric morbidity they developed, getting a Sensitivity of 70% (CI 62.12% -76.28%), 94% of Specificity (CI 90.97% - 96.42%), Positive predictive value of 86% (CI 80.28% - 90.88%) and Negative predictive value of 85% (CI 80.28% - 90.88%) to predict obstetric morbidity. Conclusions: The Score MAMÁ has a sensitivity, specificity, positive predictive value and negative predictive value sufficient to validate its utility as a pioneering tool to detect obstetric risk in the population of Ecuador.