Analysis of morbidity due to anesthetic complications in obstetric patients ecuador, 2018 to 2022
DOI:
https://doi.org/10.25751/rspa.37186Keywords:
Obstetric Anesthesia, Pregnancy Complications, Anesthesia, Epidural, MorbidityAbstract
The article addresses the complexities and risks associated with obstetric anesthesia, emphasizing its pivotal role in maternal care. Despite the advent of novel anesthetic techniques and the implementation of enhanced safety measures, obstetric anesthesia continues to present a formidable challenge, largely due to the presence of specific comorbidities, such as maternal obesity and advanced age. The study employs data from the National Institute of Statistics and Census (INEC) to examine the incidence of anesthetic complications in obstetric patients in Ecuador from 2018 to 2022. A total of 304 complications were recorded, with the highest number observed in 2019. The study demonstrates that complications are most prevalent during the puerperium, followed by labor, delivery, and pregnancy. The cohort most affected was women aged 25-34 years, with an average hospital stay of 2.8 days due to complications. The findings indicate that complications during labor and delivery result in longer hospital stays, which suggests that these events are severe. Furthermore, the study identifies a decline in complications from 2018 to 2021, which was followed by an increase in 2022. This increase may be attributed to alterations in medical care or external factors, such as the impact of the global pandemic caused by the SARS-CoV-2 virus. The study underscores the necessity for continuous monitoring, staff training, and the formulation of targeted interventions to address the identified risks. However, the study's descriptive nature and reliance on retrospective data limit the ability to establish causal relationships, emphasizing the need for further research to enhance maternal and neonatal outcomes in obstetric anesthesia.
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