Quality of care to extremely serious maternal morbidity. Preliminary study. Provincial Gyneco-obstetric Hospital. Matanzas, 2016

Abstract

Introduction: the understanding of organizational phenomena and cultural elements is a necessity in hospitals and in obstetrics. Diseases during pregnancy, childbearing and postpartum are the main causes of death, disease and disability among women in reproductive age.
Objectives: to assess the elements affecting the quality of care to patients with extremely serious maternal morbidity.
Materials and methods: an exploratory study was carried out, using focal group, affinity diagram, brain storm, and consensus techniques of criteria assessment. The pronouncements were processed and assessed through variables of the organizational climate. Besides that, they were ordered in descendent way according to capacity of affecting the results. The principles of the ethic research were fulfilled.
Results: the initial list of pronouncements, composed by nine of them, was reduced to those having cultural and organizational biases and striking on the quality of the process, that were six. The aspects related with medical protocols and the cesarean surgeries were identified as the ones with more incidence.
Conclusions: the elements affecting the quality of the care to these patients are mostly related with organizational and cultural aspects. Among them, those related with medical performance protocols and cesarean surgeries were evaluated as the most relevant ones.