Portal de Periódicos da CAPES

Development and Use of Quality of Care Indicators for Obstetric Care in Women with Preeclampsia, Severe Preeclampsia, and Severe Morbidity

2007; Informa; Volume: 26; Issue: 3 Linguagem: Inglês

10.1080/10641950701356784

1525-6065

Ricardo Pérez‐Cuevas, Hortensia Reyes Morales, Svetlana V. Doubova, Vitelio Velasco Murillo,

Maternal and Neonatal Healthcare

Objective: To develop indicators for evaluating the quality of care in managing preeclampsia. Methods: An expert group helped to develop and validate the following indicators for evaluating quality of care: availability of intensive care; completeness of laboratory tests; appropriateness of drug treatment at admission and before delivery (antihypertensive drugs, anticonvulsants, and dexamethasone); gestational age at which pregnancy should be interrupted; and type of delivery. By using these indicators, it was possible to evaluate the quality of care in 432 patients with preeclampsia. Results: A significant percentage of patients with preeclampsia and “near misses” received low quality of care, regardless of disease severity. Conclusion: A number of interventions are needed to increase the quality of care to help avert maternal deaths in patients with preeclampsia.