Risk factors for extreme maternal morbidity in a hospital in the Peruvian Amazon

Pinedo-Curi D.J.; Castillo-Ramírez G.H.; García-Borjas C.N.; Gutiérrez-Vásquez C.K.; Arce-Huamani M.A. · Revista Chilena de Obstetricia y Ginecologia (2025) · DOI: 10.24875/rechog.24000129

Resumen

Introduction: Extreme maternal morbidity is a key indicator of the quality of obstetric care and reflects severe complications that put the life of the pregnant woman at risk. Objective: To identify the risk factors for extreme maternal morbidity in a hospital in the Peruvian Amazon. Method: An observational analytical case-control study was conducted at Hospital II-2 in Tarapoto, between 2017 and 2023.The study included 69 cases of women with extreme maternal morbidity and 69 controls without this condition. Statistical analysis included logistic regression to determine risk factors, with a significance level of 5%. Results: The factors significantly associated with extreme maternal morbidity in the multivariate analysis were rural residence (aOR: 0.62; 95% CI: 0.41-0.93), comorbidity with hypertension or type 2 diabetes mellitus (aOR: 2.68; 95% CI: 1.25-5.72), and a history of emergency cesarean section (aOR: 8.82; 95% CI: 4.07-19.10). Conclusions: Rural residence, comorbidity with hypertension or diabetes, and a history of emergency cesarean section were significant risk factors for extreme maternal morbidity.These findings highlight the need to improve access to and the quality of obstetric services in rural areas.

Instituciones: Universidad Nacional Mayor de San Marcos; Universidad Privada San Juan Bautista; Universidad Nacional de San Martín; Universidad Privada Norbert Wiener