Indicators of care quality for critically ill maternal patients in a secondary care hospital

Abstract

Introduction: Quality control of obstetric care is a social requirement. Objective: To evaluate the quality of medical care for women with highly severe maternal morbidity at Dr. Agostinho Neto Hospital from 2015-2022. Method: A descriptive, cross-sectional study was carried out. 976 exits from this institution were studied. Those for whom it was impossible to compile all the necessary information were excluded (n = 6). The study of the variable "quality of the medical care process for patients with extremely severe maternal morbidity" was structured in three dimensions: a) structure, b) process, and c) outcomes. Results: The structure and results dimensions were rated "partially satisfactory," with 81.8% of the indicators for each dimension falling into this category. The process dimension was rated "satisfactory," with 87.5% of the indicators assessed in this category. Overall, the quality of medical care was rated "partially satisfactory," with 83.3% of the indicators assessed in this category. Conclusions: At Dr. Agostinho Neto Hospital, during the period 2015-2022, the quality of medical care for pregnant or postpartum women with extremely severe maternal morbidity is partially satisfactory, although it is affected by limitations in material resources to provide excellent care.