Introduction: in the General Teaching Hospital “Dr. Agostinho Neto” of Guantanamo have not characterized the maternal adolescents admitted to the Intensive Care Unit (ICU). Objective: to characterize maternal morbidity in adolescents admitted to the ICU of the General Teaching Hospital “Dr. Agostinho Neto”of Guantanamo during the year 2019. Method: an observational, prospective and cross-sectional study was carried out, with all adolescent mothers admitted to said unit during 2019. In each one, age, pathological history, state at discharge, were analyzed. way of terminating pregnancy, performing surgical treatment, diseases related or not to pregnancy, complications and whether they were treated with mechanical ventilation. Results: 18.2% of the mothers admitted were adolescents (3.2 of the total income in the unit). 9.7% received artificial ventilation. 64.7% were between 18 and 19 years old and all graduated alive. 23.5% were asthmatic, 70.7% were poor and admitted for obstetric disease, 41.2% underwent surgical treatment, the most common was hysterectomy (41.2%). Severe preclampsia-eclampsia (23.4%) and uterine atony (25.9%) were the most common diseases. Hypovolemic shock due to uterine atony (23.4%) determined the criterion of severe maternal morbidity. 52.9% of the patients presented complications. Conclusions: maternal morbidity in adolescents admitted to this ICU revealed that morbidity due to complications of pregnancy, childbirth and the puerperium was elevated at this stage of life, which is an unresolved health problem in the province of Guantanamo.

Introduction: maternal mortality has been used as an indicator of the socioeconomic development of a country and the quality of medical services in Public Health. Extremely severe maternal morbidity (near miss) is the necessary scenario to understand the preventable conditions and facts that determine maternal death. Objective: to characterize maternal morbidity in the Intensive Care Unit of the General Teaching Hospital "Orlando Pantoja Tamayo" of the Santiago de Cuba province during the years 2014-2019. Method: an observational study was conducted, which included 223 patients treated in the Intensive Care Unit for complications related to pregnancy-childbirth-puerperium, in the period of time from January 2014 to December 2019. A descriptive analysis of the variables was performed: age, service of origin, diagnosis, stay and complications. Results: 56% of admitted patients were within 20 and 29 years of age, with hypertensive disorders associated with pregnancy with 65.4% and obstetric hemorrhage for 22.0% the main causes of income. The average stay of the patients was 3.6 days and during it, diabetes insipidus was the main complication. Conclusions: maternal morbidity was characterized by presenting at adequate ages for the development of pregnancy, with a stay in Intensive Care Units below what was reported in the literature, and there is a statistical relationship between the diagnosis of admission and the appearance of complications.

Introduction: sepsis and septic shock represent one of the most serious complications during the puerperium. Objective: to identify the factors associated with the presentation of puerperal sepsis in patients admitted to the Intensive Care Service of the General Teaching Hospital "Dr. Agostinho Neto" during the 2017-2018 period. Method: an explanatory, observational, longitudinal, retrospective and case-control study was conducted. Results: Endomyometritis was the main cause of admission with 79.5%. The variables that behaved as predictors of puerperal sepsis were multiparous parity, gestational age under 37 weeks, delivery by caesarean section, history of preclampsia, vaginal sepsis and urinary sepsis, premature rupture of membranes and work of delivery greater than 12 hours. The variables that constituted independent risk factors for severe sepsis morbidity were base excess <- 4 (OR=11.9; 95% CI; 3.9-35.3; p <0.05) protein C reactive> 8 mg/L (OR=9.67; 95% CI; 5.9-14.24), SatO2 <75 (OR=6.35; 95% CI; 1.72-23.4), the gap anion> 16 mmol/L (OR=5.88; 95% CI; 3.86-8.97), APACHE II and the SOFA (Sequential Organ Failure Assessment) scale upon admission with (OR=2, 57; 95% CI; 0.97-6.80) and (OR=2.67; 95% CI; 1.95-3.66), respectively. Conclusions: puerperal sepsis means a problem at the "Dr. Agostinho Neto" General Teaching Hospital in Guantanamo, so that its recognition and adequate treatment are the keys to reducing morbidity from this cause.