medigraphic.com
ISSN 1684-1859 (Print)

2022, Number 1

<< Back Next >>

Revista Cubana de Informática Médica 2022; 14 (1)

Maternal Mortality from Cardiovascular Causes in Cuba (2013-2019)

Araujo ICR

Language: Spanish
References: 17
Page:
PDF size: 509.61 Kb.


ABSTRACT

Introduction: in Cuba diseases of the cardiovascular system have been considered one of the main causes of maternal death, with very high values ​​in contrast to other health indicators. Knowing the essence of this phenomenon is essential for the proper management of policies that allow reducing this indicator.
Objective: to describe the behaviour of maternal mortality from cardiovascular causes in Cuba since 2013 to 2019.
Methods: a retrospective longitudinal descriptive study was carried out, which included maternal deaths due to cardiovascular causes in the period from 2013 to 2019. An analysis of the trend of this indicator was carried out and a prediction of its behaviour for the years following the period, through Microsoft Excel software add-ins. General and cause-based maternal mortality rates were used as a summary measure for statistical analysis.
Results: maternal mortality from cardiovascular causes tended to oscillate around the mean throughout the period. This indicator increased by 10.3%. The main causes of death were diseases of the circulatory system (65.5%) and hypertensive disorders (34.2%). An increase in rates for these causes was predicted for 2021.
Conclusions: the behaviour of maternal mortality due to cardiovascular causes did not have a specific pattern in its trend, however there is a resistance to the decrease. A possible increase was estimated for future years, so a review of this problem by the Health System is needed.


REFERENCES

  1. Vásquez Padilla M. Mortalidad materna en Cuba. La Habana, Cuba: CEDEM; 2019

  2. Rodríguez Hidalgo N, Cuité León E, Cordero Isaac R. Cardiopatías y embarazo. En: Manual de diagnóstico y tratamiento en Obstetricia y Perinatología. La Habana: Ecimed; 2000. 294-304 p

  3. Suárez González JA, Gutiérrez Machado M, Corrales Gutiérrez A, Benavides Casal ME, Carlos Tempo D. Algunos factores asociados a la morbilidad materna extremadamente grave. Rev Cuban Obstet Ginecol [Internet]. 2010 [citado 14 Mar 2021];36(2):[aprox. 9 pant.]. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2010000200002

  4. Ocenes Reinoso R, Alcina Vázquez J, Fernández Pérez M, Luna Alonso MC. Incidencia de cardiopatías durante el embarazo en Villa Clara. CorSalud [Internet]. 2012 [citado 14 Mar 2021];4(3):[aprox. 8 pant.]. Disponible en: Disponible en: http://www.corsalud.sld.cu/sumario/2012/v4n3a12/embarazo.html

  5. Salazar E. Embarazo en pacientes con cardiopatía reumática. Arch Cardiol Mex. 2014;71(Supl 1):S160-3

  6. Coutin Marie G. Las Series Temporales. La Habana, Cuba: MINSAP; 2001

  7. Poll Pineda JA, Rueda Macías NM, Ramos Hernández L, Poll Rueda A, Campos Bestard I. Riesgo cardiovascular e hipertensión arterial crónica en embarazadas. MEDISAN;2017

  8. Bryce Moncloa A, Alegría Valdivia E, Valenzuela Rodríguez G, Larrauri Vigna CA, Urquiaga Calderón J, San Martín San Martín MG. Hipertensión en el embarazo. Rev Peru Ginecol Obstet [Internet]. 2018;64(2):191-6. Disponible en: http://www.scielo.org.pe/pdf/rgo/v64n2/a06v64n2.pdf

  9. Schlant RC. Congenital heart disease. En: Stein JH, Eisemberg JM, Hutton JJ, Klippel JH, Kohler PO, La Russo NF. Internal Medicine. 15ta ed. St. Louis: Mosby; 2012. 280-91 p

  10. Schlant RC. Congenital heart disease. En: Stein JH, Eisemberg JM, Hutton JJ, Klippel JH, Kohler PO, La Russo NF. Internal Medicine. 15ta ed. St. Louis: Mosby ; 2012. 280-91 p

  11. Beischer NA, Mc Kay EV, Colditz P. Trastornos cardíacos. En: Obstetricia y Neonatología. 3ra ed. México: Mc Graw Hill Interamericana; 2010. 369-72 p

  12. Schlemmer M. Pregnancy in patient with congenital heart defect. Wien Klin. Wochenschr. 2015;107(20):608-12

  13. Zuber M, Gautschi N, Dechslim E, Widmer V, Klaunski W, Jenni R. Autcome of pregnancy in women with congenital shurt lesions. Heart. 2019;81(3):271-5

  14. Fayad Saeta Y, López Barroso R, Lardoeyt Soto E, San Pedro López MI. Cardiopatía y embarazo. Rev Cuban Obstet Ginecol [Internet]. 2009 [citado 14 Mar 2021];35(4):[aprox. 5 p.]. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2009000400005

  15. Cruz Guerrero MA, Morejón Batista CA. Enfermedades cardiovasculares en gestantes de la Policlínica Universitaria "Máximo Gómez Báez" Holguín, Cuba. Rev Cuban Obstet Ginecol . 2018;44(4)

  16. Mora Marcial GR, Molina Linares I, Carvajal Herrera A, Valdés Rodríguez E, Milian Milian MJ. Sistema de acciones para fortalecer el abordaje terapéutico de afecciones cardiovasculares. Rev Cuban Med Gen Integr. 2015; 31(3):270-85

  17. Ginsberg JS, Chan WS, Bates SM, Kaatz S. Anticoagulation at pregnant woman with mechanical hearth valves. Arch Intern Med. 2013;163(6):694-8




2020     |     www.medigraphic.com