Ordaz-Martínez KY, Rangel R, Hernández-Girón C

Language: Spanish
References: 17
Page: 357-364
PDF size: 279.45 Kb.

ABSTRACT

Introduction: Maternal mortality is a public health issue. The causes of maternal mortality are directly related to accessibility, opportunity, costs and quality of obstetric and perinatal services.
Objective: To describe the characteristics of maternal deaths and analyze the risk factors associated with these deaths in the State of Morelos (Mexico).
Material and method: a cross-sectional epidemiological, observational, descriptive, retrospective study of 94 cases of maternal deaths registered in the Morelos health services, from 2000 to 2004. Hospitalized and non-hospitalized maternal deaths characteristics were compared.
Results: Of 94 maternal deaths, 81.9% were classified as hospitalized (66.7% in public hospitals) and 13.8% as non-hospitalized. 73 (77.6%) deaths occurred during the postpartum period. Most women did not have any medical service (76.7%). There were 77 cases (81.9%) of direct maternal death and 12 (18.1%) indirect. The risk of non-hospitalized maternal death in women 35 to 40 years old was three times higher, with incomplete primary education or none 10.9 and without medical service 3.6 times.
Conclusions: Most deaths were in hospitals, the main causes were hypertensive disorders of pregnancy, childbirth and postpartum and obstetric hemorrhage, events related to the quality of health services. It is necessary to develop more efficient prenatal programs, with focus in maternal and child risk.

REFERENCES

1. Millenium Project Task Force 4: Child Health and Maternal Health. April, OMS, 2004.

2. Informe Sobre la Salud en el Mundo, Capitulo 1. Las Madres y los Niños son Importantes y su Salud También. Organización Mundial de la Salud, 2005.

3. García-Barrios C, Castañeda-Camey X, Romero-Guerrero X, González-Hernández D, Langer-Glas A. Percepción de las parteras sobre factores de riesgo reproductivo. Salud Pub Mex 1993;35(1):74-84.

4. Maternal Mortality in 2000. Estimates Developer by WHO, UNICEF, UNFPA.

5. Report of maternal deaths 1994-96, Australian Institute of Health and Welfare National Perinatal Statics Unit. This report was endorsed at the 138th Session of Council on 15-16 March 2001.

6. Organización Panamericana de la Salud. Maternidad Saludable. Washintong, 1998;p:1-6.

7. Langer A, Lozano R, Hernández B. Mortalidad materna, niveles, tendencias y diferenciales. DEMOS 10, 1994.

8. Gonzalez ML. Requiere muerte maternal enfoque integral. CIMAC. México DF, 2005.

9. Programa de Acción Arranque Parejo en la Vida. Secretaría de Salud. Subsecretaría de Prevención y Protección de la Salud. 1a ed. México DF, 2002.

10. Estadisticas Sociodemográficas. Morelos. INEGI, 2005.

11. Díaz ED. Presupuesto público y mortalidad materna: Seguimiento al Programa Arranque Parejo en la Vida. FUNDAR Centro de Análisis e Investigación, 2003.

12. Romo GCE. La mortalidad materna. Problema de Salud en México. Hill & Melinda Gates Foundation, 2005.

13. Kestler E, Ramírez L. Pregnancy-related mortality maternal Guatemala, 1993-1996. Rev Panam Salud Publica/Pan Am J Public Health 2000;7(1).

14. Hernández B, Langer A, Romero M, Chirinos J. Factores asociados a la muerte materna hospitalaria en el Estado de Morelos, México. Salud Pub Mex 1994;36:521-528.

15. Mujeres y Hombres en Morelos. INEGI, 2005.

16. La Salud en las Américas. Promoción de la Salud en las Américas, Edición 2002. OPS.

17. Estadisticas de Mortalidad Relacionada con Salud reproductiva. Instituto Nacional de Salud Pública. México, 2002.