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2013, Number 3

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Cir Cir 2013; 81 (3)

Maternal mortality rate in the Aurelio Valdivieso General Hospital. A ten years follow up

Noguera-Sánchez MF, Arenas-Gómez S, Rabadán-Martínez CE, Antonio-Sánchez P

Language: Spanish
References: 16
Page: 202-206
PDF size: 103.48 Kb.


ABSTRACT

Background: In México, the maternal mortality has a diminishing rate in the country the last decades, except in the estate of Oaxaca. Oaxaca is located amongst the entities with the highest ratios of maternal mortality.
Objective: To analyzed the behavior and epidemiology tendencies of 10 years period of maternal mortality at the Dr. Aurelio Valdivieso General Hospital.
Methods: In a retrospective, descriptive, and transversal analysis, there were reviewed the maternal mortality files from the gynecology and obstetrics division. Three sets of variables were designed, socials, obstetrical and circumstantial. We used general and descriptive statistical tools.
Results: From January first to December 31th of 2009 it was registered 109 maternal deaths, excluding 2 non-obstetrical. Resulting in a 107 maternal deaths; divided in 75 direct maternal deaths and 32 indirect maternal deaths, the maternal mortality rate was 172.14 × 100,000 livebirths. Eighty nine maternal deaths were foreseeable (83%) and 18 were not foreseeable (17%) as was stated by the ad hoc Committee within the Dr. Aurelio Valdivieso’s General Hospital. The pregnancy-related hypertension takes account for the highest pathology in relationship with maternal deaths, the low literacy and puerperium correlated for the higher risk.
Conclusions: Low human development index, low literacy, were the accountable variables that confined higher mortality risk. Also was found that the higher occurrence of maternal deaths appeared during the puerperium and within hospital wards. The maternal mortality rate founded was the higher amongst the country.


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