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Federación Mexicana de Ginecología y Obstetricia, A.C.

2019, Number 07

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Ginecol Obstet Mex 2019; 87 (07)

Characterization of maternal mortality in Bogotá. Study of cases based on sentinel surveillance

Vélez-Maya MA, Grillo-Ardila CF, Higuera-R IL, Molano D

Language: Spanish
References: 39
Page: 425-435
PDF size: 353.39 Kb.


ABSTRACT

Objective: To analyze the epidemiological profile and trends of maternal deaths of women living in Bogotá during the 2010-2012 and 2013-2015 triennia.
Materials and Methods: Retrospective, cross-sectional and descriptive observational study based on epidemiological surveillance of sentinel cases. Women residing in Bogotá who died of direct or indirect causes were included. Late deaths were excluded. Maternal deaths were identified through a review of the birth and death database of the National Administrative Department of Statistics and the reports of the National Health Institute. Clinical and sociodemographic maternal variables grouped, and specific causes of death were recorded. A descriptive statistic was performed for the variables analyzed and statistical significance of trends was evaluated using Poisson distribution.
Results: 225 early maternal deaths and 630,017 live births were included. Early maternal mortality decreased from 39 to 32 per 100,000 live births. For the most part, the reduction occurred in women between 10 and 19 years old and in those over 40 years old. Maternal mortality due to indirect causes decreased and to a lesser extent, for hypertensive disorders, hemorrhage and pregnancy that ends in abortion. However, it increased for infections related to pregnancy and suicides.
Conclusions: Bogotá is in a period of obstetric transition. The reduction in early maternal mortality and the fall in indirect causes stand out. Attention should be paid to the rise in deaths as a consequence of self-inflicted injuries.


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