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Rev Med Inst Mex Seguro Soc. 2013 Sep-Oct;51(5):486-95.

[Analysis of maternal deaths in Mexico occurred during 2009].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
Comisión Nacional de Arbitraje Médico, Distrito Federal, México, Mexico. hector.aguirreg@hotmail.com.

Abstract

in English, Spanish

BACKGROUND:

Mexico reported 955 maternal deaths in 2011, with a ratio of 49 deaths per 100,000 live births. For 2015, the WHO commitment is to reduce the ratio to 22, equivalent to 415 maternal deaths.

METHODS:

it is a descriptive and retrospective study. In 1257 maternal deaths in 2009, we reviewed a sample of 173 records. Simple frequencies and percentages were calculated.

RESULTS:

direct causes of maternal death were preeclampsia-eclampsia, infection and obstetrical hemorrhage secondary to uterine atony, placental accreta and placenta previa. Fifteen patients died from abortion complications. Four patients died from extra-uterine pregnancy, because of delayed diagnosis and treatment. Indirect causes of maternal death were neoplasms, abdominal sepsis, vascular events, metabolic problems and heart disease; twenty-five patients died of atypical pneumonia and 11 more of influenza A H1N1.

CONCLUSIONS:

it is feasible to reduce maternal mortality by means of an adequate prenatal care, in quantity and quality of consultations, and avoiding high risk pregnancies caused by a history of obstetric factors and associated severe diseases. Influenza A H1N1 interrupted the downward trend in maternal mortality.

KEYWORDS:

bienestar materno; maternal health services; maternal mortality; maternal welfare; mortalidad materna; servicios de salud materna

PMID:
24144141
[Indexed for MEDLINE]
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