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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 10

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Ginecol Obstet Mex 2022; 90 (10)

Maternal mortality trend and regional distribution in Peru: 2015-2019

Román-Lazarte VE, Fernández-Fernández MF, Huanco-Apaza D

Language: Spanish
References: 35
Page: 833-843
PDF size: 196.20 Kb.


ABSTRACT

Objective: Describe the trend and regional distribution of maternal mortality in Peru between 2015 and 2019.
Materials and Methods: A retrospective observational study was carried out based on the cases of maternal death (MM) registered in the National Repository of Health Information (REUNIS) of Peru between 2015 and 2019. The data were analyzed using the maternal mortality ratio (MMR) per 100,000 live births (NV).
Results: A descending maternal mortality trend was observed (415 cases in 2015 to 302 in 2019) and a MMR of 76.34. The mean age was 29.2 years (± 7.8). The highest MMRs were observed in women from the Peruvian jungle (195.1), with home birth (1754.8), and attended in institutions of the first level of care (113.5). The region with the most cases of MM was the Peruvian Sierra (37.61%).
Conclusion: In the study period, the MMR in Peru had a slight decrease, with a downward trend. Only 9 regions achieved an MMR ‹70.


REFERENCES

  1. Alkema L, Chou D, Hogan D, Zhang S, et al. Global, regional,and national levels and trends in maternal mortality between1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal MortalityEstimation Inter-Agency Group. Lancet 2016; 387 (10017):462-74. https://doi.org/10.1016/S0140-6736(15)00838-7

  2. Organización Mundial de la Salud. Evolución de la mortalidadmaterna: 1990-2015: estimaciones de la OMS, elUNICEF, el UNFPA y el Grupo del Banco Mundial y la Divisiónde Población de las Naciones Unidas: sinopsis. 2015.https://apps.who.int/iris/handle/10665/204114

  3. Haileamlak A. Maternal and newborn mortality- still thegreatest disparity between low-income and high-incomecountries. Ethiop J Health Sci 2018; 28 (4): 368. https://doi.org/10.4314/ejhs.v28i4.1

  4. Bauserman M, Lokangaka A, Thorsten V, Tshefu A, et al.Risk factors for maternal death and trends in maternalmortality in low- and middle-income countries: a prospectivelongitudinal cohort analysis. Reprod Health 2015; 12(Suppl 2):S5. https://doi.org/10.1186/1742-4755-12-S2-S5

  5. Maternal mortality rates and statistics. UNICEF DATA. https://data.unicef.org/topic/maternal-health/maternal-mortality/

  6. World Health Organization. Objetivos de Desarrollo Sostenible(ODS). http://www.who.int/topics/sustainabledevelopment-goals/es/

  7. World Health Organization. Objetivos de Desarrollo Sostenible:Metas. http://www.who.int/topics/sustainabledevelopment-goals/targets/es/

  8. Rodríguez-Aguilar R. Maternal mortality in Mexico, beyondmillennial development objectives: An age-period-cohortmodel. PLoS ONE 2018; 13 (3). https://doi.org/10.1371/journal.pone.0194607

  9. Mora-Escobar G, Cusihuamán A, Insfrán M. Situationalanalysis of maternal deaths in Paraguay: scopes from 2008to 2018. Rev Salud Publica Parag 2020; 10: 10-22. https://doi.org/10.18004/rspp.2020.enero.10-22

  10. Ávila-Jaquez C, Ávila-Jaquez C. Disminución de la mortalidadmaterna en Perú y el enfoque de capacidades.Convergencia 2019; 26 (80). https://doi.org/10.29101/crcs.v26i80.10790

  11. del Carpio Ancaya L. Situación de la mortalidad maternaen el Perú, 2000-2012. Rev Peru Med Exp SaludPublica 2013; 30 (3): 461-4. https://doi.org/10.17843/rpmesp.2013.303.284

  12. Lozano-Avendaño L, Bohórquez-Ortiz AZ, Zambrano-Plata GE. Implicaciones familiares y sociales de la muertematerna. Univ Salud 2016; 18 (2): 364-72. https://doi.org/10.22267/rus.161802.45

  13. Perú, Instituto Nacional de Estadística e Informática.Encuesta Demográfica y de Salud Familiar 2010. Lima:INEI; 2011. https://proyectos.inei.gob.pe/endes/2010/endes00/index.html

  14. Perú, Instituto Nacional de Estadística e Informática.Encuesta Demográfica y de Salud Familiar 2005. Lima:INEI; 2005. http://webinei.inei.gob.pe/anda_inei/index.php/catalog/62

  15. Vera C, Donoso E. Desaceleración en la reducción de lamortalidad materna en Chile impide alcanzar el 5° Objetivode Desarrollo del Milenio. ARS Med Santiago 2019; 13-20.https://doi.org/10.11565/arsmed.v44i1.1526

  16. Villacis SIC, Pérez RA, Velásquez MG, Fernández REA, et al.Logros y desafíos para enfrentar la mortalidad materna enEcuador, 2014-2018. Rev Cuba Salud Pública 2020; 46(3).http://www.revsaludpublica.sld.cu/index.php/spu/article/view/2029

  17. Fantin MA, Zavattiero C, Fantin MA, Zavattiero C. Evoluciónde la mortalidad materna en Argentina y Paraguay entre1990 y 2015; políticas públicas, desigualdades y desafíos.Soc Econ 2019; (38): 21-44. https://doi.org/10.25100/sye.v0i38.8024

  18. Small MJ, Allen TK, Brown HL. Global disparities inmaternal morbidity and mortality. Semin Perinatol2017; 41 (5): 318-22. https://doi.org/10.1053/j.semperi.2017.04.009

  19. Ministerio de Salud. Plan estratégico nacional para la reducciónde la mortalidad materna y perinatal 2009-2015. 1ª ed.Perú. ARTPRINT; 2009. https://www.gob.pe/institucion/minsa/informes-publicaciones/322164-plan-estrategiconacional-para-la-reduccion-de-la-mortalidad-materna-yperinatal-

  20. 2009-201520. Nove A, Matthews Z, Neal S, Camacho AV. Maternalmortality in adolescents compared with women of otherages: evidence from 144 countries. Lancet Glob Health2014; 2 (3): e155-164. https://doi.org/10.1016/S2214-109X(13)70179-7

  21. Conde-Agudelo A, Belizán JM, Lammers C. Maternalperinatalmorbidity and mortality associated with adolescentpregnancy in Latin America: Cross-sectional study.Am J Obstet Gynecol 2005; 192 (2): 342-9. https://doi.org/10.1016/j.ajog.2004.10.593

  22. Neal S, Mahendra S, Bose K, Camacho AV, Mathai M, etal. The causes of maternal mortality in adolescents inlow- and middle-income countries: a systematic review ofthe literature. BMC Pregnancy Childbirth 2016; 16 (1): 352.https://doi.org/10.1186/s12884-016-1120-8

  23. Espinola-Sanchez M, Racchumí-Vela A, Arango-OchanteP, Minaya-León P. Perfil sociodemográfico de gestantesen el Perú según regiones naturales. Revista Peruana deInvestigación Materno Perinatal 2019; 8: 14-20. https://doi.org/10.33421/inmp.2019149

  24. Lisonkova S, Potts J, Muraca GM, Razaz N, et al. Maternalage and severe maternal morbidity: A population-based retrospectivecohort study. PLoS Med 2017; 14 (5): e1002307.https://doi.org/10.1371/journal.pmed.1002307

  25. Aradeon SB, Doctor HV. Reducing rural maternal mortalityand the equity gap in northern Nigeria: the public healthevidence for the Community Communication EmergencyReferral strategy. Int J Womens Health 2016; 8: 77-92.https://doi.org/10.2147/IJWH.S94823

  26. Hernández-Vásquez A, Vargas-Fernández R, Bendezu-Quispe G. Factores asociados a la calidad de laatención prenatal en Perú. Rev Peru Med Exp SaludPublica 2019; 178-87. https://doi.org/10.17843/rpmesp.2019.362.4482

  27. Sara J, Haji Y, Gebretsadik A. Determinants of MaternalDeath in a Pastoralist Area of Borena Zone, Oromia Region,Ethiopia: Unmatched Case-Control Study. Obstet GynecolInt 2019 (4): 1-9. https://doi.org/10.1155/2019/5698436

  28. Kimario FF, Festo C, Shabani J, Mrisho M. Determinants ofHome Delivery among Women Aged 15-24 Years in Tanzania.Int J Matern Child Health AIDS 2020; 9 (2): 191-9.:https://doi.org/10.21106/ijma.361

  29. Ministerio de salud. Categorías de establecimientos delsector salud (NT No 021-MINSA/DGSP V.01). 1ª ed. Perú,2005. https://www.gob.pe/institucion/minsa/informespublicaciones/352897-categorias-de-establecimientos-delsector-salud-nt-n-021-minsa-dgsp-v-01

  30. Holdt Somer SJ, Sinkey RG, Bryant AS. Epidemiology ofracial/ethnic disparities in severe maternal morbidity andmortality. Semin Perinatol 2017; 4 1(5): 258-65. https://doi.org/10.1053/j.semperi.2017.04.001

  31. Bagade T, Chojenta C, Harris M, Nepal S, et al. Does genderequality and availability of contraception influencematernal and child mortality? A systematic review. BMJSex Reprod Health 2019. https://doi.org/10.1136/bmjsrh-2018-200184

  32. Rice LW, Espey E, Fenner DE, Gregory KD, et al. Universal accessto contraception: women, families, and communitiesbenefit. Am J Obstet Gynecol 2020; 222 (2): 150.e1-150.e5.https://doi.org/10.1016/j.ajog.2019.09.014

  33. Ministerio de salud. Minsa brindará atención gratuita agestantes y madres de familia. Perú, 2014. https://www.gob.pe/institucion/minsa/noticias/32243-minsa-brindaraatencion-gratuita-a-gestantes-y-madres-de-familia

  34. Say L, Chou D, Gemmill A, Tunçalp Ö, et al. Global causesof maternal death: a WHO systematic analysis. LancetGlob Health 2014; 2 (6): e323-33. https://doi.org/10.1016/S2214-109X(14)70227-X.

  35. Trivelli C. Desarollo rural con quién y para quién. 2ª ed. Perú,2020. https://argumentos-historico.iep.org.pe/articulos/desarrollo-rural-con-quien-y-para-quien/#:~:text=Lo%20rural%20en%20el%20Per%C3%BA,a%20lo%20rural%20disperso%20solamente




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