2025, Number 1
<< Back Next >>
Arch Inv Mat Inf 2025; 16 (1)
Analysis of maternal mortality in the state of Guanajuato from 2016 to 2023: an ecological study of time trends
Padilla RN, Magos VFJ, Flores VG, Gallardo LMJ, Navarro OE, Flores-Mendiola N, Rocha-Arguelles SM
Language: Spanish
References: 17
Page: 5-11
PDF size: 299.08 Kb.
ABSTRACT
Introduction: one of the sustainable development goals is to reduce maternal mortality ratio to under 70/per 100,000 living births in each country before 2030.
Objective: analyze the maternal mortality ratio from 2016 to 2023 in the Mexican state of Guanajuato.
Material and methods: this study was designed as an ecological study of trends. Data were obtained from the databases of the Ministry of Health from Mexico and Guanajuato state. The variables under analysis were age, year of death, death cause, and place of occurrence. For the statistical analysis, the maternal mortality ratio was calculated for each year and compared with the sustainable development goal of 70/per 100,000 living births.
Results: the maternal mortality ratios in Guanajuato state from 2016 to 2023 complied with the ratio of sustainable development goal of 70/per 100,000 living births (p < 0.05). Hemorrhage was the chief cause of maternal mortality. Meanwhile, preeclampsia/eclampsia was no longer the most frequent cause of death in 2022-2023.
Conclusion: the maternal mortality ratio remains low in Guanajuato state since the Strengthening Strategy of Care of the Obstetric Net strategy implementation was successful. During 2020 and 2021, there were increments, but they were likely due to the COVID-19 pandemic.
REFERENCES
Lazcano-Ponce E, Schiavon R, Uribe-Zúñiga P, Walker D, Suárez-López L, Luna-Gordillo R et al. Cobertura de atención del parto en México. Su interpretación en el contexto de la mortalidad materna. Salud Publica Mex [Internet]. 2013; 55 Suppl 2: S214-S224. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342013000800019
Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016; 387 (10017): 462-474. doi: 10.1016/S0140-6736(15)00838-7.
World Health Organization. Maternal mortality [Internet]. Geneva: World Health Organization; 2019. Available in: https://www.who.int/es/news-room/fact-sheets/detail/maternal-mortality
United Nations Organization. Sustainable development goals [Internet]. New York: United Nations Organization; 2022. Available in: https://www.un.org/sustainabledevelopment/development-agenda/
Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J Obstet Gynecol. 2005; 192 (2): 342-349. doi: 10.1016/j.ajog.2004.10.593.
Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet. 2009; 374 (9693): 881-892. doi: 10.1016/S0140-6736(09)60741-8.
Fernández Cantón SB, Gutiérrez Trujillo G, Viguri Uribe R. La mortalidad materna y el aborto en México. Bol Med Hosp Infant Mex [Internet]. 2012; 69 (1): 77-80. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1665-11462012000100011&lng=es
Observatorio de Mortalidad Materna en México. Sistema de indicadores. Boletines semanales de muerte materna [Internet]. Ciudad de México: Observatorio de Mortalidad Materna en México; 2024. Disponible en: https://omm.org.mx/sistema-de-indicadores/boletines/
Observatorio de Mortalidad Materna en México. Mortalidad materna en México. Numeralia 2016. OMM [Internet]. Ciudad de México: Observatorio de Mortalidad Materna en México; 2018. Disponible en: https://efaidnbmnnnibpcajpcglclefindmkaj/viewer.html?pdfurl=https%3A%2F%2Fomm.org.mx%2Fwp-content%2Fuploads%2F2020%2F04%2FNumeralia-2016.pdf&clen=2625533&chunk=true
Dirección General de Servicios de Salud, Instituto de Salud Pública del Estado de Guanajuato. Departamento de Redes de Atención. Fortalecimiento en la Atención de la Red Obstétrica (FARO). Guanajuato: Instituto de Salud Pública del Estado de Guanajuato; 2021. Disponible a solicitud.
Secretaría de Salud (México). Bases abiertas. Mortalidad materna. Datos y recursos. 2002-2021 [Internet]. Ciudad de México: Secretaría de Salud; 2022. Disponible en: https://datos.gob.mx/busca/dataset/mortalidad-materna
Dirección de Vigilancia Epidemiológica, Instituto de Salud Pública del Estado de Guanajuato. Enfermedades emergentes y re-emergentes [Internet]. Guanajuato: Instituto de Salud Pública del Estado de Guanajuato; 2023. Disponible a solicitud.
Dirección General de Información en Salud, Secretaría de Salud (México). Codificación de la mortalidad [Internet]. Ciudad de México: Dirección General de Información en Salud; 2022. Disponible en: http://www.dgis.salud.gob.mx/contenidos/cemece/codificacion_gobmx.html
Dirección General de Información en Salud, Secretaría de Salud (México). Nacimientos. Datos abiertos [Internet]. Ciudad de México: Dirección General de Información en Salud; 2023. Disponible en: http://www.dgis.salud.gob.mx/contenidos/basesdedatos/da_nacimientos_gobmx.html
Calvert C, John J, Nzvere FP, Cresswell JA, Fawcus S, Fottrell E et al. Maternal mortality in the COVID-19 pandemic: findings from a rapid systematic review. Glob Health Action. 2021; 14 (sup1): 1974677. doi: 10.1080/16549716.2021.1974677.
World Health Organization. Maternal mortality [Internet]. Geneva: World Health Organization; 2025. Available in: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
World Health Organization. Maternal mortality ratio (per 100 000 live births) [Internet]. Geneva: World Health Organization; 2025. Available in: https://data.who.int/indicators/i/AC597B1