Maternal mortality and critical medicine: Three decades (1973-2003)

Jesús Carlos Briones Garduño; Manuel Díaz de León Ponce; Enrique Gómez Bravo Topete; Fernando Ávila Esquivel; Martín Rodríguez Roldán; Carlos Gabriel Briones Vega

2004, Number 4

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Med Crit 2004; 18 (4)

Maternal mortality and critical medicine: Three decades (1973-2003)

Briones GJC, Díaz LPM, Gómez BTE, Fernando Ávila Esquivel, Rodríguez RM, Briones VCG

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Language: Spanish
References: 9
Page: 118-122
PDF size: 66.75 Kb.

ABSTRACT

Introduction: Complicated pregnancies requires multidisciplinary attention to ensure maternal and fetal integrity. An obstetric intensive care unit is designed as a strategy to diminish hospitalary mortality. Objective: To describe the maternal mortality casuistry during the last 30 years, as well us the results obtained after implanting an institutional operative program. Setting: Unidad de Investigación, Instituto Materno Infantil del Estado de México. Material and methods: A statistical analysis was developed including the data of 4 national reports and the results from an ICU, compared before and after an academic program, contrasting with the historial records of another medical units. Results: From 3,497 maternal deaths preeclampsia/eclampsia accounted for 36 to 57.9%, obstetric hemorrage 16.9 to 27.3%, sepsis 3.7 to 24%, and other causes 4.6 to 21.1%. Relative mortality in the ICU ranged between 5.9 to 6.5%. Conclusion: Preeclampsia/eclampsia and hemorrhage highest mortality in our country accounting for 50%. Critical medicine is a determinant issue to diminish maternal mortality.

REFERENCES

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