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>Journals >Medicina Crítica >Year 2004, Issue 4


Briones GJC, Díaz LPM, Gómez BTE, Fernando Ávila Esquivel, Rodríguez RM, Briones VCG
Maternal mortality and critical medicine: Three decades (1973-2003)
Rev Asoc Mex Med Crit y Ter Int 2004; 18 (4)

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


Full text




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.


Key words: Obstetrical critical medicine.


REFERENCIAS

  1. Briones GJC, Castañón GJA, Diaz de León PM, Briones VCG. La unidad de cuidados intensivos multidisciplinaria y la medicina crítica en gineco-obstetricia. Rev Asoc Mex Med Crit y Ter Int 1996;10(6):276-279.

  2. Gómez BTE, Briones GJC, Castañón GJA, Diez de León PM, Morales EJG, Briones VCG. Medicina crítica en obstetricia. Impacto de un programa educativo. Rev Asoc Mex Med Crit y Ter Int 2001;15(4):126-129.

  3. Díaz de León PM, Briones GJC, Gómez BTE, Gil RN, Heredia HO, Mendoza TAM, Ramírez HMG. La problemática de la medicina crítica en México. Rev Asoc Mex Med Crit y Ter Int 2003;17(1):28-33.

  4. Díaz de León PM, Briones GJC, Kably AA, Barrón VJ, Espinosa MML, Juárez AG. Cuidados intensivos en obstetricia. Rev Asoc Méx Med Crit y Ter Int 1997;11(2):36-40.

  5. Velasco VM, Navarrete HE, Cardona PJA, Madrazo NM. Mortalidad materna en el Instituto Mexicano del Seguro Social 1987-1996. Rev Méd IMSS (Mex.) 1997;35(5):377-383.

  6. López-García BR, Anaya GJM. Mortalidad materna en México, Distrito Federal con base en el estudio de los certificados de defunción 1998-1999. Cir Ciruj 2002;70:44-49.

  7. Gómez BTE, Briones GJC, Morales EJG, Rodríguez RM. Mortalidad materna en el Estado de México. Rev Asoc Mex Med Crit y Ter Int 2003;17(6):199-203.

  8. Programa de Acción 2002-2010. Un México apropiado para la lactancia y la adolescencia. Secretaría de Desarrollo Social, Secretaría de Educación Pública, Secretaría de Salud México. 2002:61.

  9. Reyes ES, Lezana FA, García PMC, Bobadilla FJL. Maternal mortality reionalization and trend in Mexico (1937-1995). Archives of Medical Research 1998;29:165-172.






>Journals >Medicina Crítica >Year 2004, Issue 4
 

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