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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2009, Number 11

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Ginecol Obstet Mex 2009; 77 (11)

Maternal Mortality. Experience of five years in Northern Veracruz IMSS delegation

Caballero LLA, Muñoz RMR, Soler HE, Blanco CAV, Aguilar BMR
Full text How to cite this article

Language: Spanish
References: 7
Page: 508-511
PDF size: 286.53 Kb.


Key words:

maternal mortality, hipovolemic shock.

ABSTRACT

Objective: Determine the variation in type of maternal death and associated pathologies in the 2004-2008 period.
Material and methods: Maternal deaths retrospective and descriptive study at Delegación Veracruz Norte of the Instituto Mexicano del Seguro Social, Mexico. Medical files of obligatory regimen patients were included, between 2004-2008, from general zone hospitals of Xalapa, Veracruz, Cardel, Poza Rica, Martínez de la Torre and Lerdo de Tejada, and two subzone general hospitals: Tuxpan and San Andrés Tuxtla, also of the Delegación Veracruz Norte of the Instituto Mexicano del Seguro Social.
Results: Twenty two maternal deaths were registered, with a maternal mortality rate of 33.7 by 100,000 living newborns. The main type of maternal death was the indirect one, with 15 cases (68%). The main pathology associated to the direct death type was hipovolemic shock, 18.1% (4 cases), preeclampsia-eclampsia 9% (2 cases) and sepsis 4.5% (1 case).
Discussion: It is notorious the descent in direct obstetrics causes, and the increase in the indirect ones in the 2004-2008 period.


REFERENCES

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  2. Velasco-Murillo V, Navarrete-Hernández E. Mortalidad materna en el IMSS, 1991-2005. Un periodo de cambio. Rev Med IMSS 2006;44(Supl. 1):S121-S128.

  3. Herrera M. Mortalidad materna en el mundo. Rev Chil Obstet Ginecol 2003;68(6):536-43.

  4. Hernández B, Langer A, Romero M, Chirinos J. Factores asociados a la muerte materna hospitalaria en el estado de Morelos, México. Salud Publica Mex 1994;36:521-8.

  5. Díaz J, Salvador JL, Hidalgo F. Mortalidad materna. Experiencia de 4 años en el Hospital Nacional Cayetano Heredia. Ginecología y Obstetricia de la Sociedad Peruana 2004;50(2):97-100.

  6. Velasco-Murillo V, Navarrete-Hernández E, De la Cruz-Mejía L. El descenso de la mortalidad materna en el IMSS, 2000- 2005. ¿Azar o resultados de acciones específicas? Rev Med IMSS 2008;46(2):211-8.

  7. Paxton A, Bailey P, Lobis S, Fry D. Global patterns in availability of emergency obstetric care. Int J Gynaecol Obstet 2006;93(3):300-7.




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Ginecol Obstet Mex. 2009;77