Millán VMM, Sánchez AC, Rodríguez RR, Rodríguez CAR, Fajardo TY

Language: Spanish
References: 11
Page: 11-20
PDF size: 170.62 Kb.

ABSTRACT

Introduction: mother mortality is a sensible health indicator and is associated with the social development. Its rate remains high at world level, the developing countries are the more affected by this problem.
Objective: to show the behavior of mother mortality in Granma province from 1995 to 2010, to describe the course of deceases according to the general and direct rate of mother death by year, month, place of occurrence, municipality and cause.
Methods: a retrospective and descriptive study was conducted on the mother mortality from 1995 to 2020 in the Granma province. Results are showed in single tables, figures, percentages and rates.
Results: the higher general and direct mortality rate (84.4 and 67.4 × 100 000 life births, respectively) was reported in 1995, whereas the lowest one was reported in 2020 (9.5) without mother death of direct cause. Deceases were more frequent in January, August and December. Most patients died in the "Carlos Manuel de Céspedes" Hospital of Bayamo and in the "Celia Sánchez Manduley" Hospital of Manzanillo. The municipalities with more deceases were Bayamo and Manzanillo municipalities. There was predominance of hemorrhage as the major cause of death, followed the amniotic fluid embolism.
Conclusions: the general and direct mother death cause by months and years from 1995 to 2010 in Granma province has obviously decreased although its decrease has not been uniform thus it is necessary to improve the strategies to solve the complex health problem.

REFERENCES

1. Cabezas Cruz Evelio. Mortalidad materna, un problema por resolver. Rev Cubana Obstet Ginecol. 2009;35(3).

2. Tracy EE, Tomich PG. Maternal mortality: an international crisis. ACOG Clin Rev. 2002;7:13-6.

3. Cuartas J, Mesa C. Factores asociados a mortalidad materna. Medellín 2001-2003. Medellín: Ed Marín Vieco; 2004.

4. Objetivos de desarrollo del Milenio. Informe de 2005. [Consulta 14 Dic 2006]. Disponible en: http://millenniumindicators.un.org/unsd/mi/pdf/MDG%20BOOK-SP-new.pdf

5. Zacca E. Mortalidad materna según provincias. 1998-2009. Anuario Estadístico de Salud. La Habana: MINSAP; 2009. p. 70.

6. Díaz Tamayo J, Pérez Aseef A, Naranjo Igarza S. Morbilidad materna en la Unidad de Cuidados Intensivos en el Hospital General Docente "Enrique Cabrera". Rev Cubana Obstet Ginecol. 2006;3(2):45-9.

7. Khan, Chalid S. WHO Analysis of Causes of Maternal Death: A systematic review. The Lancet. 2006;367(9516):1069.

8. Cabezas E. Evolución de la mortalidad materna en Cuba. Rev Cubana Salud Pública. 2006 [consulta 7 Ene 2007];32(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662006000100005&lng=es

9. Organización Mundial de la Salud. Manejo de las complicaciones del embarazo y el parto: Guía para obstetras y médicos. Ginebra: OMS; 2000. p. C-65 - C-86. Objetivos de desarrollo del Milenio. Informe de 2005. [Consulta 14 Dic 2006]. Disponible en: http://millenniumindicators.un.org/unsd/mi/pdf/MDG%20BOOK-SP-new.pdf

10. Díaz Tamayo J, Pérez Aseef A, Naranjo Igarza S. Morbilidad materna en la Unidad de Cuidados Intensivos en el Hospital General Docente Enrique Cabrera. Rev Cubana Obstet Ginecol. 2006;3(2):45-9.

11. Rodríguez DA, Acosta J. Panorama de la mortalidad materna en Colombia, 1995-2000: logros, fracasos, compromisos y retos. Instituto Nacional de Salud Inf Quinc Epidemiol Nac. 2001;6(23):345-60.