[Analysis of maternal deaths in Mexico occurred during 2009].

Autor:	Fajardo-Dolci G; Comisión Nacional de Arbitraje Médico, Distrito Federal, México, Mexico. hector.aguirreg@hotmail.com., Meljem-Moctezuma J, Vicente-González E, Venegas-Páez FV, Villalba-Espinoza I, Pérez-Cardoso AL, Barrón-Saldaña DA, Montesinos-Gómez G, Aguirre Güemez AV, Novoa-Boldo A, Mendoza-Larios LA, López-González R, Mazón-González B, Aguirre-Gas HG
Jazyk:	Spanish; Castilian
Zdroj:	Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2013 Sep-Oct; Vol. 51 (5), pp. 486-95.
Abstrakt:	Background: Mexico reported 955 maternal deaths in 2011, with a ratio of 49 deaths per 100,000 live births. For 2015, the WHO commitment is to reduce the ratio to 22, equivalent to 415 maternal deaths. Methods: it is a descriptive and retrospective study. In 1257 maternal deaths in 2009, we reviewed a sample of 173 records. Simple frequencies and percentages were calculated. Results: direct causes of maternal death were preeclampsia-eclampsia, infection and obstetrical hemorrhage secondary to uterine atony, placental accreta and placenta previa. Fifteen patients died from abortion complications. Four patients died from extra-uterine pregnancy, because of delayed diagnosis and treatment. Indirect causes of maternal death were neoplasms, abdominal sepsis, vascular events, metabolic problems and heart disease; twenty-five patients died of atypical pneumonia and 11 more of influenza A H1N1. Conclusions: it is feasible to reduce maternal mortality by means of an adequate prenatal care, in quantity and quality of consultations, and avoiding high risk pregnancies caused by a history of obstetric factors and associated severe diseases. Influenza A H1N1 interrupted the downward trend in maternal mortality.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Plný text ve formátu PDF