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Revista de Obstetricia y Ginecología de Venezuela

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FANEITE, Pedro  and  RIVAS, Marianela. Mortalidad materna: tragedia prevenible ¿Hemos avanzado?. Rev Obstet Ginecol Venez [online]. 2010, vol.70, n.1, pp. 24-30. ISSN 0048-7732.

Objective: To know the incidence of maternal mortality, related factors, identify causes and suggest appropriate action. Method: Analytical epidemiological retrospective descriptive study of maternal deaths occurred during the period 2005-2009. A total of 16 records of which 12 were for direct and 4 indirect causes with 11 978 live births. Setting: Department of Obstetrics and Gynecology, Hospital Dr. Adolfo Prince Lara", Puerto Cabello, Estado Carabobo. Results: The average rate of direct maternal mortality was 100.18 per 100 000. The leading causes of death: hemorrhage (uterine atony 48.34 % and 28.57 % ruptured ectopic pregnancy), toxemia, and sepsis with 58.34 %, 25 %, and 16.66 % respectively. The four non-obstetric deaths: upper gastrointestinal bleeding, organ failure, acute respiratory failure, pneumonia. Predominated from Carabobo Estado (66.66 %) and Falcon and Yaracuy (33.4 %), residents in neighborhoods (33.33 %), unmarried and concubines (83.33 %), secondary studies 75 %. Family antecedent hypertension (25 %), personal antecedent hypertension (16.67 %), maternal age between 20-34 years (75 %) and no prenatal care (50 %). In the obstetrical state I gravid I (50 %), gestational age 37-41 weeks (41.67 %) and 21 weeks and less 25 %, death in puerperal state (66.67 %), the interval between admission to hospital less than 12 hours (41.67 %) and less than 6 hours (33 %), time of death 41.67 % between 1-6 am. The 66.67.% cases were referred to hospital for severe complications. Autopsy was performed to 62.5 % (10/16). Conclusion: The average rate increase showed high with outstanding, returning to levels exceeded in the previous decade, has also returned as causal primacy hemorrhagic factor, followed by toxemia, which indicates that we must redouble preventive strategies, efficient health sector and other components.

Keywords : Maternal mortality; Rates; Etiology.

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