Resumo

FANEITE A, Pedro  e  STARNIERI, Mirna. Mortalidad materna directa. Hospital "Dr. Adolfo Prince Lara". 1992-2000. Rev Obstet Ginecol Venez [online]. 2001, vol.61, n.2, pp.89-94. ISSN 0048-7732.

SUMMARY Objective: To know the incidence of maternal mortality, related factors, to establish causes and to make suggestions for a more effective obstetric attention. Method: Descriptive, retrospective, epidemiological, and analytical study of maternal deaths occurred during 1982-2000. Twenty five records were analyzed of which 19 were for direct causes and 6 indirect, with 38 482 live born. Results: The average rate of direct maternal mortality was 49.37 for 100 000. The main causes of death were hemorrhage, toxemia and sepsis with 47.37%, 31.58%, and 15.79%, respectively. The six non obstetric deaths were two pneumonia, two meningitis, two acute renal failure. Among the factors there prevailed those coming from the Carabobo State (63.15%), residents in poor neighborhoods (57.89%), unmarried (84.21%), with primary instruction (68.42%). The predominant family antecedent was the hypertension (26.31%), the same as the personnel (10.52%), with maternal age among 35-39 years (42.1%) and without prenatal control (31.57%). In the obstetric state, prevailed the group GF II to VII pregnancies (57.89%), the gestational age 37-41 weeks (52.63%), death in state post-cesarean section (42.1%), the interval between admission and death of more than 72 hours (31.57%) and less than 6 (68.41%). Were realized autopsy to 21.05%. Conclusion: The rates remain high with tendency to diminish, prevailing hemorrhagic causes, what implies a wide preventive strategy.

Palavras-chave : Maternal mortality; Rates; Etiology.