Resumen

BRITO HURTADO, Julio G et al. Mortalidad materna en la Maternidad “Concepción Palacios”: 1982-1991. Rev Obstet Ginecol Venez [online]. 2007, vol.67, n.1, pp.31-39. ISSN 0048-7732.

Objective: Investigate the maternal death to know mortality average rate, causes and related factors, to propose strategy and confront this important problem in Concepcion Palacios Maternity, Caracas. Setting: Maternidad “Concepción Palacios”, Caracas. Method: Retrospective, descriptive, and analytical study of maternal death occurred during the ages 1982 - 1991. Results: We found 423 maternal deaths. The maternal mortality rate was 162.2 per 100 000 live births in 10 ages. The leading direct causes was sepsis (48,1 %) principally after abortion, pregnancy induced hypertension (28.3 %) and hemorrhage (17,4 %). The main indirect causes were: infections (28 %), cardiovascular (25 %) and pulmonary (15 %) complications. 20.1 % received prenatal care, 58.1 % and 36.7 % arriving from Federal District and Miranda respectively; 52.7 % of cases was referral from others hospitals and the age maternal predominant was 25-29 ages (26 %). Prevailed the group V or more pregnancies (31 %), death in state postdelivery (34.5 %) and post abortion (27.9 %), the interval between admission and death of more de 48 hours (59.5 %) and less than 2 days of hospitalizations (40.4 %). Autopsy was performed in 286 cases (67.6 %). Conclusions: Our maternity have high rate of maternal mortality avoidable. We must make an effort to improve the capacity and the quality of obstetric attention.

Palabras clave : Maternal mortality; Abortion; Pregnancy induced hypertension; Hemorrhage.