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Revista de Obstetricia y Ginecología de Venezuela
versión impresa ISSN 0048-7732
Resumen
MAZZA, María Margarita; VALLEJO, Carla María y GONZALEZ BLANCO, Mireya. Mortalidad materna: análisis de las tres demoras. Rev Obstet Ginecol Venez [online]. 2012, vol.72, n.4, pp.233-248. ISSN 0048-7732.
Objective: Analyze the characteristics of maternal mortality occurred in the Capital District for the 2008- 2009 years, applying the three delays model. Methods: Descriptive, retrospective cross-sectional study of maternal deaths during the period January 2008 - December 2009. Results: 78 maternal deaths were recorded. The maternal mortality ratio was 98.97 for every 100 000 live births for 2008 and 103.9 per 100 000 live births for 2009. Predominated the deaths of direct obstetrical cause (57.7 %) represented by the hypertensive disorders of pregnancy (40 %), hemorrhage (31.1 %) and sepsis (26.7 %). The main indirect cause was sepsis (62.2 %). 3 Delay was identified mostly in the recorded histories (69.2 %) followed by delay 1 (38.5 %). Thirty patients deserved reference to other definitive medical care centers, the majority (80 %) required a reference and took less than six hours to get to the Center where the death occurred (36.7 %). The main reasons of reference were not having obstetric care (33.3 %) and not count on intensive care for adults (26.6 %). A large number of deaths were listed as avoidable (59 %). Conclusion: The rate and maternal mortality is high, and is higher than the figures reported for the year 2007 (56.6 %) in Venezuela. Predominant delay three, due to lack of specialized medical staff and need to refer to another center and secondly delay 1 by late identification of the symptoms.
Palabras clave : Maternal mortality; Delay; Avoid.