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The Problem of Indirect Causes of Maternal Mortality
| Manuel Antonio Diaz de Leon Ponce1*, Briones Garduno Jesus Carlos2 and Moreno Santillan Armando Alberto3 | |
| 1Member of the National Academy of Medicine (Mexico) and Mexican Academy of Surgery, Fellow of the American College of Physicians, Mexico | |
| 2Member of the National Academy of Medicine (Mexico) and the Mexican Academy of Surgery, CMD in Obstetrics and Gynecology Intensive Care Unit, General Hospital of Mexico “Dr. Eduardo Liceaga” SSA, Mexico | |
| 3Department of Obstetrics, Obstetrics and Gynecology Hospital “Dr. Luis Castelazo Ayala” IMSS, Mexico | |
| Corresponding Author : | Manuel Antonio Diaz de Leon Ponce Naranjo 94 -303, Colonia Santa Maria la Ribera CP Delegacion Cuauhtemoc, Mexico City, Mexico Tel: 52 55 4169 43 E-mail: manueldeleonponce@hotmail.com |
| Received September 06, 2014; Accepted December 23, 2014; Published December 24, 2014 | |
| Citation: de Leon Ponce MAD, Jesus Carlos BG, Armando Alberto MS (2015) The Problem of Indirect Causes of Maternal Mortality. J Preg Child Health 2:126. doi: 10.4172/2376-127X.1000126 | |
| Copyright: © 2015 de Leon Ponce MAD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
Introduction: Maternal mortality remains as a major Public Health challenge. About 800 women die from pregnancy related complications around the world every day. In 2013, 289 000 women died during and following pregnancy and childbirth. Almost all of these deaths (99%) occur in developing countries, and most could have been prevented. In Mexico there are still a significant number of deaths that are not properly registered as maternal deaths, so in the present study we analyze the causes and classification of maternal deaths occurred in six Intensive Care Units (ICUs) in Mexico in the period 1973 - 2013.
Material and methods: We realized a retrospective analysis of all maternal deaths during a forty year period (1973–2013) occurred in six Mexican Intensive Care Units (ICUs). We also review the diagnostic criteria, previous diseases; pregnancy related risk factors, state of hospitalization, length of stay, number of co-morbid conditions, adverse events and type of organic failure.
Results: We identified during the last 40 years 7735 maternal deaths (maternal mortality ratio of 7.2% per year). From the total deaths, 6723 were direct causes and 1012 were indirect causes. In the 75% of the total indirect causes the patients received prenatal control in the first level of attention, and were referred to the third level of attention only when the mortal complication was an essentially untreatable.
