RESUMO
To describe the socio-demographic characteristics and the three delays of maternal mortality in a tertiary teaching hospital. Retrospective, observational study. Department of Obstetrics and Gynaecology, Unit III, Civil Hospital, Karachi, from April 2005 to May 2008. One hundred and four consecutive maternal deaths were reviewed. Data regarding age, parity, sociodemographic characteristics, booking status, referral source, cause of death and the three delays was collected on structured proformas, analyzed by the statistical software, SPSS version 13, and presented in the form of frequencies and percentages. The projected maternal mortality ratio was 1650/100,000 live births. The mean age was 28 +/- 6.2 years and median parity was two. Seventy-one women [68%] were uneducated, 65 [62.5%] belonged to lower socioeconomic class and 60 [58%] had received no antenatal care. Ninety-eight women [94%] had one or more delays, with 70 [71%] having the first delay, 73 [74%] having the second delay and 47 [48%] the third delay. The most frequent reasons for first, second and third delays were lack of awareness in 88.5% women, long distance in 39.7% women and difficulty in getting blood in 49% women respectively. The very high maternal mortality ratio suggests lack of access of women to quality healthcare facilities. A majority of these women suffered first and second delays in their management, which could be due to their poor sociodemographic factors
Assuntos
Humanos , Feminino , Mortalidade Materna/classificação , Demografia , Fatores Socioeconômicos , Mães , Mortalidade , Instituições de Saúde, Recursos Humanos e Serviços , Conscientização , Escolaridade , População RuralRESUMO
El objetivo del presente trabajo fue conocer la mortalidad y aspectos relacionados, en el Hospital de Ginecobstetricia del Centro Médico de Occidente IMSS y hacer un análisis de la problemática y proponer alternativas de solución. Se revisaron los expedientes e informes del Comité de Mortalidad Materna de 74 muertes ocurridas en un lapso de cinco años. Se emplearon las definiciones y criterios de clasificación propuestos por la Federación Internacional de Ginecología y Obstetricia. La tasa de muerte materna promedio fue de 8.01 X 10,000 nacidos vivos. Las principales causas de muerte fueron hemorragia, hipertensión arterial, probable tromboembolia pulmonar y sepsis. 82.4%fueron muertes directas, 66.2%fueron previsibles, y al ingreso al hospital, 39.1%. La responsabilidad profesional existió en 66.2%y la hospitalaria en 25.6%. Se hace el análisis de éstos y otros datos y se plantean posibles estrategias para disminuir la mortalidad materna.
Assuntos
Humanos , Gravidez , Feminino , Diagnóstico Diferencial , Mortalidade Materna/classificação , Mortalidade Materna/estatística & dados numéricos , Previdência SocialRESUMO
El presente trabajo trata de reunir en un volumen gran parte de la rica informacion de que se dispone sobre la sobrevivencia infantil en Bolivia, y hacer un analisis descriptivo de ella. Sin desconocer la importancia de la salud materna, nos hemos concentrado aqui en la salud infantil. Esperamos que este trabajo sirva de estimulo para que se intensifiquen las tareas de investigación sobre esta area prioritaria para el pais, basadas en datos estadisticos fidedignos y con metodologias cientificas.