Artículos de revistas
Maternal Mortality In A Reference Center In The Brazilian Southeast [mortalidade Materna Em Um Centro De Referência Do Sudeste Brasileiro]
Registro en:
Revista Brasileira De Ginecologia E Obstetricia. , v. 35, n. 9, p. 388 - 393, 2013.
1007203
10.1590/S0100-72032013000900002
2-s2.0-84887521700
Autor
Troncon J.K.
de Quadros Netto D.L.
Rehder P.M.
Cecatti J.G.
Surita F.G.
Institución
Resumen
PURPOSE: To describe the prevalence of maternal mortality at a tertiary care hospital and to assessits preventability. METHODS: This study, through the analysis of maternal deaths that occurred during the period from 1999 to 2010 at a reference in Campinas - Brazil, CAISM/UNICAMP, discusses some of the factors associated with the main causes of death and some structural problems of structure of the health services. It is a retrospective descriptive study with evaluation of sociodemographic variables and the medical and obstetric history of women, and the causes of death. RESULTS: The majority of maternal deaths occurred due to direct obstetric (45%) and avoidable (36%) causes, in women with preterm gestation, who delivered by cesarean section (56%) and received various management procedures, including blood transfusion, ICU admission and need for laparotomy and/or hysterectomy. The hospital transfer was associated with the predominance of direct obstetric (19 versus 6, p=0.02) and avoidable causes (22 versus 9, p=0.01). CONCLUSIONS: We conclude that, despite current advances in Obstetrics, infections and hypertensive disorders are still the predominant causes of maternal mortality. 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