RESUMO
PIP: 71 maternal deaths at the Hospital Central Militar (Central Military Hospital) over the 12-year period 1968-1979 were reviewed. Maternal mortality rate was 23.07% which is higher than for the rest of the population. The most frequent type of mortality was due to obstetrical causes (69.01%) and here it was infection, pre-eclampsia, eclampsia, and hemorrhage which were most frequent. Among nonobstetrical causes, viral hepatitis was the most frequent. Death occurred more often among young women ages 21-25 with 2-4 previous deliveries. Death was considered evitable and probably evitable in 50 cases (70.42%). Of these, 62% were the responsibility of physicians and hospitals, while the rest were attributable to the patient and the community. (author's modified)^ieng
Assuntos
Mortalidade Materna , Adolescente , Adulto , Infecções Bacterianas/mortalidade , Feminino , Hepatite Viral Humana , Hospitais Militares , Humanos , México , Pessoa de Meia-Idade , Complicações do Trabalho de Parto/mortalidade , Gravidez , Estudos RetrospectivosRESUMO
Se revisaron 71 casos de muerte materna ocurrida en el Hospital Central Militar en un periodo de 12 anos (1968-1979), encontrando una tasa de mortalidad materna de 23.07, elevada con respecto a la nacional y a la de otras instituciones nacionales.El tipo mas frecuente de muerte materna fue la obstetrica directa (69.01 por ciento) y en ella la infeccion, la preeclampsia-eclampsia y la hemorragia fueron los padecimientos mas importantes. Entre las causas no obstetricas fue la hepatitis viral la mas frecuente. La muerte ocurrio con mayor frecuencia en mujeres jovenes, entre 21 y 25 anos, con paridad previa de dos a cuatro partos. Se clasificaron como evitables y probablemente evitables 50 casos (70.42 por ciento) y de ellos, en 62 por ciento se asigno la responsabilidad a medicos y hospital y en el resto a la misma paciente y a la comunidad