Mortalidad materna un Problema Multifactorial de Salud Pública ­ Hospital Belén de Trujillo (Factores de Riesgo) / Maternal Mortality a Multifactorial Public Health Problem - Hospital Belén de Trujillo (Risk factor's)

RESUMEN

El presente estudio tiene como objetivo determinar los factores asociados significativamente a mortalidad materna, es un estudio observacional retrospectivo, de casos y controles, se conformaron dos grupos Grupo de Casos (63) gestantes que egresan fallecidas, con registro en la Oficina General de Epidemiología del Hospital y en el Sistema Informático Perinatal 2000 (SIP 2000), y Grupo Control (315) gestantes que egresan vivas del hospital, registradas en el Sistema Informático Perinatal 2000 (SIP 2000). Se utilizó la prueba chi cuadrado en el análisis bivariado y como estadígrafo el OR y su IC 95%. Se concluye que los factores más significativos entre los factores socioeconómicos La no procedencia del distrito de Trujillo (OR = 2,04), Estudios hasta primaria (OR = 6,82), Distancia hasta el hospital mayor de 10 Km. (OR = 4,47) y tiempo transcurrido hasta llegar al hospital mayor de 10 minutos ( OR = 2,22); entre los factores gineco-obstétricos significativos para explicar la mortalidad materna encontramos edad extrema (OR = 2,43), Multiparidad (OR = 4,19), Parto no a término (OR = 4,26), falta de control prenatal (OR = 5,4), similarmente, Preclamsia/Eclampsia (OR = 5,76), y Placenta previa (OR = 10,61). (AU)

ABSTRACT

The present study aims to determine the factors significantly associated with maternal mortality, it is a retrospective observational study, of cases and controls, two groups were formed Case Group (63) pregnant women who leave the hospital alive, registered in the General Office of Epidemiology of the Hospital and in the Perinatal Computer System 2000 (SIP 2000), and Control Group (315) pregnant women who leave the hospital alive, registered in the Perinatal Computer System 2000 (SIP 2000). The chi-square test was used in the bivariate analysis and the OR and its 95% CI were used as a statistician. It is concluded that the most significant factors among the socioeconomic factors The non-origin of the Trujillo district (OR = 2.04), Studies until primary (OR = 6.82), Distance to the hospital greater than 10 km (OR = 4.47) and time elapsed until reaching the major hospital 10 minutes (OR = 2.22); Among the gyneco-obstetric factors significant to explain maternal mortality we find extreme age (OR = 2.43), Multiparity (OR = 4.19), Non-term delivery (OR = 4.26), lack of prenatal control ( OR = 5.4), similarly, Preeclampsia / Eclampsia (OR = 5.76), and Placenta previa (OR = 10.61).