Factors related to Morbidity and Mortality in cases of Maternal death of the Mexican Social Security Institute of Sinaloa for the year 2021- 2022
DOI:
https://doi.org/10.56294/saludcyt20241235Keywords:
Mortality, Morbidity, Maternal Health, Primary CareAbstract
Introduction: obstetric morbidity runs parallel to maternal mortality rates, so it is a way to evaluate the quality of care provided. Behind every maternal death lies a personal tragedy that can be resolved. The objective is to relate the factors of Maternal Morbidity and Mortality in cases of maternal death in the Mexican Social Security Institute, Sinaloa from 2021 to 2022.
Method: study population integrated into a sample of 116 pregnant women from the IMSS Sinaloa, identified through the “PAMM” database and institutional records, associating sociodemographic variables, reproductive and prenatal risk factors, comorbidities in the pregnant stage and action protocols, achieving the creation of a logistic regression model. Non-probabilistic convenience sampling. Observational, analytical, retrospective and transversal research design.
Results: the variables of pregestational care, BMI, transfer, place of occurrence, APP of DM2 and SAH, complications in previous pregnancies and immunization of COVID and influenza, explain maternal mortality by 55,2 % according to the Cox and Snell R2 coefficient.
Conclusion: addressing the differences of the health institution by ethnicity, gender, social territory, life cycles will give the possibility of making visible the true scenarios behind a maternal death: Preconception risk factors and Specific Action Protocols
References
1. Dorantes Álvarez LA, Dorantes Bernal KE, Ortiz Fonseca DS, Tirado Reyes RJ, Inzunza Leyva GK. Factores de Morbilidad y Mortalidad en los casos de muerte Materna en el estado de Sinaloa del año 2021 al año 2022. Dilemas contemp: educ política valores [Internet]. 2023 [citado el 27 de mayo de 2024]; Disponible en: https://dilemascontemporaneoseducacionpoliticayvalores.com/index.php/dilemas/article/view/3860
2. Copa B. Factores de riesgos de la morbilidad y mortalidad materna en embarazadas de la maternidad Rev cochabamba gestión; 2018; 16.
3. Pérez J. Caracterización del proceso hospitalario de atención a la morbilidad materna extremadamente grave. Rev cuba obstet ginecol [Revista electrónica] 2020 [consultado 25 enero 2022]; 98–106. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/cum-59862
4. Corona M. Caracterización del proceso hospitalario de atención a la morbilidad materna extremadamente grave. Rev cuba obstet ginecol [Revista electrónica] 2020 [consultado 2 febrero 2022];54-102. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/cum-59862
5. Markova S. Peculiarities of maternal mortality in the University Hospital of Pleven for period 1977-2001. Med Akush Ginekol (Mosk) [Revista electrónica] 2019; 46:8–13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17469444/
6. Becerril-Rodríguez PR. Patients with severe obstetric morbidity, according to the World Health Organization, atended at the high specialty hospital (2010 to 2016). Emerg infect Dls. 2019.
7. Chávez-Courtois ML, Actos cotidianos de resistencia en el embarazo para prevenir la morbimortalidad materna. Salud Publica Mex [Revista electrónica]. 2021 [cited 2023 Feb 8];63:429–35. Available from: https://pubmed.ncbi.nlm.nih.gov/34098623/
8. Derbal S. Hemorrhages at delivery: 145 cases observed at the maternity department of Bizerte and the new Habib Thameur University Hospital Center. Tunis Med [Revista electrónica]. 1993 [citado el 8 de febrero de 2023];71(12):575–80. Disponible en: https://pubmed.ncbi.nlm.nih.gov/8134959/
9. Guevara-Ríos E. Estado actual de la morbilidad materna extrema en el Perú. Investigación Materno Perinatal [Revista electrónica]. 2019 [cited 2023 Feb 8];5(1):7–8. Available from: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/156
10. Cadena,C.E. (2021). Incidencia de preeclampsia en pacientes portadoras de diabetes mellitus pregestacional y gestacional en el Hospital de la Mujer Puebla. Medicina y Ciencias de la Salud. Recuperado el 12/12/2021 de: https://hdl.handle.net/20.500.12371/12663
11. Pinto, M.G.P., León, A.C., Zamora, R.M.A. (2020). Significado del cuidado familiar como red de apoyo en las embarazadas en una comunidad de Tabasco. CuidArte, 8(15), 45-55. Recuperado el 06/12/2021 de: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=9376612.
12. Enríquez,C.Y. (2023). Desigualdades en la cobertura y en la calidad de la atención prenatal en Perú, 2009-2019. Revista Panamericana De Salud Pública, 46, e47.Recuperado el 17/11/2021 de: https://doi.org/10.26633/RPSP.2022.478.
13. Tang M. Escenarios ocultos de la muerte materna. Desde la mirada de mujeres sobrevivientes. Rev. Salud y Bienestar Colectivo 4(3), 1-19. Recuperado el 02/09/2023 de: https://revistasaludybienestarcolectivo.com/index.php/resbic/article/view/95/89
Published
Issue
Section
License
Copyright (c) 2024 Dorantes Bernal Kimberly Estefanía, Corvera Castro Karla Susana, Inzunza Leyva Gerardo Kenny, Robles Rosas María Rosario Isabel , Ortiz Fonseca Dulce Samantha, Gutiérrez García Sofía, Serrano Bernal Katya Guadalupe, Tirado Reyes Roberto Joel, Dorantes Álvarez Luis Alfredo, Carlón Núñez Carlos Alberto (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.