Trend in the maternal mortality ratio in Trujillo Metropolitan

a multicentre study. 2000 - 2011

Abstract

To determine the trend in the rate of maternal mortality in Metropolitan Trujillo during 2000 – 2011. We conducted a descriptive, retrospective, longitudinal, serial measurements over time trends. We selected 88 cases of maternal deaths in Metropolitan Trujillo during the years 2000 to 2011, distributed among hospitals: Regional Docente de Trujillo, Belén de Trujillo and Victor Lazarte Echegaray. We used SPSS 20.0, to calculate the trend function was done using simple linear regression. The highest rate of maternal mortality was found in 2004 (13.6%) and lowest in 2009 (4.5%). The most affected age group accounted for 30-34 years. The districts with the highest percentage of occurrence were: Trujillo (30.7%), El Porvenir (20.5%), La Esperanza (14.8%) and Florencia de Mora (9.1%). The percentage rate of distribution of cases by hospital was: Hospital Belén de Trujillo (53.4%), Regional Hospital of Trujillo (33%) and Victor Lazarte Echegaray Hospital (13.6%). The percentages by time of occurrence were 59.1% and 35.2% pregnancy in the postpartum period, and by cause: 63.6% 36.4% direct and indirect. The main risk factors were attributable: low educational level (69.3%), inadequate number of prenatal visits (60.2%), obstetric hemorrhage (30.7%), maternal age > 34 years (6.8%), pregnancy-induced hypertension (22.7%), infections (13.6%), abortions (6.8%), maternal age < 20 years (6.8%) and poor access to health centers (2 , 3%). The main causes of death were: hypertensive disease of pregnancy (22.7%), followed by hemorrhage (20.5%), infection (12.5%) and abortions (induced and spontaneous) with 5.7%. The highest MMR was found in 2004 (81.3 / 100 000 births) and lowest in 2009 (23.7 / 100 000 births). Trend function of MMR in Metropolitan Trujillo during the period 2000 – 2011 was: y = 5.996 + 9.16 (x) – 0.05. Conclusion: The MMR in Metropolitan Montreal has a gradual downward trend during the period 2000 to 2011.