Maternal Mortality at the Cajamarca Regional Teaching Hospital, years 2012 to 2018
Luis Pinillos-Vilca, Tito Urquiaga-Melquiades, Jhony Tacilla Castrejón, Martín Albán Olaya, Segundo Bueno Ordoñez, Carmen Medina-Rodríguez
Abstract
Objective: to analyze the maternal death ratio (MMR), its sociodemographic and obstetric characteristics of maternal deaths (MM) that occurred between 2012 and 2018 at the Cajamarca Regional Teaching Hospital (HRDC). Descriptive study on data obtained from the registry of maternal deaths of the Office of Epidemiology of DIRESA Cajamarca. 42 MM occurred, average RMM was 171.4 / 100000 NV; 42.8% were 20 to 29 years old, 30.9% were 36 years or older. They came from the province of Cajamarca: 50%. They had primary education: 47.6%; illiterate: 4.8%. Housewives: 80.9%; cohabitants: 71.4%. Gestational age: 47.1% between 28-36 weeks, 26.2% between 37-40 weeks. 42.8% were multiparous, 4.8% great multiparous. Prenatal control: 69% inadequate; affiliated with the SIS: 95%. Direct MM: 76.2% and 23.8% indirect; pregnancy-induced hypertension: 65.6%; 21.9% obstetric sepsis, 12.5% obstetric hemorrhage. It occurred in the puerperium: 85.7%. Referrals: 85.7%, 44.4% from Cajamarca province. 59.6% died in ICU, cause of admission to ICU (56%): hypertension associated with pregnancy. Average stay: 5.4 days. 54.8% were cesarean delivery; 91.3% of caesarean sections were performed in HRDC. Hospital MMR in the study period was "very high". Sociodemographic characteristics would be the cause of the causes of the high MMR in HRDC. Most MM were direct (76.2%), mostly associated with hypertensive disease of pregnancy (65.6%). Analyzing the hospital stay, the service where the MM occurred and the type of delivery, helps to show the degree of resolution capacity of the HRDC.