Mortalidad Materna en el Hospital Nacional Docente Madre Niño "San Bartolomé" 1991-1999

OBJECTIVE: Determine the tendency of the rate of maternal mortality. MATERIALS AND METHODS: observational, descriptive, cross-sectional, retrospective of 18 maternal deaths. RESULTS: Of a total of 49.562 deliveries in the San Bartolome Hospital between 1991-1999, found 49.079 live births and 18 maternal deaths, making a rate of 36.67 per 1000,000 nv The rate of maternal death was direct in 78% (hemorrhage 39% Infection 22% Eclampsia 11% and disease trophoblast 6%) and indirect 22%. Remaining in 28% was less than 24 hours, from 1 to 2 days 33%, 3 to 5 days 11% and more than 5 days 28%. The fastest time was 2 hours, corresponding to a premature detachment of the placenta and the largest 30 days, to pulmonary tuberculosis. In relation to age, the average was 30 years, minimum age 15 years and maximum 44 years. With respect to prenatal 33% did not, 1-3 17%, more than 3 50%. According to parity, 44% were nulliparous, 50% multiparous and high multiparous 6%. 72% of maternal deaths occurred during the postpartum period and in relation to gestational age, 50% went to term, 33% preterm and abortion 17%. El 61% corresponded to avoidable deaths. CONCLUSIONS: The leading cause of maternal death was haemorrhage, followed by infections. The highest percentage of deaths occurred in the extremes of reproductive life. Most deaths was avoidable.