Maternal mortality due to hypertensive disorders in Chile during 1999-2019
DOI:
https://doi.org/10.22370/revmat.1.2023.3626Keywords:
Maternal Mortality, Preeclampsia, Hypertension, Proteinuria, Hypertension in pregnancyAbstract
Background: hypertensive disorders are frequent and severe pathophysiological alterations. In Latin America they are responsible for almost 26% of maternal deaths, while in Chile they correspond to the second cause of maternal death, after medical diseases concurrent with pregnancy. In fact, at the national level, it has been observed that maternal deaths from this pathology have been high compared to maternal deaths from other causes. The objective of this research, therefore, is to analyze the reasons for maternal mortality from hypertensive disorders in Chile between 1999 and 2019.
Methods: a transverse study of ecological type of time series was performed. The number of mothers who died from hypertensive disorders in the period 1999-2019 in Chile was analyzed, excluding mothers who died from other causes. Data were collected from the Department of Health Statistics and Information, Ministry of Health. Descriptive statistics and bivariate analysis were performed using a simple linear regression model. The STATA-16 software was used.
Results: a total of 196 mothers died from hypertensive disorders were obtained. The highest maternal mortality rate was 5.8 in 2001; the lowest rate of maternal deaths was in 2003 and 2015, being 1.6 in both years. A significant reduction of 0.11 was observed on average per year.
Conclusion: there is a decrease in maternal mortality due to hypertensive disorders in Chile, in the period 1999-2019.
Downloads
References
Salas B, Montero F, Alfaro G, editores. Trastornos hipertensivos del embarazo: Comparación entre la guía de la Caja Costarricense del Seguro Social del 2009 y las recomendaciones de la Asociación de Ginecología Obstetricia del 2019. Vol. 5. Revista Médica Sinergia. 2020; 5. Disponible en: https://www.medigraphic.com/pdfs/sinergia/rms-2020/rms207e.pdf
Sociedad Española de Ginecología y Obstetricia SEGO. Trastornos hipertensivos del embarazo. Revista Progresos de Obstetricia y Ginecología. [Internet]. 2007; 50 (7): 446-55, Elsevier. Disponible en: https://www.elsevier.es/es-revista-progresos-obstetricia-ginecologia-151-pdf-13108003
Organización Mundial de la Salud (2016). Clasificación Estadística Internacional de Enfermedades y Problemas de Salud Conexos (10a ed). Disponible en: https://icd.who.int/browse10/2016/en
MINSAL. (2015). Guia Perinatal. Santiago, Chile, ISBN: 978-956-348-076-4. Disponible en: https://www.minsal.cl/sites/default/files/files/GUIA%20PERINATAL_2015_%20PARA%20PUBLICAR.pdf
Orizondo Ansola Rogelio, González Acosta José Antonio, Corrales Gutiérrez Alexis. Proteinuria gestacional, nuevo término para un viejo problema. Rev Cubana Obstet Ginecol. 2009 Jun [citado 2023 Jul 04]; 35(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2009000200009&lng=es
Carvajal A. Barriga M., Manual de Obstetricia y Ginecología. Decimotercera Edición. 2022. ISBN N° 978-956-410-203-0. Disponible en: https://medicina.uc.cl/wp-content/uploads/2022/03/Manual-Obstetricia-y-Ginecologia-2022_compressed.pdf
Donoso S Enrique, Carvajal C Jorge A. El cambio del perfil epidemiológico de la mortalidad materna en Chile dificultará el cumplimiento del 5° objetivo del Milenio. Rev. méd. Chile [Internet]. 2012 Oct [citado 2023 Jul 06] ; 140( 10 ): 1253-1262. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001000003&lng=es
Ministerio de Salud. Defunciones y Razón de Mortalidad Materna, RMM, según causa básica de defunción. Departamento de Estadística e Información de Salud 2022. Disponible en: https://deis.minsal.cl/
Suárez González Juan Antonio, Gutiérrez Machado Mario, Lorenzo González Belkis Cecilia. Problemática de la muerte materna en Villa Clara. Rev Cubana Obstet Ginecol [Internet]. 2012 Mar [citado 2023 Jul 06] ; 38( 1 ): 28-35. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2012000100004&lng=es.
Von Dadelszen P, Magee LA. Preventing deaths due to the hypertensive disorders of pregnancy. Best Pract Res Clin Obstet Gynaecol [Internet]. 2016 Oct;36:83-102. doi: 10.1016/j.bpobgyn.2016.05.005. Epub 2016 Jun 28. Available in: https://www.sciencedirect.com/science/article/pii/S1521693416300311
Chen J, Ji Y, Su T, Jin M, Yuan Z, Peng Y, et al. Prediction of adverse outcomes in DE Novo hypertensive disorders of pregnancy: Development and validation of maternal and neonatal prognostic models. Healthcare (Basel) [Internet]. 2022 [Cited June 28, 2023];10(11):2307. Available in: http://dx.doi.org/10.3390/healthcare10112307
Organización Panamericana de la Salud. Estrategias para poner fin a la mortalidad materna prevenible (EPMM). Paho [Internet]. 2020. [Consultado el 29 de junio de 2023]. ISBN: 978-92-4-150848-3. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/51963/9789275322106-spa.pdf?sequence=1&isAllowed=y#:~:text=Para%20que%20sean%20eficaces%2C%20los,transici%C3%B3n%20obst%C3%A9trica%E2%80%9D%20(3).
Souza JP, Ö Tunçalp, JP Vogel, M Bohren, M Widmer, OT Oladapo, L Say, AM Gülmezoglu, M Temmerman. Obstetric transition: the pathway towards ending preventable maternal deaths. BJOG [Internet]. 2014 Mar;121 Suppl 1:1-4. doi: 10.1111/1471-0528.12735. Available in: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.12735
Binfa L. Importancia de la Formación de Recursos Humanos en Partería. Facultad de medicina, Universidad de Chile. [Internet]. [Consultado 29 Jul 2023]. Disponible en: https://www.paho.org/sites/default/files/presentacion_lorena_binfa_0.pdf
Mendoza-Cáceres María Angélica, Moreno-Pedraza Laura Carolina, Becerra-Mojica Carlos Hernán, Díaz-Martínez Luis Alfonso. Desenlaces materno-fetales de los embarazos con trastornos hipertensivos: Un estudio transversal. Rev. chil. obstet. ginecol. [Internet]. 2020 Feb [citado 2023 Jul 06] ; 85( 1 ): 14-23. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262020000100014&lng=es
Luna, D. , Martinovic, C. Hipertensión y embarazo: revisión de la literatura. Revista Médica Clínica Las Condes [Internet]. 2023 [Consultado 30 Jun 2023] ; 34(10). Disponible en: https://www.elsevier.es/es-revista-revista-medica-clinica-las-condes-202-articulo-hipertension-embarazo-revision-literatura-S0716864023000081
Carvajal A. Barriga M., Manual de Obstetricia y Ginecología. Decimocuarta Edición. 2023. ISBN N° 978-956-414-488-7. Disponible en: https://medicina.uc.cl/wp-content/uploads/2023/03/Manual-Obstetricia-y-Ginecologia-2023-FINAL_compressed.pdf
Lawrence ER, Klein TJ, Beyuo TK. Maternal Mortality in Low and Middle-Income Countries. Obstet Gynecol Clin North Am. 2022 Dec ;49(4): 713-733. doi: 10.1016/j.ogc.2022.07.001. Available in: https://www.sciencedirect.com/science/article/abs/pii/S0889854522000559?via%3Dihub
Sutton ALM, Harper LM, Tita ATN. Hypertensive Disorders in Pregnancy. Obstet Gynecol Clin North Am. 2018 Jun;45(2):333-347. doi: 10.1016/j.ogc.2018.01.012. Available in: https://www.sciencedirect.com/science/article/abs/pii/S0889854518300123?via%3Dihub
Dreyfus M, Weber P, Zieleskiewicz L. Maternal deaths due to hypertensive disorders. Results from the French confidential enquiry into maternal deaths, 2010-2012. Gynecol Obstet Fertil Senol. 2017 Dec;45(12S): S38-S42. doi: 10.1016/j.gofs.2017.10.027. Epub 2017 Nov 6. Available in: https://www.sciencedirect.com/science/article/abs/pii/S2468718917302581?via%3Dihub
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Matronería Actual
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
__
.png)
Indicaciones para Autores
