title: [Maternal mortality. Experience of five years in Northern Veracruz IMSS Delegation].
abstract: OBJECTIVE
  Determine the variation in type of maternal death and associated pathologies in the 2004-2008 period.
  
  
  METHODS
  Maternal deaths retrospective and descriptive study at Delegación Veracruz Norte of the Instituto Mexicano del Seguro Social, Mexico. Medical files of obligatory regimen patients were included, between 2004-2008, from general zone hospitals of Xalapa, Veracruz, Cardel, Poza Rica, Martínez de la Torre and Lerdo de Tejada, and two subzone general hospitals: Tuxpan and San Andrés Tuxtla, also of the Delegación Veracruz Norte of the Instituto Mexicano del Seguro Social.
  
  
  RESULTS
  Twenty two maternal deaths were registered, with a maternal mortality rate of 33.7 by 100,000 living newborns. The main type of maternal death was the indirect one, with 15 cases (68%). The main pathology associated to the direct death type was hipovolemic shock, 18.1% (4 cases), preeclampsia-eclampsia 9% (2 cases) and sepsis 4.5% (1 case).
  
  
  CONCLUSIONS
  It is notorious the descent in direct obstetrics causes, and the increase in the indirect ones in the 2004-2008 period.
authors.affiliation: Delegación Veracruz Norte, Instituto Mexicano del Seguro Social, Xalapa, Veracruz. luis.caballerol@imss.gob.mx
authors.forename: Luis Antonio Caballero
authors.initials: LA
authors.lastname: Leal
authors.forename: Mario Ramón Muñoz
authors.initials: MR
authors.lastname: Rodríguez
authors.forename: Elizabeth Soler
authors.initials: ES
authors.lastname: Huerta
authors.forename: Aída Verónica Blanco
authors.initials: AV
authors.lastname: Cornejo
authors.forename: María del Rocío Aguilar
authors.initials: Mdel R
authors.lastname: Barradas
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008428:Maternal Mortality / Q000639:trends*; D008800:Mexico; D012189:Retrospective Studies; D013997:Time Factors; D014504:Urban Health; D055815:Young Adult