[Maternal mortality. Experience of five years in Northern Veracruz IMSS Delegation].
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.
Leal
Luis Antonio Caballero
LA
Delegación Veracruz Norte, Instituto Mexicano del Seguro Social, Xalapa, Veracruz. luis.caballerol@imss.gob.mx
Rodríguez
Mario Ramón Muñoz
MR
Huerta
Elizabeth Soler
ES
Cornejo
Aída Verónica Blanco
AV
Barradas
María del Rocío Aguilar
Mdel R
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