title: [Maternal mortality rate in the Aurelio Valdivieso General Hospital: a ten years follow up].
abstract: BACKGROUND
  In México, the maternal mortality rate has been diminishing in the country in the last decades, except in the state of Oaxaca. Oaxaca is located amongst the entities with the highest ratios of maternal mortality.
  
  
  OBJECTIVE
  To analyze the behavior and epidemiological tendencies of maternal mortality over 10 years at the Dr. Aurelio Valdivieso General Hospital.
  
  
  METHODS
  In a retrospective, descriptive, and transverse analysis, we reviewed the maternal mortality files from the gynecology and obstetrics division. Three sets of variables were designed: social, obstetrical and circumstantial. We used general and descriptive statistical tools.
  
  
  RESULTS
  From January first to December 31th of 2009 there were registered 109 maternal deaths. Excluding 2 non-obstetrical deaths, ths results in 107 maternal deaths. Divided into 75 direct maternal deaths and 32 indirect maternal deaths, the maternal mortality rate was 172.14 × 100,000 livebirths. Eighty-nine maternal deaths were foreseeable (83%) and 18 were not foreseeable (17%) as was stated by the Ad Hoc Committee within the Dr. Aurelio Valdivieso General Hospital. Pregnancy-related hypertension accounts for the highest pathology in relation to maternal deaths, the low literacy and puerperium correlated to a higher risk.
  
  
  CONCLUSIONS
  Low human development index and low literacy were the variables that accounted for higher mortality risk. Also, we found that the higher occurrence of maternal deaths appeared during the puerperium and within hospital wards. The maternal mortality rate founded was the higher amongst the various areas of the country.
authors.affiliation: Subdirección General de Innovación y Calidad, Hospital General Dr. Aurelio Valdivieso. Oaxaca, Oaxaca, México. fidiasnoguera@yahoo.com.mx
authors.forename: Marcelo Fidias
authors.initials: MF
authors.lastname: Noguera-Sánchez
authors.forename: Susana
authors.initials: S
authors.lastname: Arenas-Gómez
authors.forename: Cesar Esli
authors.initials: CE
authors.lastname: Rabadán-Martínez
authors.forename: Pedro
authors.initials: P
authors.lastname: Antonio-Sánchez
mesh_terms: D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D017052:Hospital Mortality / Q000639:trends*; D006769:Hospitals, General / Q000706:statistics & numerical data*; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000401:mortality; D008428:Maternal Mortality / Q000639:trends*; D008800:Mexico / Q000453:epidemiology; D006473:Postpartum Hemorrhage / Q000401:mortality; D011203:Poverty; D011247:Pregnancy; D011644:Puerperal Disorders / Q000401:mortality; D012189:Retrospective Studies; D018805:Sepsis / Q000401:mortality; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Dr. Aurelio Valdivieso
  General Hospital; Maternal mortality; mortalidad materna