title: [Analysis of maternal deaths in Mexico occurred during 2009].
abstract: BACKGROUND
  Mexico reported 955 maternal deaths in 2011, with a ratio of 49 deaths per 100,000 live births. For 2015, the WHO commitment is to reduce the ratio to 22, equivalent to 415 maternal deaths.
  
  
  METHODS
  it is a descriptive and retrospective study. In 1257 maternal deaths in 2009, we reviewed a sample of 173 records. Simple frequencies and percentages were calculated.
  
  
  RESULTS
  direct causes of maternal death were preeclampsia-eclampsia, infection and obstetrical hemorrhage secondary to uterine atony, placental accreta and placenta previa. Fifteen patients died from abortion complications. Four patients died from extra-uterine pregnancy, because of delayed diagnosis and treatment. Indirect causes of maternal death were neoplasms, abdominal sepsis, vascular events, metabolic problems and heart disease; twenty-five patients died of atypical pneumonia and 11 more of influenza A H1N1.
  
  
  CONCLUSIONS
  it is feasible to reduce maternal mortality by means of an adequate prenatal care, in quantity and quality of consultations, and avoiding high risk pregnancies caused by a history of obstetric factors and associated severe diseases. Influenza A H1N1 interrupted the downward trend in maternal mortality.
authors.affiliation: Comisión Nacional de Arbitraje Médico, Distrito Federal, México, Mexico. hector.aguirreg@hotmail.com.
authors.forename: Germán
authors.initials: G
authors.lastname: Fajardo-Dolci
authors.forename: José
authors.initials: J
authors.lastname: Meljem-Moctezuma
authors.forename: Esther
authors.initials: E
authors.lastname: Vicente-González
authors.forename: Francisco Vicente
authors.initials: FV
authors.lastname: Venegas-Páez
authors.forename: Ignacio
authors.initials: I
authors.lastname: Villalba-Espinoza
authors.forename: Ana Luisa
authors.initials: AL
authors.lastname: Pérez-Cardoso
authors.forename: Dante Adrián
authors.initials: DA
authors.lastname: Barrón-Saldaña
authors.forename: Gabriela
authors.initials: G
authors.lastname: Montesinos-Gómez
authors.forename: Ana Valeria
authors.initials: AV
authors.lastname: Aguirre Güemez
authors.forename: Alejandro
authors.initials: A
authors.lastname: Novoa-Boldo
authors.forename: Laura Alejandra
authors.initials: LA
authors.lastname: Mendoza-Larios
authors.forename: Rosa
authors.initials: R
authors.lastname: López-González
authors.forename: Betania
authors.initials: B
authors.lastname: Mazón-González
authors.forename: Héctor Gerardo
authors.initials: HG
authors.lastname: Aguirre-Gas
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D063130:Maternal Death / Q000706:statistics & numerical data*; D008800:Mexico / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000401:mortality*; D012189:Retrospective Studies; D013997:Time Factors; D055815:Young Adult
keywords: bienestar materno; maternal health services; maternal mortality; maternal welfare; mortalidad materna; servicios de salud materna