title: [Causes of maternal mortality in the Instituto Mexicano del Seguro Social, period 2009-2012].
abstract: BACKGROUND
  The maternal mortality ratio (MMR) has declined slowly, despite the WHO resolved to reduce up to 75 % the maternal mortality from 1990 to 2015. This is why it is necessary to continue the analysis of the causes to strengthen and innovate the courses of action to reduce maternal deaths in our country.
  
  
  METHODS
  A retrospective study which included maternal deaths (due to direct and indirect causes) that occurred in the period 2009-2012. The information was obtained from the file of maternal death, which is an Instituto Mexicano del Seguro Social (IMSS) official source. We used the WHO definition of maternal death. Indirect deaths were grouped according to the International Classification of Illnesses (ICI-10). It was used descriptive statistics.
  
  
  RESULTS
  The MMR in the IMSS has declined slowly but steadily: in 2012, it was recorded the lowest MMR in this institute: 26.4. However, severe preeclampsia-eclampsia and obstetric hemorrhage were the first and second place, respectively, as direct causes of death. As indirect causes, cardiovascular diseases and malignant neoplasms were the first places (without underestimating the respiratory diseases top figures).
  
  
  CONCLUSIONS
  It is necessary to keep doing our efforts to diminish maternal deaths in all levels of medical care at the IMSS. It is a priority to continue education and preconception counseling to women of childbearing age with such diseases.
authors: División de Atención Ginecobstétrica y Perinatal, Coordinación de áreas Médicas, Instituto Mexicano del Seguro Social, Distrito Federal, México. polita.cruz@imss.gob.mx.
authors: Roberto Aguli
authors: RA
authors: Ruíz-Rosas
authors: Polita Rocío
authors: PR
authors: Cruz-Cruz
mesh_terms: D000047:Academies and Institutes; D000293:Adolescent; D000328:Adult; D002423:Cause of Death / Q000639:trends*; D002648:Child; D005260:Female; D006801:Humans; D008428:Maternal Mortality / Q000639:trends*; D008800:Mexico / Q000453:epidemiology; D011247:Pregnancy; D012189:Retrospective Studies; D012943:Social Security; D055815:Young Adult
keywords: Cause of death; Hospital death; Maternal mortality