title: [Maternal morbidity and mortality in a unit of tertiary care without obstetrics].
abstract: BACKGROUND
  Maternal morbidity is a health problem for developing countries, the causes of death among obstetric patients varies according to geographic region and other factors, which include health services. The aim of this study was to identify the causes of maternal mortality and morbidity, as well as factors associated with mortality in patients attending on 2011-2012.
  
  
  METHODS
  Clinical data of the patients on admission, severity of illness, presence of comorbidity, complications that occurred during treatment and causes of death in pregnant or postpartum patients were analyzed.
  
  
  RESULTS
  137 patients were analyzed, 87 (63.5 %) patients were hospitalized, 36 (41.3 %) cases with severe maternal complication (SMC); most patients with SMC were in the postpartum postcesarean. Eleven patients died, five maternal deaths and 6 late deaths.
  
  
  CONCLUSIONS
  SMC and death were more frequent in the postpartum period. The indirect causes of death were more frequent.
authors.affiliation: División de Calidad de la Atención Médica, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. julio.garibaldi@imss.gob.mx.
authors.forename: Julio
authors.initials: J
authors.lastname: Garibaldi-Zapatero
authors.forename: M Teresa
authors.initials: MT
authors.lastname: Than-Gómez
authors.forename: Susana
authors.initials: S
authors.lastname: Guerrero-Rivera
authors.forename: Carlos Fredy
authors.initials: CF
authors.lastname: Cuevas-García
mesh_terms: D000293:Adolescent; D000328:Adult; D003906:Developing Countries; D005260:Female; D006801:Humans; D008427:Maternal Health Services; D008428:Maternal Mortality; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009774:Obstetrics; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D062606:Tertiary Care Centers; D063128:Tertiary Health Care; D055815:Young Adult
keywords: Maternal mortality; Pregnancy complications; Pregnant women