Pinnacle Medicine & Medical Sciences

(ISSN: 2360-9516)

March 2015, Vol. 2 (3).

© Author(s) 2015. This work is distributed under the Creative Commons Attribution 3.0 License.

Research Article


Critical Links In The Process Of Maternal Care In The Jurisdiction 03 Center, Chilpancingo, Mexico

Cuevas Reyes Blanca Luz1, Sepúlveda Covarrubias Maribel2*, Angela Jarquín Sepúlveda Areli3, Sánchez Castillo Martha Leticia4 & y Díaz González Lucio5

1,2,4Unidad Académica de Enfermería No. 1

3Instituto Windsor Chilpancingo Guerrero

5Unidad Académica de Matemáticas

Accepted 4 March, 2015; Available Online 19 March, 2015.


Introduction: Analyze maternal mortality through the critical links in the sanitary condition of jurisdiction 03 central region, to realice what is wrong with the attention that is given to pregnant women, in order to achieve reduction in maternal deaths, it is necessary to ensure quality care and a range of measures which are: expand coverage, increase institutional delivery, improving road infrastructure, reformulation of the training of midwives, staff training in intercultural and human development, sufficient, timely and consistent technologies with the health needs of the population, in order to comply with the procedures and interventions during the prenatal control. Objective: Analyze maternal mortality through the methodology of critical links. Methodology: A quantitative research study was performed, where 100% of maternal deaths in 2013 were analyzed, in the sanitary jurisdiction 03 central región Chilpancingo, based on the content of maternal death records received by the various health institutions, 4 variables were studied: preventive program, reference, 2nd level of attention and delivery, such records vary in content according to the institution of origin and the particularities of each case. Results: preventive program, the tetanus toxoid vaccine should be administered during the gestational period, however it was found that from the 8 maternal deaths only 2 received the vaccine and 6 do not, 62.5% of users did not have sufficient information and 37.5% was well informed, prenatal care, it was found that 85.5% of women who died had prenatal care, Reference, only 37.5% of women's deaths were referenced. In the 2nd level attention, 37.5% were received without wearing a reference. Delivery: the failure occurs in the care of specialists with 83.3% followed by complications during childbirth with 66.6%, postpartum / newborn, from the 8 cases analyzed there were 5 maternal deaths who died in the postpartum period corresponding to 100%. Discussion: In the research conducted in sanitary jurisdiction 03 central, we found that maternal mortality occurs for different reasons as noted by WHO, in terms of prevention programs in antenatal care and family planning there is insufficient information for users, On the other hand there is a women's census program of childbearing age where 50% of women were recognized, and the other not, we also found that most women did not get tetanus toxoid vaccination. About references from hospital to 2nd level there were patients who did not accept, other users that had to be attended by specialists during labor neither they did, regarding postpartum, they did not attend to their queries, it caused them complications that led them to their death. Conclusion: With the analysis of the methodology of critical links we could notice that attention to the pregnant woman has faults among which are: Preventive programs: the toxoid vaccination with 75%. Prenatal control, laboratory examination, complications during pregnancy and detection of risk factors with 50% each. Reference to 62.5%. Postnatal care / RN: 5 deaths occurred in the postpartum period equivalent to 100%.

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