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Abstract

Context: Chile presents a secular trend towards a sustained improvement in the main maternal and child indicators. Their situation constitutes a positive experience at the Latin American and Caribbean region level. However, this trend has stagnated in the last ten years, which produces an unstable and worrying situation from the point of view of maternal public health. This motivates a meeting of experts at national and international level to propose strategies for the high political level aimed at achieving Millennium Goals 4 and 5.

 

Conclusion: This consensus document on maternal mortality suggests a confrontation on two axes: first, facing the new epidemiological reality from the preconception stage, this includes considering the high prevalence of obesity, high blood pressure, diabetes, hyperlipidemias and hypothyroidism in the population, and on the other hand, strengthen the security of pregnancy, childbirth and postpartum care in the most remote and vulnerable places in the country. It is necessary to focus the interventions on the groups with the highest risk of life (extreme ages of fertile life and carriers of severe medical-surgical diseases, which are reflected in the proportional increase in indirect causes of maternal death), reinforce the activities of audits of mortality / near miss, as well as controlling the alarming increase in the rate of cesarean deliveries.

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