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Frecuencia de la mortalidad materna según las tres demoras de la atención. Zona 6 del Ecuador, años 2012 – 2015

Abstract:

Objective. Determine the frequency of maternal mortality according to the models of three delays in care in the zone 6 of the Ecuador for the period 2012-2015. Material and methods. With descriptive design was collected information about all maternal deaths recorded by the Zonal Committee of maternal death 2012-2015 and the variables were analyzed: age, instruction, ethnic group, marital status, residence, province where it took place and year, and delays in care and its dimensions were identified. Results. There were 49 cases of maternal death in a population group with a median age of 27 years (range 15 to 46). 71% had between 20-34 years. The 53.1% had primary education and the 36.7% secondary. They were married the 77.6%. The 79.6% was recorded as mestizo ethnicity. 85.7% lived in rural areas. In 2014, took place 30% of deaths. In the other years the frequency was lower. The 57% of deaths maternal occurred in the Azuay, the 28% and the 14% in Morona Santiago. The delay in receiving aid was 59% with a predominance of the lack of decisions (P < 0.001); the delay in seeking help of 57% and explanation was the failure to recognize the problem (P < 0.001), and the delay in reaching aid it was 18%, motivated by the lack of ambulance and access roads. In 34% of deaths there was concurrence of two delays. Conclusion. The increased frequency of maternal mortality in zone 6 was related to the delay in recognizing the problem and delays in making decisions. The lack of ambulance and the lack of access roads were delays of less impact.