Morbi-Mortalidad Materna y por aborto en M xico: un an lisis de las ltimas dos d cadas Raffaela Schiavon, Gerardo P
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Mortalidad por aborto en el mundo. El 13% de las muertes maternas en el mundo son por abortos inseguros (66,500 muertes en 2003) En Am?rica Latina y el Caribe el 11% de las muertes maternas son por abortos inseguros (2,000 muertes en 2003) 70% de estas muertes son en mujeres menores de 30 a?os18%
Morbi-Mortalidad Materna y por aborto en M xico: un an lis...

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1. Morbi-Mortalidad Materna y por aborto en M?xico: un an?lisis de las ?ltimas dos d?cadas Raffaela Schiavon, Gerardo Polo, Erika Troncoso COLMEX, 12 de enero 2011

2. Mortalidad por aborto en el mundo El 13% de las muertes maternas en el mundo son por abortos inseguros (66,500 muertes en 2003) En Am?rica Latina y el Caribe el 11% de las muertes maternas son por abortos inseguros (2,000 muertes en 2003) 70% de estas muertes son en mujeres menores de 30 a?os 18% en menores de 18 a?os

3. An?lisis de la Mortalidad por aborto en M?xico 1990-2008 Se analizaron las causas de mortalidad materna de acuerdo a Clasificaci?n Internacional de Enfermedades (CIE: 9 y 10 versi?n) Las muertes por aborto se reportan seg?n: Grupos de Edad Distribuci?n geogr?fica Lugar de defunci?n Derechohabiencia Causa espec?fica de mortalidad ..

4. Fuentes Base de datos de defunciones: INEGI Estimaciones de nacidos vivos: CONAPO Grado de Marginalizaci?n: CONAPO Hospitalizaciones por ?Embarazo que termina en aborto? (CIE 10: O00-O08): Sistema Automatizado de Egresos Hospitalarios (SAEH) de la SSa.

5. Certificado de Defunci?n (causa b?sica de muerte)

6. Analisis de muertes maternas y por aborto, en Mexico, desde 1990 a 2005. Analisis de muertes maternas y por aborto, en Mexico, desde 1990 a 2005.

7. Muertes maternas M?xico 1990-2008

9. Raz?n de Mortalidad Materna M?xico 1990-2009

10. RMM por Entidad Federativa M?xico 2009

11. RMM por estado en poblaci?n no asegurada

12. Muertes Maternas por causas M?xico 1990-2008

13. Cambios en causas de MM M?xico 1990-2008

14. Analisis de muertes maternas y por aborto, en Mexico, desde 1990 a 2005. Analisis de muertes maternas y por aborto, en Mexico, desde 1990 a 2005.

15. Muertes maternas y por aborto seg?n grupos de edad, 1990-2008

19. In more marginalized women, deaths due to unspecified or other abortions summed up to 65% of all abortion deaths, while ectopic and mola were 30%. In less marginlaized women, these accounted for 54% of abortion deaths, with ectopic and mola 42% of the total. Miscarriage was fairly constant in the 2 groups (5 and 4%)In more marginalized women, deaths due to unspecified or other abortions summed up to 65% of all abortion deaths, while ectopic and mola were 30%. In less marginlaized women, these accounted for 54% of abortion deaths, with ectopic and mola 42% of the total. Miscarriage was fairly constant in the 2 groups (5 and 4%)

21. The abortion mortality ratio is used to express the number of abortion deaths per 100,000 live births. For the period 1990-2008, the mean ratio was 4.2 at national level, with a maximum of 4.9 in 1995 and a minimum of 3 in 2001. Since the number of live births in any given year is significantly higher than the number of deaths due to abortion, the ratio is extremely small, and the variances across years and states may not be sensitive enough to detect any change or trend. Additionally, since the denominator is number of live births, this indicator is strongly influenced by the proportion of pregnancies that end up in miscarriages (assumed to approximately the same in time and space) and in induced abortion (again, unknown, and possibly variable over time). The abortion mortality ratio is used to express the number of abortion deaths per 100,000 live births. For the period 1990-2008, the mean ratio was 4.2 at national level, with a maximum of 4.9 in 1995 and a minimum of 3 in 2001. Since the number of live births in any given year is significantly higher than the number of deaths due to abortion, the ratio is extremely small, and the variances across years and states may not be sensitive enough to detect any change or trend. Additionally, since the denominator is number of live births, this indicator is strongly influenced by the proportion of pregnancies that end up in miscarriages (assumed to approximately the same in time and space) and in induced abortion (again, unknown, and possibly variable over time).

22. The abortion mortality ratio is used to express the number of abortion deaths per 100,000 live births. For the period 1990-2008, the mean ratio was 4.2 at national level, with a maximum of 4.9 in 1995 and a minimum of 3 in 2001. here we show the MMR and the Abortion MR for the period 1990-2008. Since the number of live births in any given year is significantly higher than the number of deaths due to abortion, the ratio is extremely small, and the variances across years and states may not be sensitive enough to detect any change or trend. Additionally, since the denominator is number of live births, this indicator is strongly influenced by the proportion of pregnancies that end up in miscarriages (assumed to approximately the same in time and space) and in induced abortion (again, unknown, and possibly variable over time). The abortion mortality ratio is used to express the number of abortion deaths per 100,000 live births. For the period 1990-2008, the mean ratio was 4.2 at national level, with a maximum of 4.9 in 1995 and a minimum of 3 in 2001. here we show the MMR and the Abortion MR for the period 1990-2008. Since the number of live births in any given year is significantly higher than the number of deaths due to abortion, the ratio is extremely small, and the variances across years and states may not be sensitive enough to detect any change or trend. Additionally, since the denominator is number of live births, this indicator is strongly influenced by the proportion of pregnancies that end up in miscarriages (assumed to approximately the same in time and space) and in induced abortion (again, unknown, and possibly variable over time).

25. Hospitalizaciones por aborto seg?n estado, 2000-2008

26. Tasa de hospitalizaci?n por aborto seg?n estado, 2000-2008

27. Raz?n de Letalidad por aborto seg?n instituci?n de salud, 2000-2008

28. Raz?n de letalidad por aborto por a?o, M?xico 2000-2008

29. Raz?n de letalidad por aborto por estado, M?xico 2000-2008

30. Discussi?n. 1 En pa?ses donde los sistemas de informaci?n en salud son relativametne s?lidos, el an?lisis de los registros de morbilidad (hospitalizaciones) y mortalidad por causas maternas puede ser ?til para observar tendencias en el tiempo, geogr?ficas , por situaci?n de marginalizaci?n y por causas espec?ficas de muerte. El sesgo de subestimaci?n est? presente, sobre todo en el subregistro y misclasificaci?n (aborto vs. hemorragia y sepsis en edad gestacional avanzada)

31. Discussi?n. 2 La tasa de letalidad por aborto puede ser usada como un indicador ?compuesto ? muy sensible para analizar estas tendencias. Este indicador puede resultar de utilidad para analizar el impacto de los cambios en pol?ticas y leyes que afecten el estatus legal del aborto (ej: DF vs. estados restrictivos) y por ende el acceso a los servicios y la calidad de la atenci?n.


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