Objective:

To describe the social determinants of health related to the appearance of extreme maternal morbidity in pregnant women from a health institution in the department of Sucre, for the 2018 - 2019 period.

Materials and methods:

Mixed study with secondary sources (Epidemiological surveillance system), direct observation at the places of residence, and the application of a semi-structured interview to the group of survivors.

Results:

The incidence of the event was 1.4% of pregnant women attending. The average age was 24 years old, 37.5% belong to an ethnic group, 69.7% from rural areas, with low educational levels (38%), living together in a free union (68.7%), first pregnancy (56.2%), late admission to prenatal controls (68.7%), average attendance of 3.5 controls. The determinants that are statistically related to the occurrence of the event were: educational level, ethnicity, possession of a romantic partner, and number of controls attended. The quality of health services, poverty, geographic inaccessibility, and administrative barriers of insurance companies were the most prominent for pregnant women.

Conclusion:

The event occurs mainly in young pregnant women, with a low educational level, and in rural areas. The determinants that were associated were: ethnicity, the number of prenatal check-ups attended, educational level, and marital status; for pregnant women with maternal morbidity, low income, inaccessibility to health services, and the presence of previous illnesses were the most important.

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