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Hacia la Promoción de la Salud

Print version ISSN 0121-7577

Abstract

BERNAL CORTES, Diana Patricia  and  CARDONA RIVAS, Dora. CHARACTERIZATION OF PERINATAL MORTALITY IN MANIZALES, COLOMBIA, 2009-2012. Hacia promoc. Salud [online]. 2014, vol.19, n.2, pp.66-80. ISSN 0121-7577.

Objective: To characterize perinatal mortality in the city of Manizales, Colombia between 2009 and 2012, according to socio demographic, clinical, health care, affiliation system variables and their relationships. Method: Retrospective, descriptive study that included all perinatal deaths (from the 23 weeks of gestation or 500 grams of weight to seven days of life after birth) that happened between January 2009 and December 2012. Two-hundred and twelve (212) perinatal mortality file cards from the Epidemiological Surveillance System were analyzed. Results: The perinatal mortality frequency and its characteristics are similar in both affiliation systems (contributory, 50. 9% and subsidized, 49. 1%). The most frequent causes of death were extreme prematurity and unspecified intra-uterine hypoxia; the highest mortality took place in the first 24 hours of life. The most affected commune (29. 1 x 1000 nv) was the Cumanday commune. A low correlation among the variables of the study was observed; nevertheless, the regression analysis permitted to identify that the amount of prenatal controls, the weight at birth and the moment of death explain the 83% weeks of gestation at the moment of death. Most of the prenatal controls took place in the primary health care level. Conclusions: There is a hypothesis concerning a failure in the identification of the mother's risk and in prenatal control. These controls take place in the primary health care level; however, labor care and the presence of perinatal deaths occur at the tertiary level of health care.

Keywords : Perinatal mortality; fetal mortality; social security.

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