<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7434</journal-id>
<journal-title><![CDATA[Revista Colombiana de Obstetricia y Ginecología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Colomb Obstet Ginecol]]></abbrev-journal-title>
<issn>0034-7434</issn>
<publisher>
<publisher-name><![CDATA[Federación Colombiana de Obstetricia y GinecologíaRevista Colombiana de Obstetricia y Ginecología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74342019000400228</article-id>
<article-id pub-id-type="doi">10.18597/rcog.3406</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[APLICACIÓN DEL SISTEMA DE CLASIFICACIÓN INTERNACIONAL DE ENFERMEDADES PARA LA MORTALIDAD PERINATAL CIE-MP A PARTIR DE REGISTROS VITALES PARA CLASIFICAR LAS MUERTES PERINATALES EN ANTIOQUIA, COLOMBIA]]></article-title>
<article-title xml:lang="en"><![CDATA[Application of the International Classification of Diseases for Perinatal Mortality (ICD-PM) to vital statistics records for the purpose of classifying perinatal deaths in Antioquia, Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar-Barrientos]]></surname>
<given-names><![CDATA[Mary]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zuleta-Tobón]]></surname>
<given-names><![CDATA[John Jairo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia Departamento de Obstetricia y Ginecología NACER, Salud Sexual y Reproductiva]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>70</volume>
<numero>4</numero>
<fpage>228</fpage>
<lpage>242</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0034-74342019000400228&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0034-74342019000400228&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0034-74342019000400228&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  describir la mortalidad perinatal del departamento de Antioquia según la Clasificación Internacional de Enfermedades CIE-MP de la Organización Mundial de la Salud (OMS) y evaluar la factibilidad de aplicar el sistema de clasificación a partir los registros vitales oficiales.  Materiales y métodos:  estudio descriptivo de las causas de muerte perinatal según el momento del fallecimiento con respecto al parto y las condiciones maternas asociadas. La fuente primaria fue la base de datos oficial de estadísticas vitales entre los años 2013 y 2016. Se midieron: la edad materna, la edad gestacional, el peso al momento del parto, el área de residencia, el tipo de parto, las causas de muerte (directas, asociadas) y otros estados patológicos. Se hace análisis descriptivo, se presenta el número absoluto y el porcentaje de las causas distribuidas según el momento de ocurrencia de la muerte con respecto al parto y el peso al nacer.  Resultados:  de 3901 muertes perinatales ocurridas en fetos con 22 semanas o más, o mínimo 500 g de peso y hasta los 28 días de vida, 1404 (36,0 %) se presentaron antes del parto, 378 (9,7 %) en el intraparto, 1760 (45,1 %) en el periodo neonatal y 359 (9,2 %) casos no contaban con información del momento del fallecimiento con relación al parto. Las principales causas de muerte de los recién nacidos de 1000 o más g fueron las malformaciones congénitas, las deformidades y las anormalidades cromosómicas (30,2 %); la hipoxia anteparto e intraparto (29,3 %) y la infección (12,3 %). En el 69,5 % no se identificaron causas maternas asociadas, y en las identificadas, la más frecuente fue la complicación de placenta, cordón y membranas (16,8 %).  Conclusión:  el CIE-MP es un sistema de clasificación aplicable globalmente a partir de los registros vitales, que permitió caracterizar la mortalidad perinatal del departamento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To describe perinatal mortality in the Department of Antioquia based on the WHO International Classification of Diseases (ICD-PM) and determine the feasibility of applying this classification system to the official records on vital statistics.  Materials and Methods:  Descriptive study of the causes of perinatal death according to the time of death in relation to the time of delivery and associated maternal conditions. The primary source was the official database of vital statistics for the period between 2013 and 2016. The variables measured were maternal age, gestational age and weight at the time of birth, area of residence, type of delivery, and causes of death, including direct and associated causes, and other pathological conditions. A descriptive analysis is performed, causes are presented in terms of absolute numbers and percentages, and distributed according to the timing of death in relation to childbirth and birthweight.  Results:  Of 3901 perinatal deaths occurring in fetuses 22 weeks or more of gestational age or a minimum weight of 500 g, and up to 28 days of life, 1404 (36.0%) occurred before delivery, 378 (9.7%) during the intrapartum period, 1760 (45.1%) during the neonatal period, and 359 (9.2%) cases had no information regarding the time of death in relation to the time of delivery. The main causes of death of the neonates weighing 1000 g or more were congenital malformations, deformities and chromosomal abnormalities (30.2%), antepartum and intrapartum hypoxia (29.3%), and infection (12.3%). In 69.5% of cases, no associated maternal causes were identified and in those in which there were related causes, the most frequent was placenta, cord and membrane complications (16.8%).  Conclusion:  The ICD-PM is a system globally applicable to records of vital statistics, enabling the characterization of perinatal mortality in the Department.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mortalidad perinatal]]></kwd>
<kwd lng="es"><![CDATA[mortalidad fetal]]></kwd>
<kwd lng="es"><![CDATA[mortalidad infantil]]></kwd>
<kwd lng="es"><![CDATA[estadísticas vitales]]></kwd>
<kwd lng="es"><![CDATA[Clasificación Internacional de Enfermedades.]]></kwd>
<kwd lng="en"><![CDATA[Perinatal mortality, fetal mortality]]></kwd>
<kwd lng="en"><![CDATA[child mortality, vital statistics International Classification of Diseases]]></kwd>
</kwd-group>
</article-meta>
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