<?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>0121-0807</journal-id>
<journal-title><![CDATA[Revista de la Universidad Industrial de Santander. Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Univ. Ind. Santander. Salud]]></abbrev-journal-title>
<issn>0121-0807</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-08072025000100015</article-id>
<article-id pub-id-type="doi">10.18273/saluduis.57.e:25v57a02</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a morbilidad materna extrema en hospital caribeño colombiano (2021-2022)]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with extreme maternal morbidity in colombian caribbean hospital (2021-2022).]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Polo]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Julio-Gómez]]></surname>
<given-names><![CDATA[Jose]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Perez]]></surname>
<given-names><![CDATA[Shalom]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montalvo-Ospino]]></surname>
<given-names><![CDATA[Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plazas-Román]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Caballero]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Sinú  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San Vicente de Paul de Lorica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Cartagena  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>57</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-08072025000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-08072025000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-08072025000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La morbilidad materna extrema (MME) es un indicador crítico de salud materna. Este estudio busca identificar factores asociados a MME en un hospital del Caribe colombiano, considerando la escasez de investigaciones locales. Se analizan variables sociodemográficas y clínicas para generar evidencia que oriente políticas de salud materna en la región.  Objetivo: Identificar factores asociados a morbilidad materna extrema en gestantes atendidas en un hospital del Caribe colombiano entre enero 2021 y enero 2022.  Metodología: Estudio de casos y controles (1:2) en gestantes atendidas entre enero 2021 y enero 2022. Se incluyeron 93 casos de MME y 190 controles. Se recolectaron datos sociodemográficos y clínicos de historias clínicas. Se realizó análisis bivariado (chi-cuadrado, OR) y multivariado (regresión logística) para identificar factores asociados a MME, con significancia estadística p&lt;0,05.  Resultados: La ausencia de controles prenatales (ORa = 7,16, IC95%: 2,46; 21,19) y el consumo de sustancias tóxicas (ORa = 38,45, IC95%: 6,72-222,00) fueron las principales variables asociadas a MME. La procedencia rural (ORa= 0,07, IC95%: 0,03-0,20) y peso materno &lt;70 kg (ORa= 0,22, IC95%: 0,10-0,52) actuaron como factores protectores. La sepsis fue la causa más frecuente de MME (50,53%), seguida por preeclampsia (46,24%). Variables como nivel educativo, estado civil y estrato socioeconómico perdieron significancia en el análisis multivariado.  Conclusiones: Los hallazgos subrayan la importancia de mejorar el acceso a controles prenatales y prevenir el consumo de sustancias tóxicas durante el embarazo. Se requieren estrategias adaptadas al contexto local para reducir la MME en la región Caribe colombiana.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Extreme maternal morbidity (EMM) is a critical indicator of maternal health. This study seeks to identify factors associated with EMM in a hospital in the Colombian Caribbean, considering the scarcity of local research. Sociodemographic and clinical variables are analyzed to generate evidence to guide maternal health policies in the region.  Objective: To identify factors associated with extreme maternal morbidity in pregnant women treated at a Colombian Caribbean hospital between January 2021 and January 2022.  Methodology: Case-control study (1:2) in pregnant women treated between January 2021 and January 2022. 93 EMM cases and 190 controls were included. Sociodemographic and clinical data were collected from medical records. Bivariate analysis (chi-square, OR) and multivariate analysis (logistic regression) were performed to identify factors associated with EMM, with statistical significance p&lt;0,05.  Results: The absence of prenatal check-ups (aOR = 7,16, 95%CI: 2,46; 21,19) and the consumption of toxic substances (aOR = 38,45, 95%CI: 6,72-222,00) were the main variables associated with EMM. Rural origin (aOR = 0,07, 95%CI: 0,03-0,20) and maternal weight &lt;70 kg (aOR = 0,22, 95%CI: 0,10-0,52) acted as protective factors. Sepsis was the most frequent cause of EMM (50,53%), followed by preeclampsia (46,24%). Variables such as educational level, marital status, and socioeconomic status lost significance in the multivariate analysis.  Conclusions: The findings underscore the importance of improving access to prenatal check-ups and preventing the consumption of toxic substances during pregnancy. Strategies adapted to the local context are required to reduce EMM in the Colombian Caribbean region.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad Materna]]></kwd>
<kwd lng="es"><![CDATA[Morbilidad]]></kwd>
<kwd lng="es"><![CDATA[Atención Prenatal]]></kwd>
<kwd lng="es"><![CDATA[Hospitales]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Maternal Mortality]]></kwd>
<kwd lng="en"><![CDATA[Morbidity]]></kwd>
<kwd lng="en"><![CDATA[Prenatal Care]]></kwd>
<kwd lng="en"><![CDATA[Risk Factors]]></kwd>
<kwd lng="en"><![CDATA[Hospitals]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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