Mortalidad materna y perinatal en municipios y corregimientos de Frontera Terrestre. Colombia 1998 – 2016

Erika  Ríos; Rubén  Gómez; Mónica  Lopera

doi:10.31403/rpgo.v68i2396

Authors

Erika Ríos Gerente de sistemas de salud. Asistente de investigación de la Línea Sistemas de Salud SISSALUD
Rubén Gómez octor en Salud Pública, Profesor Facultad Nacional de Salud Pública, Universidad de Antioquia
Mónica Lopera Doctora en Salud Pública, Fellowhisp (FFPH) Imperial College of London, Profesora Facultad Nacional de Salud Pública, Universidad de Antioquia, Colombia. Coordinadora de la línea de investigación de Sistemas de Salud adscrita al Grupo de Investigación Gestión y Política Pública, Facultad Nacional de Salud Pública, Chagualo, Medellín

DOI:

https://doi.org/10.31403/rpgo.v68i2396

Keywords:

Maternal mortality, Perinatal mortality, Maternal health, Maternal and Perinatal health services, Vulnerable populations

Abstract

Abstract: Maternal and perinatal mortality is a priority public health issue that is particularly difficult to control in border areas. Objectives: To describe the behavior of maternal and perinatal mortality in the border territories of Colombia, between 1998 and 2016; and to establish its association with sociodemographic, geographic and health care factors. Methods: Retrospective observational study, based on official records. Maternal mortality ratio (MMR) and perinatal mortality ratio (RMP) were calculated for the period 1998-2016, identifying inflection points through Joinpoint analysis. Likewise, bivariate and multivariate analyses were performed. Results: From 54 municipalities and 12 borders townships belonging to 12 Departments, 687 records maternal mortality records and 12,786 perinatal mortality records were obtained. The ratios observed were 88 x 100,000 BA for MMR and 16 x 1,000 NV for PMR. The trend of these types of mortality was downward. The highest values of perinatal mortality were significantly associated with maternal age 35-54 years, care by subsidized regime, low educational level, women without a partner, and multiple pregnancies. Conclusion: Maternal and perinatal mortality registered in border municipalities is above the national average.