<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412020000900606</article-id>
<article-id pub-id-type="doi">10.24245/gom.v88i9.4246</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbilidad materna extrema: intervenciones médico-quirúrgicas e indicadores para evitar la muerte materna]]></article-title>
<article-title xml:lang="en"><![CDATA[Maternal Near-Miss: Indicators and medical-surgical interventions carried out to avoid maternal death]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nava-Guerrero]]></surname>
<given-names><![CDATA[Eduardo Noé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nungaray-González]]></surname>
<given-names><![CDATA[Lisset]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salcedo-González]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cisneros-Rivera]]></surname>
<given-names><![CDATA[Fidel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perales-Dávila]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durán-Luna]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional Materno Infantil  ]]></institution>
<addr-line><![CDATA[Nuevo León Monterrey]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional Materno Infantil  ]]></institution>
<addr-line><![CDATA[Nuevo León Monterrey]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional Materno Infantil Departamento de Medicina Materno-Fetal ]]></institution>
<addr-line><![CDATA[Nuevo León Monterrey]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional Materno Infantil Departamento de Medicina Materno-Fetal ]]></institution>
<addr-line><![CDATA[Nuevo León Monterrey]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>9</numero>
<fpage>606</fpage>
<lpage>614</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412020000900606&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412020000900606&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412020000900606&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  OBJETIVO: Clasificar la morbilidad materna extrema conforme a los indicadores propuestos por la Organización Mundial de la Salud y establecer su prevalencia en un hospital de segundo nivel del Norte de México. Además, describir las intervenciones médico-quirúrgicas efectuadas para evitar la muerte materna.  MATERIALES Y MÉTODOS:  Estudio observacional, transversal y retrospectivo de una serie de casos de morbilidad materna extrema (atendidos entre enero de 2015 y diciembre de 2018) que reunieron las condiciones potencialmente mortales definidas por la OMS. La información se obtuvo del expediente electrónico. El análisis estadístico descriptivo se llevó a cabo con medidas de tendencia central.  RESULTADOS: Se registraron 59,481 nacidos vivos, y entre ellos 2792 casos que reunieron los criterios de inclusión de morbilidad materna extrema. Se eliminaron 86 casos por información incompleta en el expediente. Se analizaron 2706 casos de morbilidad materna extrema que representan una prevalencia de 4.5%, con razón de morbilidad materna extrema de 45.49 por cada 1000 nacidos vivos. Se registraron 4 casos de muerte materna, que representaron una razón de muerte materna de 6.7 por cada 100,000 nacidos vivos.  CONCLUSIÓN: La prevalencia de morbilidad materna extrema fue menor a la reportada en países de Latinoamérica y mayor a la de países desarrollados. Se observa una tendencia al alza en la frecuencia de morbilidad materna extrema donde los trastornos hipertensivos constituyen la causa potencialmente mortal más relacionada y la sepsis con el mayor índice de mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  OBJECTIVE: To classify extreme maternal morbidity according to the indicators proposed by the World Health Organization and to establish its prevalence in a second level hospital in northern Mexico. In addition, describe the medical-surgical interventions carried out to prevent maternal death.  MATERIALS AND METHODS: Observational, cross-sectional and retrospective study of a series of cases of extreme maternal morbidity (treated between January 2015 and December 2018) that met the life-threatening conditions defined by the WHO. The information was obtained from the electronic file. Descriptive statistical analysis was carried out using central tendency measures.  RESULTS: There were 59,481 live births, including 2792 cases that met the inclusion criteria for extreme maternal morbidity. Eighty-six cases were eliminated due to incomplete information in the file. A total of 2706 cases of extreme maternal morbidity were analyzed, representing a prevalence of 4.5%, with an extreme maternal morbidity ratio of 45.49 per 1000 live births. Four cases of maternal death were recorded, representing a maternal death ratio of 6.7 per 100,000 live births.  CONCLUSION: The prevalence of extreme maternal morbidity was lower than reported in Latin American countries and higher than in developed countries. There is an upward trend in the frequency of extreme maternal morbidity where hypertensive disorders are the most related life-threatening cause and sepsis has the highest mortality rate.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Muerte materna]]></kwd>
<kwd lng="es"><![CDATA[morbilidad materna]]></kwd>
<kwd lng="es"><![CDATA[prevalencia]]></kwd>
<kwd lng="es"><![CDATA[trastornos hipertensivos]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Near miss]]></kwd>
<kwd lng="en"><![CDATA[Maternal morbidity]]></kwd>
<kwd lng="en"><![CDATA[Prevalence]]></kwd>
<kwd lng="en"><![CDATA[Hypertensive disorders]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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