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Revista de salud publica del Paraguay

versão impressa ISSN 2224-6193versão On-line ISSN 2307-3349


MORA-ESCOBAR, Gladys Ester; CUSIHUAMAN-PUMA, Antonio Ulises  e  INSFRAN, María Delasnieve. Situational Analysis of Maternal Deaths in Paraguay: scopes from 2008 to 2018. Rev. salud publica Parag. [online]. 2020, vol.10, n.1, pp.10-22. ISSN 2307-3349.


Maternal mortality in Paraguay, as a public health problem, reflects the deficit in social determinants and human rights, being an indicator that measures the access to health and development of a country. The Ministerio de Salud Pública y Bienestar Social -MSPBS- has been carrying out cost-effective interventions through the National Mobilization to reduce maternal and neonatal mortality -NMRMNM-, and to improve records.


Analyze the situation of Maternal Deaths in Paraguay and the scope of 2008 to 2018 period.


Observational, descriptive, transverse and retrospective study, identifying 1056 cases of maternal death -MD- in the 2008-2018 period, by reviewing records (SSIEV of the MSPBS) identified by ICD-10 codes: O00-O95, O98-O99 and A34, B20-B24. The information was translated into Excel program from Microsoft Corporation ™ 2007 version and analyzed using Epi Info 7.


In Paraguay, there is a Maternal Death Ratio -MDR- of 117.4 in 2008; in 2014, 63.9 according to the beginning of the NMRMNM; in 2018, 70.8 is recorded (the goals of Sustainable Development Goal 3 aim to reduce global MDR to < 70 maternal deaths per 100,000 live births), with 74.7% (95% CI 63.6-83.8) cases of direct MD. For the total causes of MD in the 2008-2018 period: abortion (20.1%), hemorrhagic complications (19.8%) hypertensive disorders (18.7%), sepsis (4.6%), AIDS (1.1%), obstetric tetanus (0.3%), other perinatal complications (35.4%); and the main causes of direct MD in 2018 continue to be: abortion (20.3%), hypertensive disorders (20.3%) and obstetric hemorrhages (15.2%). In the 2008-2018 period, for age groups: 20-29 years (40.7%), 30-39 years (37.0%), 10-19 years (13.3%) with annual rise or fall trends.


Qualified institutional perinatal care and family planning should be guaranteed, promoting vital strategies such as: work with empirical midwives, prevention of adolescent pregnancy and abortion.

Palavras-chave : Maternal mortality; National Health Programs; Vital strategies. Paraguay..

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