<?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>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742025000100108</article-id>
<article-id pub-id-type="doi">10.18004/rdn2025.e1700108</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Characteristics of maternal mortality in Paraguay (2014-2021)]]></article-title>
<article-title xml:lang="en"><![CDATA[Características de la mortalidad materna en Paraguay (2014-2021)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espínola-Canata]]></surname>
<given-names><![CDATA[Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora Escobar]]></surname>
<given-names><![CDATA[Gladys Ester]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez]]></surname>
<given-names><![CDATA[Carina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz de Vivar]]></surname>
<given-names><![CDATA[Miuriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez]]></surname>
<given-names><![CDATA[Marlene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernal]]></surname>
<given-names><![CDATA[Cira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tullo Gómez]]></surname>
<given-names><![CDATA[Juan Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos Ruiz Díaz]]></surname>
<given-names><![CDATA[Pasionaria Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Integración de las Américas Escuela de Posgrado Programa de Doctorado en Salud Pública]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Instituto Nacional de Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Dirección Nacional Estratégica de Recursos Humanos en Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Undécima Región Sanitaria USF 15 de agosto]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Sanatorio Británico S.A Jefatura de Enfermería ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Autónoma del Paraguay Facultad de Óptica y Contactología ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospital Militar Fondo Para la Salud del Personal de las Fuerzas Armadas ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Dirección General de Información Estratégica en Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>17</volume>
<fpage>108</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742025000100108&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742025000100108&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742025000100108&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la mortalidad materna (MM) es un indicador crítico de salud pública. En Paraguay, los avances logrados se vieron afectados por la pandemia de COVID-19. Este estudio examina las características de la MM en Paraguay entre 2014 y 2021.  Objetivos:  describir las características sociodemográficas y clínicas de la mortalidad materna en Paraguay durante 2014-2021.  Metodología:  Estudio descriptivo transversal retrospectivo utilizando datos de certificados de defunción de la DIGIES. Se analizaron 740 casos de muertes maternas en las 18 Regiones Sanitarias del país.  Resultados:  se registraron 740 muertes maternas, con una razón promedio de 83,91 por 100,000 nacidos vivos. 2021 presentó la mayor razón (159,98). La mayoría ocurrió en mujeres jóvenes (58,65 %) y adultas (66,31 %), con causas predominantes como enfermedades del sistema respiratorio 18,11 %, toxemia 15,81 % y hemorragia 12,03 %.  Conclusión:  la MM presentó un aumento después de la pandemia del COVID 19, por lo que es urgente fortalecer el acceso a atención prenatal y obstétrica de calidad, especialmente en instituciones públicas, y abordar las desigualdades socioeconómicas que afectan la salud materna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: maternal mortality (MM) is a critical public health indicator. In Paraguay, the progress made was impacted by the COVID-19 pandemic. This study examines the characteristics of maternal mortality in Paraguay between 2014 and 2021.  Objectives:  to describe the sociodemographic and clinical characteristics of maternal mortality in Paraguay during the period 2014-2021.  Methodology:  a retrospective cross-sectional descriptive study was conducted using data from death certificates of the General Directorate of Strategic Health Information (DIGIES) of the Ministry of Public Health and Social Welfare. We analyzed 740 cases of maternal deaths registered in the 18 Health Regions of the country, considering sociodemographic variables and variables related to causes of death.  Results:  there were 740 maternal deaths, with an average ratio of 83.91 per 100,000 live births. 2021 had the highest ratio (159.98). The majority occurred in young (58.65%) and adult women (66.31%), with predominant causes being diseases of Respiratory System 18.11%, toxemia 15.81%, and hemorrhaged 12.03%.  Conclusion: MM presented an increase after the COVID 19 pandemic, so the study highlights the urgent need to strengthen access to quality prenatal and obstetric care, especially in public institutions, and to address the socioeconomic inequalities that affect maternal health.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[Paraguay]]></kwd>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="es"><![CDATA[toxemia del embarazo]]></kwd>
<kwd lng="es"><![CDATA[desigualdades en salud]]></kwd>
<kwd lng="en"><![CDATA[Maternal Mortality]]></kwd>
<kwd lng="en"><![CDATA[Paraguay]]></kwd>
<kwd lng="en"><![CDATA[Public Health]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy Toxemia]]></kwd>
<kwd lng="en"><![CDATA[Health Inequalities]]></kwd>
</kwd-group>
</article-meta>
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