<?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>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492020000100010</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2020.enero.10-22</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis Situacional de Muertes Maternas en Paraguay: alcances del 2008-2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Situational Analysis of Maternal Deaths in Paraguay: scopes from 2008 to 2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora-Escobar]]></surname>
<given-names><![CDATA[Gladys Ester]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cusihuamán-Puma]]></surname>
<given-names><![CDATA[Antonio Ulises]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Insfrán]]></surname>
<given-names><![CDATA[María Delasnieve]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Dirección General de Programas Dirección de Salud Sexual y Reproductiva]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Dirección General de Programas Departamento de Informática y Estadísticas]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>10</volume>
<numero>1</numero>
<fpage>10</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492020000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492020000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492020000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La mortalidad materna en Paraguay, como problema de salud pública e indicador que mide el acceso a la salud y el desarrollo de un país, refleja el déficit en los determinantes sociales y derechos humanos. El Ministerio de Salud Pública y Bienestar Social -MSPBS- ha ido ejecutando intervenciones costo-efectivas mediante la Movilización Nacional para la disminución de la mortalidad materna y neonatal -MNPDMMN-, mejorando los registros.  Objetivo: Analizar la situación de las Muertes Maternas en Paraguay y los alcances del 2008 a 2018.  Métodos: Estudio observacional, descriptivo, transverso y retrospectivo, identificándose 1056 casos de muerte materna -MM- del 2008-2018, mediante la revisión de registros (SSIEV del MSPBS) con los códigos CIE-10: O00-O95, O98-O99 y A34, B20-B24. La información se tradujo en programa Excel de Microsoft Corporation&#8482; versión 2007 y se analizó mediante Epi Info 7.  Resultados: En Paraguay, el año 2008 registra 117,4 como Razón de Muerte Materna -RMM-; el 2014, 63,9 concordante al inicio de la MNPDMMN; el 2018, 70,8 (las metas del Objetivo de Desarrollo Sostenible 3 apuntan a reducir la RMM mundial a &lt; 70 muertes maternas por 100.000 nacidos vivos), siendo el 74,7% (IC95% 63,6-83,8) casos de MM directa. En el período 2008-2018, para el total de causas de MM: aborto (20,1%), complicaciones hemorrágicas (19,8%) trastornos hipertensivos (18,7%), sepsis (4,6%), SIDA (1,1%), tétanos obstétrico (0,3%), otras complicaciones perinatales (35,4%); y las causas principales de MM directas en el 2018 continúan siendo: aborto (20,3%), trastornos hipertensivos (20,3%) y hemorragias obstétricas (15,2%). En el período 2008-2018, para los grupos etarios: 20-29 años (40,7%), 30-39 años (37,0%), 10-19 años (13,3%) con tendencias anuales de altibajos.  Conclusión: Se debe garantizar una atención calificada perinatal institucional y de planificación familiar, potenciando estrategias vitales como: trabajo con parteras empíricas, prevención del embarazo en la adolescencia y del aborto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: 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.  Objective:  Analyze the situation of Maternal Deaths in Paraguay and the scope of 2008 to 2018 period.  Methods: 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 &#8482; 2007 version and analyzed using Epi Info 7.  Results:  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 &lt; 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.  Conclusion: 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[Programas Nacionales de Salud]]></kwd>
<kwd lng="es"><![CDATA[Estrategias vitales. Paraguay.]]></kwd>
<kwd lng="en"><![CDATA[Maternal mortality]]></kwd>
<kwd lng="en"><![CDATA[National Health Programs]]></kwd>
<kwd lng="en"><![CDATA[Vital strategies. Paraguay.]]></kwd>
</kwd-group>
</article-meta>
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