Factors associated with maternal mortality in Ica, Peru: A matched case-control study
Introduction Maternal mortality remains a significant challenge for public health globally, particularly in developing areas such as Ica, Peru. This study aims to analyze the risk factors contributing to maternal mortality in reference hospitals in Ica during the period of 2010 to 2020. Methods A...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medwave Estudios Limitada
2024-12-01
|
| Series: | Medwave |
| Subjects: | |
| Online Access: | https://www.medwave.cl/investigacion/estudios/2961.html |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841557136632446976 |
|---|---|
| author | Jorge Ybaseta-Medina Marjorie Ybaseta-Soto Olinda Oscco-Torres Carmen Aquije-Paredes Carmen Vera-Cáceres |
| author_facet | Jorge Ybaseta-Medina Marjorie Ybaseta-Soto Olinda Oscco-Torres Carmen Aquije-Paredes Carmen Vera-Cáceres |
| author_sort | Jorge Ybaseta-Medina |
| collection | DOAJ |
| description | Introduction Maternal mortality remains a significant challenge for public health globally, particularly in developing areas such as Ica, Peru. This study aims to analyze the risk factors contributing to maternal mortality in reference hospitals in Ica during the period of 2010 to 2020.
Methods A case-control study was conducted, including 49 cases of maternal deaths and 98 controls, applying multivariate logistic regression to analyze data collected from hospital records.
Results The absence of a partner (adjusted OR: 12.3; 95% CI: 2.6 to 58.8), history of anemia (adjusted OR: 5.8; 95% CI: 1.5 to 21.3), delays of more than two hours in accessing medical care (adjusted OR: 10.2; 95% CI: 2.0 to 51.1), and lack of knowledge of warning signs such as unrecognized vaginal bleeding by companions (adjusted OR: 7.4; 95% CI: 1.2 to 46.7) were associated with an increased risk of maternal mortality.
Conclusions The identification of these factors highlights the urgent need to develop comprehensive strategies that optimize access to maternal health services and strengthen education on warning signs. To reduce preventable maternal mortality, it is essential to collaborate between the Ministry of Health of Peru and regional governments, aiming to expand coverage and improve the quality of prenatal care. Additionally, awareness should be increased and transportation availability ensured 24 hours a day for women experiencing obstetric complications. The main limitation of this study is the generalization of results due to the regional focus and exclusive use of hospital data. |
| format | Article |
| id | doaj-art-17ee3cf579bf4e35950662b527f323f5 |
| institution | Kabale University |
| issn | 0717-6384 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Medwave Estudios Limitada |
| record_format | Article |
| series | Medwave |
| spelling | doaj-art-17ee3cf579bf4e35950662b527f323f52025-01-06T16:02:00ZengMedwave Estudios LimitadaMedwave0717-63842024-12-012411e2961e296110.5867/medwave.2024.11.2961Factors associated with maternal mortality in Ica, Peru: A matched case-control studyJorge Ybaseta-Medina0https://orcid.org/0000-0003-1224-1357Marjorie Ybaseta-Soto1https://orcid.org/0000-0003-2707-5873Olinda Oscco-Torres2https://orcid.org/0000-0001-8525-6846Carmen Aquije-Paredes3https://orcid.org/0000-0002-7422-9786Carmen Vera-Cáceres4https://orcid.org/0000-0002-9148-8798Departamento Académico de Clínicas Quirúrgicas, Facultad de Medicina Humana, Universidad Nacional San Luis Gonzaga, Ica, PerúEscuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Ica, PerúEscuela Profesional de Enfermería, Universidad Privada San Juan Bautista, Ica, PerúEscuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Chincha/Ica, PerúDepartamento Académico de Ciencias Clínicas, Facultad de Medicina Humana, Universidad Nacional San Luis Gonzaga, Ica, PerúIntroduction Maternal mortality remains a significant challenge for public health globally, particularly in developing areas such as Ica, Peru. This study aims to analyze the risk factors contributing to maternal mortality in reference hospitals in Ica during the period of 2010 to 2020. Methods A case-control study was conducted, including 49 cases of maternal deaths and 98 controls, applying multivariate logistic regression to analyze data collected from hospital records. Results The absence of a partner (adjusted OR: 12.3; 95% CI: 2.6 to 58.8), history of anemia (adjusted OR: 5.8; 95% CI: 1.5 to 21.3), delays of more than two hours in accessing medical care (adjusted OR: 10.2; 95% CI: 2.0 to 51.1), and lack of knowledge of warning signs such as unrecognized vaginal bleeding by companions (adjusted OR: 7.4; 95% CI: 1.2 to 46.7) were associated with an increased risk of maternal mortality. Conclusions The identification of these factors highlights the urgent need to develop comprehensive strategies that optimize access to maternal health services and strengthen education on warning signs. To reduce preventable maternal mortality, it is essential to collaborate between the Ministry of Health of Peru and regional governments, aiming to expand coverage and improve the quality of prenatal care. Additionally, awareness should be increased and transportation availability ensured 24 hours a day for women experiencing obstetric complications. The main limitation of this study is the generalization of results due to the regional focus and exclusive use of hospital data.https://www.medwave.cl/investigacion/estudios/2961.htmlmaternal mortalityrisk factorsepidemiological studiesmaternal healthhealth disparities |
| spellingShingle | Jorge Ybaseta-Medina Marjorie Ybaseta-Soto Olinda Oscco-Torres Carmen Aquije-Paredes Carmen Vera-Cáceres Factors associated with maternal mortality in Ica, Peru: A matched case-control study Medwave maternal mortality risk factors epidemiological studies maternal health health disparities |
| title | Factors associated with maternal mortality in Ica, Peru: A matched case-control study |
| title_full | Factors associated with maternal mortality in Ica, Peru: A matched case-control study |
| title_fullStr | Factors associated with maternal mortality in Ica, Peru: A matched case-control study |
| title_full_unstemmed | Factors associated with maternal mortality in Ica, Peru: A matched case-control study |
| title_short | Factors associated with maternal mortality in Ica, Peru: A matched case-control study |
| title_sort | factors associated with maternal mortality in ica peru a matched case control study |
| topic | maternal mortality risk factors epidemiological studies maternal health health disparities |
| url | https://www.medwave.cl/investigacion/estudios/2961.html |
| work_keys_str_mv | AT jorgeybasetamedina factorsassociatedwithmaternalmortalityinicaperuamatchedcasecontrolstudy AT marjorieybasetasoto factorsassociatedwithmaternalmortalityinicaperuamatchedcasecontrolstudy AT olindaosccotorres factorsassociatedwithmaternalmortalityinicaperuamatchedcasecontrolstudy AT carmenaquijeparedes factorsassociatedwithmaternalmortalityinicaperuamatchedcasecontrolstudy AT carmenveracaceres factorsassociatedwithmaternalmortalityinicaperuamatchedcasecontrolstudy |