A retrospective study of 31 eclamptic patients, giving an incidence of 2 eclamptic 0.6 per 1,000 births, including 4 patients died giving a specific maternal mortality rate of 1,600 per 10,000 live births is presented. 96.8% were patients without prenatal care. The variety antepartum was more frequent with an incidence of 83.9%. Maternal mortality was higher in patients older than 30 years (37%) all the mothers who died had spontaneous labor, the causes of death were renal failure (two cases) and hepatic rupture cerebral edema (one case ed one).

In the General Hospital Base Cayetano Heredia retrospective study of 28 newborns of mothers with eclampsia was carried out between June 1969 to June 1974, fetal mortality was 21.3% in hospital fetal mortality corrected 15.5%, there was also 22.6% newborns with severe hypoxia, 23.5% with moderate hypoxia and 32.1% with mild hypoxia. Multiparous patients and spontaneous labors had the highest percentage of fetal mortality, fetal mortality only had the variety of antepartum eclampsia, fetal mortality and severe hypoxia are inversely proportional to fetal weight. We had abdominal fetal mortality in childbirth.

Safeguarding health is implicit in the work of the medical and social sciences and motherhood remains the most important and momentous in the life of women process is necessary to provide high quality care with the aim of achieving safe motherhood, without risk for the mother and the conceptus. Maternal mortality is a crucial public health problem in Peru that need solving, not just for the medical conditions that cause, but by the socio-economic and cultural problems that arise and their consequences that lead to profound imbalances family and social.

Retrospective, transversal, clinical, epidemiological, case-control 75 maternal deaths in the Cayetano Heredia National Hospital (HNCH) between 1985 and 1992. The control group consisted of 193 patients systematically selected population of pregnant and postpartum study They did not die. The hospital maternal mortality rate was 210.3 per 100,000 live births, the highest was obtained for 1992 with 335.9. The most frequent causes of death were direct with 86.6%, the main infection, hypertension and bleeding. Risk factors for infection were: 5 or more pregnancies (OR = 1.5), septic shock (OR = 7.0), anemia (OR = 4.5), and acute renal failure (OR = 14.5); for hypertension: age over 34 years (OR = 3.5) and under 21 years (OR = 1, 1), average higher than 126 mm Hg (OR = 6.1) blood pressure, severe edema (OR = 4 , 0) and HELLP (OR = 47.0) syndrome; and, for bleeding, age over 34 years (OR = 1.5...

464 caesarean operations between the years 1968 to 1972 with an incidence of 12.27 percent were reviewed. Studies on the age, parity, indications, anesthetic, types of Casarea and complications occurred in these patients is made. The most common indications were iteratively (36.8%) cesarean, cephalo pelvic disproportion (18.3%) and fetal suffering (12%). Unlike previous cesarean it was found in four patients. In three patients cesarean hysterectomy was performed. The post-operative mobility was 16.1%.

A retrospective study of 34 maternal deaths per septic abortion occurred in the Cayetano Heredia Hospital in Lima, Peru, during the period from 1975 to 1984, with a mortality rate of septic abortion from 71.74 deaths per ten thousand abortions. Mortality from septic abortion during the period was 35.79% of the total maternal mortality. The average age of patients was 27.2 years with rank between 14 and 43 years; The 17.64% were younger than 20 years. The average three living children, ranging between 0 and 13 children. 50% had stable family unit and total primigravid patients Erna married. The 52.94% (18/34) were from outside the area of influence of the hospital. 38.2% (13/34) of septic abortion remained dead for less than 24 hours.

Pelviperitonitis acute salpingitis endometritis (ESP), previously called acute pelvic inflammatory disease, occurs in the menstrual phase and preferably during the 3rd and 4th. decade of life, which is the fundamental stage of sexual activity; rarely it is diagnosed in women not sexually active.

In the last three decades there has been a noticeable increase in the ultimate contraception. In 1950 it was reported 3 million couples who speak preferred this method and in 1978 increased to 80 million. Laparoscopy looms in tubal occlusion, especially during the internatal period or interval, to be an effective, simple, rapid, inexpensive method with few complications. Boesch in Switzerland in 1935 reported the first translaparoscópicos blockades, which have increased in the last decade with the discovery of fiberglass. A US Power and Barnes, Palmer from France, Germany and Steptoe Frangenheim England, they should be the art of laparoscopy.

La elevada mortalidad materna y de los niños menores de cinco años son una lacra social y grave problema de salud pública en el Perú, que es urgente disminuir para poder cumplir las metas de los Objetivos de Desarrollo del Milenio propuestos por la OMS, una de ellas es reducir la mortalidad materna en tres cuartas partes entre 1990 y 2015, será necesario disminuir la tasa de MM en nuestro país por debajo de 88 por 100000 nacidos vivos, lo cual es imposible de alcanzar si no hay decisión política y el trabajo de todos los que laboran en la atención de la mujer. 

La elevada mortalidad materna y de los niños menores de cinco años son una lacra social y grave problema de salud pública en el Perú, que es urgente disminuir para poder cumplir las metas de los Objetivos de Desarrollo del Milenio propuestos por la OMS, una de ellas es reducir la mortalidad materna en tres cuartas partes entre 1990 y 2015, será necesario disminuir la tasa de MM en nuestro país por debajo de 88 por 100000 nacidos vivos, lo cual es imposible de alcanzar si no hay decisión política y el trabajo de todos los que laboran en la atención de la mujer. 

A retrospective study of 34 maternal deaths per septic abortion occurred in the Cayetano Heredia Hospital in Lima, Peru, during the period from 1975 to 1984, with a mortality rate of septic abortion from 71.74 deaths per ten thousand abortions. Mortality from septic abortion during the period was 35.79% of the total maternal mortality. The average age of patients was 27.2 years with rank between 14 and 43 years; The 17.64% were younger than 20 years. The average three living children, ranging between 0 and 13 children. 50% had stable family unit and total primigravid patients Erna married. The 52.94% (18/34) were from outside the area of influence of the hospital. 38.2% (13/34) of septic abortion remained dead for less than 24 hours.

A retrospective study of 31 eclamptic patients, giving an incidence of 2 eclamptic 0.6 per 1,000 births, including 4 patients died giving a specific maternal mortality rate of 1,600 per 10,000 live births is presented. 96.8% were patients without prenatal care. The variety antepartum was more frequent with an incidence of 83.9%. Maternal mortality was higher in patients older than 30 years (37%) all the mothers who died had spontaneous labor, the causes of death were renal failure (two cases) and hepatic rupture cerebral edema (one case ed one).

In the General Hospital Base Cayetano Heredia retrospective study of 28 newborns of mothers with eclampsia was carried out between June 1969 to June 1974, fetal mortality was 21.3% in hospital fetal mortality corrected 15.5%, there was also 22.6% newborns with severe hypoxia, 23.5% with moderate hypoxia and 32.1% with mild hypoxia. Multiparous patients and spontaneous labors had the highest percentage of fetal mortality, fetal mortality only had the variety of antepartum eclampsia, fetal mortality and severe hypoxia are inversely proportional to fetal weight. We had abdominal fetal mortality in childbirth.

464 caesarean operations between the years 1968 to 1972 with an incidence of 12.27 percent were reviewed. Studies on the age, parity, indications, anesthetic, types of Casarea and complications occurred in these patients is made. The most common indications were iteratively (36.8%) cesarean, cephalo pelvic disproportion (18.3%) and fetal suffering (12%). Unlike previous cesarean it was found in four patients. In three patients cesarean hysterectomy was performed. The post-operative mobility was 16.1%.