The maternal mortality rate in Peru for the past 20 years has not had a major change: 300 per 100 000 live births to 261 per 100 000 live births. The causes of this high maternal mortality are several. One is the minimal access of women giving birth at health facilities, especially in the provinces of the Andean Trapezoid, which determines institutional delivery coverage in these areas below the national average, which is around 55%, which also low compared to other countries in the region.

OBJECTIVE. To identify risk factors associated to maternal mortality. DESIGN.- Cross sectional study of maternal mortality using the perinatal informatic system of the Obstetrics and Gynecology Department of Hospital Marla Auxiliadora of 21621 cases recorded from July 1, 1988 to December 31, 1992. We used a 2 x 2 table confidence interval 95% test to calculate relative risk (RR) taking social antroprometric, biologic and obstetric variables. RESULTS: The most important risk factors were: single status, no antenatal care, eclampsia, tuberculosis, puerperal infection, second trimester hemorrhage, preterm delivery, anemia, third trimester hemorrhage, septic abortion and urinary infection. CONCLUSION.- There is an association between maternal mortality and no antenatal care, single status and prevalent pathologies of pregnancy.

We observed a notorious decrease of contraceptive methods users at Maria Auxiliadora Hospital until the third trimester of 1991, in relation to the last four years. Consequently we decided to carry out a prospective study on contraceptive methods administration at the postpartum period from october 1.th, 1991 to December 31.th, 1994. We obtained 51,2% of acceptance: 19,8% medroxiprogesterone, 12,2 IUD, 8% tubal occlussion, 6,0% condom and 2,3% pills. Postpartum acceptance was more than outpatients with p<0,01. Our conclusion is that the postpartum period is a very important moment, with previous information and advise during pre natal control, to administrate not only reversible but also definitive contraceptive methods.

Objectives: To identify maternal and perinatal complications of preeclampsia and eclampsia. Design: Cross sectional study of 359 cases of pregnant women with preclampsia and eclampsia and their products, diagnosed from July 1 1997 to June 30 1998 at Maria Auxiliadora Hospital. Clinical records were reviewed and maternal and perinatal complications were determined. Frequencies were introduced in a double entry table and compared to a control group consisting of the remaining patients without this disease. A value of p < 0,05 was considered significant. Results: In the five-year interval preeclampsia increased significatively from 7,0% to 10,6%, whereas eclampsia decreased from 0,8% to 0,4%. Maternal complications related to death were HELLP syndrome, DIC, hepatic subcapsular hematoma rupture and cerebral hemorrhage. Perinatal complications were neonatal depression, small for gestational a...

Minilaparotomy interval is a surgical procedure that involves less suprapública abdominal incision of 5 cm., Usually 3 cm., Through which reach the peritoneal cavity to locate, display and perform tubal ligation. An instrument known as uterine elevator (Ramathibodi) inserted into the uterus helps with proper shift the location of both tubes.

Objectives: To identify maternal and perinatal complications of preeclampsia and eclampsia. Design: Cross sectional study of 359 cases of pregnant women with preclampsia and eclampsia and their products, diagnosed from July 1 1997 to June 30 1998 at Maria Auxiliadora Hospital. Clinical records were reviewed and maternal and perinatal complications were determined. Frequencies were introduced in a double entry table and compared to a control group consisting of the remaining patients without this disease. A value of p < 0,05 was considered significant. Results: In the five-year interval preeclampsia increased significatively from 7,0% to 10,6%, whereas eclampsia decreased from 0,8% to 0,4%. Maternal complications related to death were HELLP syndrome, DIC, hepatic subcapsular hematoma rupture and cerebral hemorrhage. Perinatal complications were neonatal depression, small for gestationa...

Minilaparotomy interval is a surgical procedure that involves less suprapública abdominal incision of 5 cm., Usually 3 cm., Through which reach the peritoneal cavity to locate, display and perform tubal ligation. An instrument known as uterine elevator (Ramathibodi) inserted into the uterus helps with proper shift the location of both tubes.

Descriptive study during two months in 1993 to determine information and attitudes about pregnancy and contraceptives in adolescents girls in the post partum period. Eighty adolescents were surveyed with a closed questionaire 68% had not planned her pregnancy, only 41% were happy and the rest were  indifferent or rejected such pregnancy. Five girls bad tried to interrupt their pregnancy. Eighty-two percent had prenatal control only 23% at Maria Auxiliadora Hospital. Other 23% had had information about contraceptives. Following information post partum, 70% decided to use contraception, mainly IUD. Me conclude it is necessary to reinforce educational activities on family planning during prenatal and postpartum controls.

Abortion as a health problem - Abortion Epidemiology, role of abortion in the demographic transition, attention techniques of incomplete abortion, abortion Prophylaxis.

This study aims to determine the reproductive behavior of adolescents treated at the Hospital de Apoyo "Maria Auxiliadora". For this, the database of Perinatal Information System of the Department of Gynecology and Obstetrics was revised. It was found that during the period from July 1, 1988 and December 31, 1989, a total of 6,251 births were attended. Within that period also he attended the birth of 1,199 women between 10 and 19 years, representing a rate of nearly 20% of all births. 80% of adolescents brewing for the first time and the other 20% had a history of 1-4 pregnancies. Most he had no prenatal care. 54.2% of medical and obstetric complications were found, among which include anemia, urinary tract infection, toxemia and premature rupture of membranes. It was no different to the total population served pathway completion of delivery, frequency of premature delivery, low birthwei...

OBJECTIVE: To determine maternal mortality during the last 10 years and establish its tendency, causes and patient characteristics. DESIGN: Epidemiologic, retrospective, descriptive and analytical study. SUBJECTS: 121 maternal deaths occurred at our Hospital between January 1988 and June 1997. RESULTS: Maternal mortality rate was 250,18/100 000 live newborns. Main characteristics were age 20 to 24 (44/36,6%), secondary education (45/48,4%), stable union (45/49%), term gestation (33/34,3%) and less than 20 weeks (28/29%). Only 28% (34) had any prenatal control. Most deaths occurred at postpartum (62/51,2%) and 31,3% (33) were primiparae; 84 (69,4) died by direct obstetrical cause and 36 (29,8%) by indirect causes. Main causes of death were preventable. Most frequent indirect cause was tuberculosis (14/11,6%); 65 (53,7%) died after 48 hours from hospitalization. CONCLUSIONS: Our maternal m...

OBJECTIVE: To determine maternal mortality during the last 10 years and establish its tendency, causes and patient characteristics. DESIGN: Epidemiologic, retrospective, descriptive and analytical study. SUBJECTS: 121 maternal deaths occurred at our Hospital between January 1988 and June 1997. RESULTS: Maternal mortality rate was 250,18/100 000 live newborns. Main characteristics were age 20 to 24 (44/36,6%), secondary education (45/48,4%), stable union (45/49%), term gestation (33/34,3%) and less than 20 weeks (28/29%). Only 28% (34) had any prenatal control. Most deaths occurred at postpartum (62/51,2%) and 31,3% (33) were primiparae; 84 (69,4) died by direct obstetrical cause and 36 (29,8%) by indirect causes. Main causes of death were preventable. Most frequent indirect cause was tuberculosis (14/11,6%); 65 (53,7%) died after 48 hours from hospitalization. CONCLUSIONS: Our maternal m...