Factors associated with maternal mortality in Ica, Peru: A matched case-control study - Medwave

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Published on 27 de diciembre de 2024 | http://doi.org/10.5867/medwave.2024.11.2961

Factors associated with maternal mortality in Ica, Peru: A matched case-control study

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Characteristics of current gestation associated with maternal mortality in referral hospitals in the Ica region, 2010-2020.

Variable	Cases (n = 49)	%	Controls (n = 98)	%	OR	95% CI	P
Anemia							0.234
Yes	39	79.6	69	70.4	1.7	0.7 to 3.7
No	10	20.4	29	29.6
Completion of pregnancy
Vaginal delivery	31	63.3	29	29.6	1.0	Referencito
Cesarean section	9	18.4	51	52.0	0.1	0.07 to 0.39	< 0.001
Abortion	9	18.4	18	18.4	0.4	0.18 to 1.21	0.116
Prenatal care							0.510
Inadequate	36	73.5	77	78.6	0.8	0.3 to 1.7
Adequate	13	26.5	21	21.4
Uterine atony							0.005
Yes	14	28.6	10	10.2	3.5	1.4 to 8.6
No	35	71.4	88	89.8
Preeclampsia							0.903
Yes	18	36.7	35	35.7	1.1	0.5 to 2.2
No	31	63.3	63	64.3
Retained membranes							0.402
Yes	9	18.4	24	24.5	0.7	0.3 to 1.7
No	40	81.6	74	75.5
Obstructed labor							0.470
Yes	2	4.1	2	2.0	2.1	0.3 to 14.8
No	47	95.9	96	98.0
Obstetric trauma							0.077
Yes	0	0.0	6	6.1	1.5	1.4 to 1.7
No	49	100.0	92	93.9
Hemorrhage							0.242
Yes	23	46.9	56	57.1	0.6	0.3 to 1.3
No	26	53.1	42	42.9
Infection							0.338
Yes	14	28.6	21	21.4	1.5	0.7 to 3.2
No	35	71.4	77	78.6

CI, confidence interval; OR, odds ratio. P, p-value for chi-square test.

Source: epidemiological surveillance system of the regional health directorate of Ica, Peru, and additional analysis by the research team.