Abstract
Introduction: Maternal mortality, a reflection of a country’s socioeconomic development, continues to be a global challenge, with significant disparities between high- and low-income countries. In Mexico, the implementation of protocols such as the mater code seeks to reduce these figures.
Objective: To evaluate maternal mortality in the implementation of the mater code in a hospital in Mazatlán.
Material and methods: A cross-sectional study was conducted, integrating cases of activation of the mater code during 2023 to 2024 at the General Hospital of Mazatlán. Variables related to the activation of the mater code were integrated, and the analysis was carried out using the statistical program Stata version 13.0 Special Edition (College Station, Texas 77845 USA), with statistical significance set at p<0.05.
Results: Preeclampsia was the main cause of activation of the mater code (44.2%), followed by obstetric hemorrhage (13.51%). Severe dengue emerged as the most frequent cause of maternal mortality (50%), surpassing traditional causes such as eclampsia and hemorrhage. Cesarean section was the most common surgical procedure (58.1%), and 72.59% of patients required hospitalization in the obstetric intensive care unit.
Conclusions: The findings suggest that implementing the mater code was associated with a decrease in maternal mortality at the hospital. Although severe dengue poses an emerging challenge, it is recommended to strengthen dengue prevention and control strategies for pregnant women and to improve coordination between levels of care to ensure timely access to specialized services.
Cintia Rubi Castro-Muñoz, Francisco Javier Castro-Apocada, Gloría María Peña-García, Dalia Magaña-Ordorica, Luis Antonio Rivero-González, Jesús Adolfo Gutiérrez-Romero, José Ángel Uriarte-Valenzuela, Ubaldo Iñiguez-Abitia, Mitzli Paola Hurtado-Rivera, Nancy Godoy Rodríguez, Alberto Ballesteros-Manzo, Héctor Carreón-Tizcareño, Joel Murillo-Llanes
