<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2020000601179</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad durante el embarazo, parto y puerperio. Cuba, 2005-2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality during pregnancy, childbirth and the puerperium. Cuba, 2005-2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández González]]></surname>
<given-names><![CDATA[Lisbeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Seuc Jo]]></surname>
<given-names><![CDATA[Armando Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luis Peñalvo]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gálvez Medina]]></surname>
<given-names><![CDATA[Delia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Salvá]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morejón Giraldoni]]></surname>
<given-names><![CDATA[Alain]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Higiene, Epidemiología y Microbiología  ]]></institution>
<addr-line><![CDATA[La Habana La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Medicina Tropical  ]]></institution>
<addr-line><![CDATA[Amberes ]]></addr-line>
<country>Belgium</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>6</numero>
<fpage>1179</fpage>
<lpage>1188</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2020000601179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2020000601179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2020000601179&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  La mortalidad materna en el mundo es inaceptablemente alta. Las complicaciones en el embarazo, parto y puerperio constituyen la primera causa de muerte de mujeres en edad fértil. La cifra de decesos maternos en Cuba, en los últimos años, es de las más bajas de América Latina, pero aún está lejos de los resultados de países más desarrollados. Los logros más evidentes se alcanzan en la disminución de la mortalidad infantil.  Objetivo: describir el comportamiento de las muertes que ocurren durante el embarazo, parto y puerperio, en Cuba, en el periodo 2005-2018.  Métodos:  se realizó un estudio descriptivo de cortes transversales anuales. El universo lo conformó el total de muertes registradas durante el embarazo, parto y puerperio en el período 2005-2018, en Cuba (N=829). Se calculó la razón de mortalidad, porcentajes, la tendencia y el promedio.  Resultados: la razón de muerte durante el embarazo, parto y puerperio promedió 48,6 por 100 000 nacidos vivos, así como el promedio de mortalidad materna fue 41,6. Las muertes obstétricas directas aportaron 463, las indirectas 247; y por otras muertes, fueron 119 las defunciones.  Conclusión:  en el periodo estudiado, el comportamiento entre el número de defunciones y la razón ha sido muy similar, lo cual indica que, ésta última, estuvo determinada fundamentalmente por el número de defunciones y no por el número de nacidos vivos. Predominaron las muertes obstétricas directas, seguidas por las indirectas, y luego por las otras. Las muertes obstétricas indirectas fueron las únicas que mostraron tendencia a aumentar en el tiempo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation:  Maternal mortality in the world is unacceptably high. Complications in pregnancy, childbirth and the puerperium are the leading cause of death in women of childbearing age. In recent years the number of maternal deaths in Cuba, is one of the lowest in Latin America, but it is still far from the results of more developed countries. The most evident achievements are made in reducing infant mortality.  Objective:  to describe the behavior of deaths that occurs during pregnancy, childbirth and the puerperium in Cuba, in the period 2005-2018.  Methods:  an annual cross-sections descriptive study was carried out. The universe was the total deaths registered during pregnancy, childbirth and the puerperium in the period 2005-2018, in Cuba (N = 829). The mortality ratio, percentages, the trend and the average were calculated.  Results:  the death ratio during pregnancy, childbirth and the puerperium averaged 48.6 per 100,000 live births, as well as the average maternal mortality was 41.6. Direct obstetric deaths contributed 463, indirect 247; and for other deaths, there were 119.  Conclusion:  in the studied period, the behavior between the number of deaths and the ratio has been very similar, which indicates that the last one was determined mainly by the number of deaths and not by the number of live births. Direct obstetric deaths predominated, followed by indirect deaths, and then by the others. Indirect obstetric deaths were the only ones that showed a tendency to increase over time.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Muerte materna]]></kwd>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[Maternal death]]></kwd>
<kwd lng="en"><![CDATA[maternal mortality]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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