<?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>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182020000200380</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbilidad materna grave en la provincia Granma. 2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Serious maternal morbidity in the Granma province. 2018]]></article-title>
<article-title xml:lang="pt"><![CDATA[Grave morbidade materna na província de Granma. 2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrer Fernández.]]></surname>
<given-names><![CDATA[Angélica Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Millán Vega.]]></surname>
<given-names><![CDATA[Maria Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosales Boza.]]></surname>
<given-names><![CDATA[Yodanis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Céspedes.]]></surname>
<given-names><![CDATA[Yamileidis Zaymara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Docente Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Sectorial Provincial de Salud  ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Facultad de Ciencias Médicas de Bayamo  ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<fpage>380</fpage>
<lpage>398</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182020000200380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182020000200380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182020000200380&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La morbilidad materna es multifactorial, un grupo de elementos de muy disimiles orígenes confluyen: los concernientes a la madre y a la gestación, además de poder originarse de un problema social, político, o económico; por lo que su solución a largo plazo estará basada en la prevención, que se sustenta del beneficio a grandes grupos con bajo costo, además, su manejo tiene un alto costo económico por el número importante de recursos y de tecnología avanzada que son utilizados en las unidades de cuidados especializados perinatológicos e intensivos además de lo que socialmente representa la mutilación de una familia. Con el objetivo de caracterizar la morbilidad materna grave en la provincia Granma durante el año 2018, se realizó un estudio descriptivo retrospectivo de las pacientes obstétricas que clasificaron como mortalidad materna grave (MMG) atendidas en la provincia Granma durante el año 2018, mediante la identificación de la edad, tipo de parto, municipio de procedencia, incidencia, tasa de MMG, prevalencia y tasa de mortalidad. Predominaron las pacientes con edades extremas de la vida fértil, y el parto por cesárea. Los trastornos hipertensivos, la hemorragia y la sepsis puerperal fueron las principales complicaciones primarias. La incidencia, tasa de MMG, Prevalencia y tasa de mortalidad muestran cifras elevadas. Estos resultados servirán para la identificación de riesgos y en un futuro establecer planes preventivos regionales que mejoren la salud de la población materna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Maternal morbidity is multifactorial, a group of elements of very different origins converge: those concerning the mother and the pregnancy, in addition to being able to originate from a social, political, or economic problem; reason why its long-term solution will be based on prevention, which is supported by the benefit to large groups with low cost, in addition, its management has a high economic cost due to the significant number of resources and advanced technology that are used in the specialized perinatological and intensive care units in addition to what socially represents the mutilation of a family. In order to characterize severe maternal morbidity in the Granma province during 2018, a retrospective descriptive study of obstetric patients who classified as severe maternal mortality (MMG) treated in the Granma province during 2018 was carried out, by identifying of age, type of delivery, municipality of origin, incidence, MMG rate, prevalence and mortality rate. Patients with extreme ages of fertile life, and cesarean delivery predominated. Hypertensive disorders, hemorrhage, and puerperal sepsis were the main primary complications. The incidence, MMG rate, prevalence and mortality rate show high figures. These results will serve to identify risks and in the future establish regional preventive plans that improve the health of the maternal population.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO A morbidade materna é multifatorial, convergem um grupo de elementos de origens muito diferentes: os que dizem respeito à mãe e à gravidez, além de poder se originar de um problema social, político ou econômico; Por esse motivo, sua solução de longo prazo se baseará na prevenção, apoiada no benefício de grandes grupos de baixo custo; além disso, sua gestão possui um alto custo econômico devido ao número significativo de recursos e à avançada tecnologia utilizada no mercado. unidades perinatológicas e de terapia intensiva especializadas, além do que socialmente representa a mutilação de uma família. Para caracterizar a morbidade materna grave na província de Granma durante 2018, foi realizado um estudo descritivo retrospectivo de pacientes obstétricas classificadas como mortalidade materna grave (MMG) atendidas na província de Granma durante 2018, identificando idade, tipo de parto, município de origem, incidência, taxa de MMG, prevalência e taxa de mortalidade. Pacientes com idades extremas de vida fértil e parto cesáreo predominaram. Distúrbios hipertensivos, hemorragia e sepse puerperal foram as principais complicações primárias. A incidência, taxa de MMG, prevalência e taxa de mortalidade mostram números altos. Esses resultados servirão para identificar riscos e, no futuro, estabelecer planos preventivos regionais que melhorem a saúde da população materna.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Morbilidad]]></kwd>
<kwd lng="es"><![CDATA[Mujeres Embarazadas]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad]]></kwd>
<kwd lng="en"><![CDATA[Morbidity]]></kwd>
<kwd lng="en"><![CDATA[Pregnant Women]]></kwd>
<kwd lng="en"><![CDATA[Disease]]></kwd>
<kwd lng="pt"><![CDATA[Morbidade]]></kwd>
<kwd lng="pt"><![CDATA[Gestantes;Doença]]></kwd>
</kwd-group>
</article-meta>
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