Specialists dissert on the causes of maternal mortality in RD

With the aim of raising awareness of women and their families about the importance of carefulthe prevention and well -being in the pregnancychildbirth and postpartumthe Dominican Section of the American College of Obstetrics and Gynecology (Voy RD), celebrated on Saturday the first edition of the 2025 Maternal Health Fair.

“We want to continue training doctors in the early detection of Complications and educating families about the importance of self -care during the pregnancy“said Ginecobstetra Jenny García Salazar, president of the welcoming.

According to García Salazar, “a good experience of the maternity It influences the relationship of the mother with the baby. “

Infographic — Dr. Martín Ortiz. (**Matías Boncosky**)

Health Maternal In our country

The first conference From the day, entitled “Health Maternal in the Dominican Republic“, given by Dr. Martín Ortiz, maternal and child director and teenagers of the National Health Service (SNS), stressed that, according to literature, 80 % of the mortality Maternal It is preventable.

The gynecologist pointed to the planning familiar as an effective policy to delay pregnant women until the moment it is desired.

He said that in the 39 units of comprehensive care for teenagers in the hospitals of the public network and in the 54 differentiated consultations it is one of the points at which emphasis is placed.

“In 2019, the rate of pregnancy Teen in the country was 24 %, today it decreased to 18.8 %, “he said.

Incidence of Haiti

Dr. Ortiz recognized the incidence of parturients Haitian In local statistics.

“The rate of Birth From us he is in 2.1 babies per family, in the neighbors he is in 8 babies per family, “he said in his presentation.

The doctor stressed that of 133 maternal deaths that were recorded in 2024, 77 corresponded to Citizens Haitian“What greatly impacts our numbers. Internationally, our numbers are those, 133 mortalities, if you abstract the 77 deaths of women who saw our hospitalsour reality is another. “

Compared to the year 2023, there was a reduction 7 % in the numbers of mortality Maternalwhen in that year 144 deaths were recorded.

Frequent causes

“The disorders hypertensive and the Hemorrhages Obstetric are the causes that cause the most deaths, “Ortiz said.

From the SNS A zero tolerance plan has been activated to mortality Maternal focused on improving prenatal care in hospitalsprovide access to planning familiardiscussion and monthly analysis of death causes Maternal, reduction of the primary caesarean sections (since they raise the possibility of infection) and the creation of Cesarean committees that evaluate the patient’s situation to see if the surgical procedure really needs.

He also recalled that infections mouths are frequent, either because pregnant patients are not referring to dental checks or because many dentists do not like to receive patients in that state.

“The health Maternal It is a commitment of all, “he concluded, asking that patients, specialized medical societies, the Dominican Medical College, the State, and civil society to continue going down the rate of mortality.

Dr. Milcíades Albert. (Matías Boncosky)

Signals from alert

On the other hand, Albert Milciades, past president of the Dominican Society of Gynecology, agreed with Dr. Ortiz that the Hemorrhages, infections and the disorders hypertensive They are the three main causes of maternal deaths in our country.

Albert called pregnant patients to empower their process and be interested in changes in their body, regularly taking their pressure arterial (verifying that the systolic does not reach values above 140 and the diastolic that does not rise from 90).

The gynecologist recommends taking the pressure Twice a day, the patient sitting in a chair, lying on the back, with her feet touching the floor and legs without crossing. The patient must be relaxed and without speaking and the arm rested on a table or at the rest of the chair.

Similarly, see if they are retaining Liquids in the hands and feet, since the formation of edema It is not usually a good signal if a finger is sink on the skin forms a hole.

Others signals of alert which mentioned include: protein in the urine, severe headache, blurred vision, pain in the mouth of the stomach and a baby that grows little.

Postpartum alarm signs:

PREECLAMPSIA:

-As tension levels of 140/90 mmHg

-Cambios in vision

-Pry -headed head

-Hinchazón or sudden increase in weight

-Dolor on the shoulder or abdomen

-Nausea or vomiting

Postpartum bleeding:

-Buts abundant or in jet

-Low high blood pressure

-Piel pale or wet

-Sensation of fainting, dizziness or weakness

-Confusion

-Pry cardiac late

-Dolor and swelling in the perianal area

Sepsis:

-Fever

-Shivers

-Sensation of tiredness or disease

-Dolor or abdominal sensitivity

-Goor smell vaginal secretion

“The number one cause of death in pregnant women in the hypertension“He reiterated.

As for Hemorrhageshe stressed that “all bleeding in the pregnancy It is abnormal. “

Albert said the postpartum is the highest period carefulsince “of every ten women, two are lost in the embazado, one at the time of childbirth or caesarean section and seven in the postpartum“

Some of the participating stands. (Matías Boncosky)

About the fair

The fair began at 9:00 in the morning and extended until 5:00 in the afternoon, offering a wide range of activities. Among these were educational talks on various topics related to pregnancy and postpartum, as well as demonstrations of recommended contraceptive methods after childbirth and obstetric sonographies.

In addition, a support space for breastfeeding was enabled, together with workshops that taught how blood pressure.

Journalist, graduated from the Santo Domingo Catholic University (UCSD) with Honor Summa Cum Laude. It has a master’s degree in applied communicology from the Complutense University of Madrid. Lover of travel, fashion and live music.