{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T05:53:02Z","timestamp":1747201982880,"version":"3.40.5"},"reference-count":25,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"4","license":[{"start":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T00:00:00Z","timestamp":1577664000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: describir la mortalidad perinatal del departamento de Antioquia seg\u00fan la Clasificaci\u00f3n Internacional de Enfermedades CIE-MP de la Organizaci\u00f3n Mundial de la Salud (OMS) y evaluar la factibilidad de aplicar el sistema de clasificaci\u00f3n a partir los registros vitales oficiales. Materiales y m\u00e9todos: estudio descriptivo de las causas de muerte perinatal seg\u00fan el momento del fallecimiento con respecto al parto y las condiciones maternas asociadas. La fuente primaria fue la base de datos oficial de estad\u00edsticas vitales entre los a\u00f1os 2013 y 2016. Se midieron: la edad materna, la edad gestacional, el peso al momento del parto, el \u00e1rea de residencia, el tipo de parto, las causas de muerte (directas, asociadas) y otros estados patol\u00f3gicos. Se hace an\u00e1lisis descriptivo, se presenta el n\u00famero absoluto y el porcentaje de las causas distribuidas seg\u00fan el momento de ocurrencia de la muerte con respecto al parto y el peso al nacer. Resultados: de 3901 muertes perinatales ocurridas en fetos con 22 semanas o m\u00e1s, o m\u00ednimo 500 g de peso y hasta los 28 d\u00edas de vida, 1404 (36,0 %) se presentaron antes del parto, 378 (9,7 %) en el intraparto, 1760 (45,1 %) en el periodo neonatal y 359 (9,2 %) casos no contaban con informaci\u00f3n del momento del fallecimiento con relaci\u00f3n al parto. Las principales causas de muerte de los reci\u00e9n nacidos de 1000 o m\u00e1s g fueron las malformaciones cong\u00e9nitas, las deformidades y las anormalidades cromos\u00f3micas (30,2 %); la hipoxia anteparto e intraparto (29,3 %) y la infecci\u00f3n (12,3 %). En el 69,5 % no se identificaron causas maternas asociadas, y en las identificadas, la m\u00e1s frecuente fue la complicaci\u00f3n de placenta, cord\u00f3n y membranas (16,8 %). Conclusi\u00f3n: el CIE-MP es un sistema de clasificaci\u00f3n aplicable globalmente a partir de los registros vitales, que permiti\u00f3 caracterizar la mortalidad perinatal del departamento.<\/jats:p>","DOI":"10.18597\/rcog.3406","type":"journal-article","created":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T10:11:24Z","timestamp":1580724684000},"page":"228-242","source":"Crossref","is-referenced-by-count":4,"title":["Aplicaci\u00f3n del Sistema de Clasificaci\u00f3n Internacional de Enfermedades para la Mortalidad Perinatal CIE-MP a partir de registros vitales para clasificar las muertes perinatales en Antioquia, Colombia"],"prefix":"10.18597","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5407-7714","authenticated-orcid":false,"given":"John Jairo","family":"Zuleta-Tob\u00f3n","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6299-0500","authenticated-orcid":false,"given":"Mary","family":"Salazar-Barrientos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2019,12,30]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Fr\u00f8en JF, Friberg IK, Lawn JE, et al. Stillbirths: Progress and unfinished business. Lancet. 2016; 387 (10018):574-86. https:\/\/doi.org\/10.1016\/S0140-6736(15)00818-1","DOI":"10.1016\/S0140-6736(15)00818-1"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Darmstadt GL, Kinney MV, Chopra M, et al. Who has been caring for the baby? Lancet. 2014;384(9938):174-88. https:\/\/doi.org\/10.1016\/S0140-6736(14)60458-X.","DOI":"10.1016\/S0140-6736(14)60458-X"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Black R, Laxminarayan R, Temmerman M, Walker N, editors. Disease Control Priorities, Third Edition (Volume 2): Reproductive, Maternal, Newborn, and Child Health. Washington, DC: The World Bank; 2016. 419 p. https:\/\/doi.org\/10.1596\/978-1-4648-0348-2","DOI":"10.1596\/978-1-4648-0348-2"},{"key":"ref3","unstructured":"United Nations. Transforming our world: The 2030 Agenda for Sustainable Development. 2015. Disponible en https:\/\/sustainabledevelopment.un.org\/post2015\/transformingourworld"},{"key":"ref4","unstructured":"World Health Organization. Every newborn: an action plan to end preventable deaths. Geneva; 2014. 55 p. Disponible en: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/127938\/9789241507448_eng.pdf?sequence=1"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"International Stillbirth Alliance Collaborative for Improving Classification of Perinatal Deaths, Flenady V, Wojcieszek AM, et al. Classification of causes and associated conditions for stillbirths and neonatal deaths. Semin Fetal Neonatal Med. 2017;22(3):176-85. https:\/\/doi.org\/10.1016\/j.siny.2017.02.009","DOI":"10.1016\/j.siny.2017.02.009"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Leisher SH, Teoh Z, Reinebrant H, Allanson E, Blencowe H, Erwich JJ, et al. Seeking order amidst chaos: Systematic review of classification systems for causes of stillbirth and neonatal death, 2009-2014. BMC Pregnancy Childbirth. 2016;16(1):295. Disponible en: https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/s12884-016-1071-0 https:\/\/doi.org\/10.1186\/s12884-016-1071-0","DOI":"10.1186\/s12884-016-1071-0"},{"key":"ref7","unstructured":"World Health Organization. The WHO application of ICD-10 to deaths during the perinatal period: ICDPM. Geneva; 2016. 88 p."},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Allanson E, Tun\u00e7alp \u00d6, Gardosi J, Pattinson RC, Erwich JJH, Flenady VJ, et al. Classifying the causes of perinatal death. Bull World Health Organ. 2016;94(2):79-79A. Disponible en: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4750440\/pdf\/BLT.15.168047.pdf. https:\/\/doi.org\/10.2471\/BLT.15.168047","DOI":"10.2471\/BLT.15.168047"},{"key":"ref9","unstructured":"Gobernaci\u00f3n de Antioquia. Departamento Administrativo de Planeaci\u00f3n. Anuario estad\u00edstico de Antioquia 2016-2017. Disponible en: http:\/\/www.antioquiadatos.gov.co\/index.php\/salud-publica"},{"key":"ref10","unstructured":"Organizaci\u00f3n Panamericana de la Salud (OPS). Clasificaci\u00f3n estad\u00edstica internacional de enfermedades y problemas relacionados con la salud. Vol. 2: Manual de instrucciones. Washington, D.C.: Pan American Health Organization; 1995. 179 p."},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Black RE, Cousens S, Johnson HL, et al. Global, regional, and national causes of child mortality in 2008: A systematic analysis. Lancet. 2010;375(9730):1969-87. https:\/\/doi.org\/10.1016\/S0140-6736(10)60549-1","DOI":"10.1016\/S0140-6736(10)60549-1"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Lawn JE, Osrin D, Adler A, Cousens S. Four million neonatal deaths: Counting and attribution of cause of death. Paediatr Perinat Epidemiol. 2008;22(5):410-6. Disponible en: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3428888\/pdf\/ukmss-47778.pdf. https:\/\/doi.org\/10.1111\/j.1365-3016.2008.00960.x","DOI":"10.1111\/j.1365-3016.2008.00960.x"},{"key":"ref13","unstructured":"Ministerio de Salud de Colombia. Resoluci\u00f3n 8430 de 1993. Santaf\u00e9 de Bogot\u00e1 D.C; 1993. p. 19."},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Barros FC, Bhutta ZA, Batra M, Hansen TN, Victora CG, Rubens CE. Global report on preterm birth and stillbirth (3 of 7): Evidence for effectiveness of interventions. BMC Pregnancy Childbirth. 2010;10(Suppl 1):S3. Disponible en: http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2841444\/pdf\/1471-2393-10-S1-S3.pdf; https:\/\/doi.org\/10.1186\/1471-2393-10-S1-S3","DOI":"10.1186\/1471-2393-10-S1-S3"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Allanson ER, Tun\u00e7alp \u00d6, Gardosi J, et al. The WHO application of ICD-10 to deaths during the perinatal period (ICD-PM): Results from pilot database testing in South Africa and United Kingdom. BJOG. 2016;123(12):2019-28. Disponible en: https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/epdf\/10.1111\/1471-0528.14244; https:\/\/doi.org\/10.1111\/1471-0528.14244","DOI":"10.1111\/1471-0528.14244"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Allanson ER, Vogel JP, Tun\u00e7alp \u00d6, et al. Application of ICD-PM to preterm-related neonatal deaths in South Africa and United Kingdom. BJOG. 2016;123(12):2029-36. Disponible en: https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/epdf\/10.1111\/1471-0528.14245; https:\/\/doi.org\/10.1111\/1471-0528.14245.","DOI":"10.1111\/1471-0528.14245"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Lavin T, Allanson ER, Nedkoff L, Preen DB, Pattinson RC. Applying the international classification of diseases to perinatal mortality data, South Africa. Bull World Health Organ. 2018;96(12):806-16. Disponible en: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6249699\/pdf\/BLT.17.206631.pdf; https:\/\/doi.org\/10.2471\/BLT.17.206631","DOI":"10.2471\/BLT.17.206631"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Miyoshi Y, Matsubara K, Takata N, Oka Y. Baby survival in Zambia: Stillbirth and neonatal death in a local hospital setting. BMC Pregnancy Childbirth. 2019;19(1):90. Disponible en: https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-019-2231-9; https:\/\/doi.org\/10.1186\/s12884-019-2231-9","DOI":"10.1186\/s12884-019-2231-9"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"Priyani AAH, Thuvarakan P, De Silva MVC. Classification of perinatal deaths according to ICD-PM: An audit on perinatal post-mortems in a tertiary care centre in Sri Lanka. Sri Lanka J Obstet Gynaecol. 2017;39(2):31. Disponible en: https:\/\/sljog.sljol.info\/article\/10.4038\/sljog.v39i2.7811\/; https:\/\/doi.org\/10.4038\/sljog.v39i2.7811","DOI":"10.4038\/sljog.v39i2.7811"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Christiansen-Lindquist L, Silver RM, Parker CB, et al. Fetal death certificate data quality: A tale of two U.S. counties. Ann Epidemiol. 2017;27(8):466-71. e2. Disponible en: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5610070\/pdf\/nihms894248.pdf; https:\/\/doi.org\/10.1016\/j.annepidem.2017.07.001","DOI":"10.1016\/j.annepidem.2017.07.001"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Cockerill R, Whitworth MK, Heazell AE. Do medical certificates of stillbirth provide accurate and useful information regarding the cause of death? Paediatr Perinat Epidemiol. 2012;26(2):117-23. https:\/\/doi.org\/10.1111\/j.1365-3016.2011.01247.x","DOI":"10.1111\/j.1365-3016.2011.01247.x"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"Liu L, Johnson HL, Cousens S, et al. Global, regional, and national causes of child mortality: An updated systematic analysis for 2010 with time trends since 2000. Lancet. 2012;379(9832):2151-61. https:\/\/doi.org\/10.1016\/S0140-6736(12)60560-1","DOI":"10.1016\/S0140-6736(12)60560-1"},{"key":"ref23","doi-asserted-by":"publisher","unstructured":"Lawn JE, Blencowe H, Oza S, et al. Every newborn: Progress, priorities, and potential beyond survival. Supplementary appendix. Lancet. 2014;6736(14):1-79. https:\/\/doi.org\/10.1016\/S0140-6736(14)60496-7","DOI":"10.1016\/S0140-6736(14)60496-7"},{"key":"ref24","doi-asserted-by":"publisher","unstructured":"Oza S, Lawn JE, Hogan DR, Mathers C, Cousens SN. Neonatal cause-of-death estimates for the early and late neonatal periods for 194 countries: 2000-2013. Bull World Health Organ. 2015;93(1):19-28. Disponible en: http:\/\/www.who.int\/entity\/bulletin\/volumes\/93\/1\/14-139790.pdf; https:\/\/doi.org\/10.2471\/BLT.14.139790.","DOI":"10.2471\/BLT.14.139790"}],"container-title":["Revista Colombiana de Obstetricia y Ginecolog\u00eda"],"original-title":[],"link":[{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/3406\/3551","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/3406\/3551","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T16:12:42Z","timestamp":1581005562000},"score":1,"resource":{"primary":{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/view\/3406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,30]]},"references-count":25,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,12,30]]}},"URL":"https:\/\/doi.org\/10.18597\/rcog.3406","relation":{},"ISSN":["2463-0225","0034-7434"],"issn-type":[{"type":"electronic","value":"2463-0225"},{"type":"print","value":"0034-7434"}],"subject":[],"published":{"date-parts":[[2019,12,30]]}}}