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Despite the great achievements in indicators of access to prenatal care and delivery care with qualified staff in Latin America, the fifth goal agreed at the Millennium Development Goals (MDG 5) of reducing maternal mortality in 75% by 2015 did not come true. In part, this can be explained by gains in coverage that do not result in safe and high quality obstetric care.

Extreme Maternal Morbidity (EMM), defined as a serious complication that occurs during pregnancy, childbirth and postpartum, and which threatens the life of a woman, is an anticipatory event of death. Its monitoring enables identification of actions that prevent maternal death, and therefore it is recognized as a quality tracer; Colombia, with the establishment of monitoring extreme maternal morbidity (EMM) at national level, have the opportunity to become a model country in how to improve obstetric care.

This implies improving the skills of human resources in the analysis of cases, properly interpreting the indicators generated from their surveillance, and developing and implementing improvement plans in line with the needs of the institutions involved in obstetric care, making emphasis on quality and safety of care.

Edgar Iván Ortíz, Universidad del Valle, Cali, Colombia.

1 Profesor Titular. Departamento Obstetricia y Ginecología, Universidad del Valle, Cali, Colombia. 
2 Federación Colombiana de Obstetricia y Ginecología (Fecolsog). Bogota, Colombia
3 Federación Latinoamericana de Asociaciones y Sociedades de Obstetricia y Ginecología (FLASOG). Panama, Panama.

Jack Ludmir, University of Pennsylvania, Philadelphia, Pennsylvania.

Profesor y Jefe Departamento Obstetricia y Ginecologia. Pennsylvania Hospital. Perelman School of Medicine,
Ortíz, E. I., & Ludmir, J. (2024). Where do we go in terms of safety and quality of obstetric care in Colombia?. Colombia Medica, 47(1), 9–10. (Original work published March 28, 2016)

PAHO,CLAP/WR . Basic Indicators 2013. 2014. option=com_docman&task=doc_download&gid=27299&Itemid=721&lang=en

Instituto Nacional de Salud.Dirección de Vigilancia y Análisis de Riesgo en Salud Pública Comportamiento de los eventos de vigilancia en salud públicaEnfermedades no Transmisibles. Morbilidad materna extrema. Boletín epidemiológico. 2015;Semana Epidemiológica(52):62–62.

Ortiz EI, Quintero CA, Mejia J, Romero E, Ospino L. Vigilancia de la morbilidad materna extrema. Ministerio de la Protección Social de Colombia. Dirección General de Salud Pública y Fondo de Población de las Naciones Unidas (UNFPA); 2010. pp. 67–67.

Firoz T, Chou D, von Dadelzsen P, Say L, Agrawal P, Vanderkruik R. Measuring maternal healthfocus on maternal morbidity. Bull WHO. 2013;91(10):794–796.

Guerrero GJE, Ortiz LEI, Sarria GOD. Modelo de seguridad para la atención de la emergencia obstétrica en instituciones de salud. Ministerio de Salud y Proteccion Social de Colombia y Fondo de Población de las Naciones Unidas (UNFPA); 2014. pp. 133–133.

Acuña JM, Ortiz EI, Carvajal J. Morbilidad Materna Extrema. Ministerio de Salud y Protección Social de Colombia y Fondo de Población de las Naciones Unidas (UNFPA); 2014. pp. 51–51.

Ortiz EI. La vigilancia de la morbilidad materna extrema. (No publicado) 2011

ONU . Transformar nuestro mundo. 2015.

Epstein RM, Street RL. The values and value of patient centered care. Ann Fam Med. 2011;9(2):100–103.


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Received 2015-09-15
Accepted 2016-03-11
Published 2024-06-07

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