<?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>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152017000100112</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad Materna: Análisis médico forense]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Sáenz]]></surname>
<given-names><![CDATA[Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto Cerdas]]></surname>
<given-names><![CDATA[Jahaira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,anama86@gmail.com  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,aff2  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>112</fpage>
<lpage>119</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152017000100112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152017000100112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152017000100112&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La Organización Mundial de la Salud (OMS) define la muerte relacionada al embarazo como el deceso de una mujer durante dicho embarazo, la labor de parto o en los cuarenta y dos días siguientes al nacimiento, independientemente de la duración o del lugar donde tuvo lugar. Esta definición incluye muertes por abortos o embarazos ectópicos pero excluye las causas incidentales. Aunque se considera que el embarazo es un proceso biológico normal, se asocia con cierta cantidad de cambios anatómicos o fisiológicos que incrementan el riesgo de muerte, especialmente en aquellas mujeres mayores de 35 años, afro americanas o con un control prenatal deficiente. Esta revisión pretende conceptualizar la mortalidad materna y definir sus principales causas y factores de riesgo, con especial énfasis en aspectos forenses]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract World Health Organitation defines the death related to pregnancy as the death of a woman during pregnancy, labor or in the next 42 days after the end of pregnancy state, regardless the duration or place where its taking place. This definition includes deaths from abortion or ectopic pregnancy but excludes those from incidental causes. Even though pregnancy is consider a normal biological process, it is associated with a certain amount of anatomic and physiological changes that increase the risk of death, especially in those woman over 35 years old, African American and those with a pour prenatal care. This review pretends to conceptualize maternal mortality, to define its main causes and risk factors, with special emphasis in forensic issues.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Muerte relacionada al embarazo]]></kwd>
<kwd lng="es"><![CDATA[aborto]]></kwd>
<kwd lng="es"><![CDATA[embarazo ectópico]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="en"><![CDATA[Death related to pregnancy]]></kwd>
<kwd lng="en"><![CDATA[abortion]]></kwd>
<kwd lng="en"><![CDATA[ectopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[maternal mortality]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[International statistical classification of diseases and related health problems, tenth revision]]></source>
<year></year>
<publisher-loc><![CDATA[Geneva, Switzerland ]]></publisher-loc>
<publisher-name><![CDATA[World Health Organization]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prahlow]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Barnard]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pregnancy related maternal deaths]]></article-title>
<source><![CDATA[American Journal of Forensic Medical Pathology]]></source>
<year>2004</year>
<page-range>220-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kavatkar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sahasrabudhe]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jadhav]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Deshmukh]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Autopsy Study of Maternal Deaths]]></article-title>
<source><![CDATA[International Journal of Gynecology and Obstetrics]]></source>
<year>2003</year>
<volume>1</volume>
<page-range>8.4</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oyston]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rueda-Clausen]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Baker]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current challenges in pregnancy-related mortality]]></article-title>
<source><![CDATA[OBSTETRICS, GINECOLOGY AND REPRODUCTIVE MEDICINE]]></source>
<year>2014</year>
<page-range>162-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Charlier]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Cavard]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lorin]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal deaths: A 22-year forensic retrospective study (1987-2009)]]></article-title>
<source><![CDATA[La revue de medicine légale]]></source>
<year>2011</year>
<page-range>32-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Neilson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal Mortalidy]]></article-title>
<source><![CDATA[OBSTETRICS, GINECOLOGY AND REPRODUCTIVE MEDICINE]]></source>
<year>2008</year>
<page-range>33-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schiavon]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Troncoso]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Polo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Analysis of maternal and abortion-related mortality in Mexico over the last two decades, 1990-2008]]></article-title>
<source><![CDATA[International Journal of Gynecology and Obstetric]]></source>
<year>2012</year>
<page-range>78-86</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reviewing maternal deaths to make pregnancy safer]]></article-title>
<source><![CDATA[Best Practice &amp; Research Clinical Obstetrics and Gynaecology]]></source>
<year>2008</year>
<page-range>447-63</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ronsmans]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Graham]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<source><![CDATA[Maternal mortality: who, when, where, and why]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<source><![CDATA[National Center for Health Statistics (NCHS). Data definitions. Maternal death. Centers for disease control and prevention]]></source>
<year>2004</year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roos]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Von Xylander]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Why do maternal and newborn deaths continue to occur?]]></article-title>
<source><![CDATA[Best Practice &amp; Research Clinical Obstetrics and Gynaecology]]></source>
<year>2016</year>
<page-range>30-44</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marchant]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Davidson]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Parson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Addressing domestic violence through maternity service policy and practice]]></article-title>
<source><![CDATA[Midwifery]]></source>
<year>2001</year>
<page-range>164-70</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Potts]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Maternal mortality: one death every 7 min]]></source>
<year>2010</year>
<page-range>1762-3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
