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Transición en las Definiciones de Mortinato: Un Llamamiento a Criterios Actualizados y Matizados

Sujata Siwatch¹, Gaurav Khastgir²

¹Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, IND.

|February 4, 2026

Resumen

Las definiciones y la notificación de mortinatos varían a nivel mundial, lo que dificulta la obtención de datos precisos. Mejorar la clasificación y la vigilancia de los mortinatos en la India es crucial para reducir las muertes prevenibles y alcanzar los objetivos de salud mundiales.

Área de la Ciencia:

Salud Pública
Salud Mundial
Epidemiología Perinatal

Sus antecedentes:

El mortinato es un importante problema de salud mundial con definiciones y notificaciones inconsistentes que afectan la comparabilidad de los datos.
La India enfrenta una alta carga de mortinatos, con disparidades persistentes en la atención perinatal a pesar de los avances.
Los sistemas actuales de notificación de mortinatos en la India carecen de precisión y alineación con los estándares mundiales.

Objetivo del estudio:

Destacar los desafíos en las definiciones y la notificación de mortinatos, particularmente en la India.
Proponer mejoras en los sistemas de clasificación y vigilancia de mortinatos.
Enfatizar la importancia de datos precisos para reducir los mortinatos prevenibles.

Principales métodos:

Revisión de las definiciones y prácticas de notificación de mortinatos a nivel mundial y en la India.
Análisis de los sistemas actuales de vigilancia de mortinatos en la India y sus limitaciones.
Discusión de los cambios legislativos y el potencial de mejora en la recopilación de datos.

Principales resultados:

Existe una variación significativa en las definiciones de mortinato y los umbrales de viabilidad en todo el mundo.
Los datos de mortinatos de la India se ven obstaculizados por los inconvenientes del sistema de notificación.
Los cambios legislativos presentan una oportunidad para mejorar la precisión en la notificación, incluso para las interrupciones médicas del embarazo.

Conclusiones:

La clasificación precisa de los mortinatos es esencial para intervenciones efectivas y el logro de objetivos mundiales.
El fortalecimiento de las definiciones, el reconocimiento de las muertes fetales no entregadas y la mejora de la vigilancia (por ejemplo, ICMR-SPIC) son clave.
La mayor precisión de los datos en la India puede proporcionar información más clara sobre los factores de riesgo y guiar estrategias específicas.

Palabras clave:

india atención perinatal mortalidad perinatal mortinato prevención de mortinatos

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