%0 Journal Article %T Una estrategia para la disminuci¨®n de la mortalidad materna %A ¨¢guila Seti¨¦n %A Sonia I %J Revista Cubana de Obstetricia y Ginecolog£¿-a %D 2012 %I Editorial Ciencias M¨¦dicas %X introduction: it is necessary the study of the extremely severe maternal morbidity (esmm) to complement the researches on maternal mortality, as well as the epidemiologic surveillance of these cases as a strategy for actions proposed by paho/ hwo in millennium summit to decrease the maternal mortality in 2015. objectives: to update and to incorporate the new concept of esmm in our daily practice. methods: a national and international review on this subject. a detailed analysis of the research on esmm in selected latin american institutions in 2008. the value of nee indicators related to these affections is explored. results: in our environment authors analyzed the features preventing the appropriate identification of cases and its timely treatment. conclusions: a proposal of solutions is carried out for the work os specialist charged of severe patients care and also on the organization features in our institutions. %K maternal morbidity %K extremely severe maternal morbidity %K maternal death. %U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0138-600X2012000200015&lng=en&nrm=iso&tlng=en