Impacto en la disminución de la mortalidad materna a través de una propuesta educativa basada en paquetes de intervención. Una alternativa para países de bajos ingresos

Objective: To assess the effectiveness of an education program including simulation training, checklists and shared mind mapping protocols, implemented between 2018 and 2024, in reducing maternal mortality from postpartum hemorrhage. Methods: Prospective, longitudinal, interventional, descriptive and analytical study, carried out at the Dr. Miguel Pérez Carreño Hospital of the Venezuelan Institute of Social Security (IVSS). The study population included all obstetric patients who were admitted to the hospital between 2018 and 2023, with gestational age greater than 20 weeks, whose obstetric resolution was by delivery or cesarean section and who presented postpartum hemorrhage. The intervention program consisted of simulation education and intervention packages and action protocols. Results: The results demonstrate a significant reduction in direct maternal deaths following the implementation of these interventions. In particular, deaths from postpartum hemorrhage, the leading cause of maternal mortality, decreased from 17 cases in 2018 to just one in 2024, with no cases recorded between 2020 and 2023. This reduction represents a year-on-year decrease of 94.11% in mortality from postpartum hemorrhage. Conclusion: The implementation of intervention packages and training programs in obstetric emergencies is essential to reduce maternal mortality, especially in highly complex contexts. The findings confirm the efficacy of intervention protocols and continuous training in improving maternal outcomes, highlighting the relevance of these approaches in the prevention of maternal mortality in hospitals with high obstetric demand. Keywords: Postpartum hemorrhage, Intervention packages, Checklists, Maternal mortality, Extreme maternal morbidity.