Dinámicas sociales en salud materna con énfasis en la Morbilidad Materna Extrema y aportes de la bioética en su comprensión: una revisión narrativa de la literatura.

The purpose of this article is to analyze the social dynamics in maternal health and the contributions of bioethics in its understanding, emphasizing Extreme Maternal Morbidity. In this vein, a narrative review was carried out in the Scopus, Pubmed, Web of Science, Lilacs, Scielo and Google Scholar databases with the "Maternal Health" AND "Bioethics" OR "Social Justice" strategy; including articles in Spanish, English and Portuguese, published in the last 25 years. The results included 79 original manuscripts and 21 reflection and review manuscripts, which provided the descriptive analysis by generating the following thematic categories: 1. Health care and care needs; 2. Social determinants, risk and protective factors; 3. Quality of care, treatment experiences, and barriers to access; and 4. Ethical and bioethical perspectives of maternal health. In conclusion, it was possible to affirm that the bioethical approach to maternal health proposes categories of analysis such as justice, equity, autonomy and access; in addition to the living conditions based on cultural plurality and considerations regarding communication and language. The foregoing implies that health systems must redesign maternal health care approaches to address vulnerabilities and enhance the capacities of women. [ABSTRACT FROM AUTHOR]