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Reproductive health services supplied by medical institutions to women in two border cities one in Mexico and another in the United States (Matamoros, Tamaulipas, and Brownsville, Texas) arc comparatively analysed. This paper is based on survey interviews on the supply side (hospital and clinics) and on the demand side of health services (patients). Concerning Brownsville, institutions supply a wide range of maternity services to women who behave very carefully in relation to their pregnancy and demand more specialised personnel. Regarding Matamoros, despite of the fact that local medical institutions supply a higher specialisation of medical and auxiliary personnel to women, as well is an integral attention, the use of these services is required by Mexican women at the last trimester of the pregnancy, and these services lend to be less specialised than in Brownsville. [ABSTRACT FROM AUTHOR]