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Facility-based care for delivery and management of complications related to pregnancy and childbirth in Mexico
- Source :
- Instituto Mexicano del Seguro Social, IMSS, Redalyc-IMSS, Instituto Nacional de Salud Pública, INSP, Redalyc-INSP, Salud Pública de México, Vol 54, Iss 5, Pp 496-505 (2012)
- Publication Year :
- 2012
- Publisher :
- Instituto Nacional de Salud Pública, 2012.
-
Abstract
- OBJECTIVE: To describe the incidence and management of severe maternal and newborn complications in selected health facilities in Mexico. MATERIALS AND METHODS: As part of the WHO Multicountry Survey on Maternal and Newborn health, information was collected from medical records of women with deliveries and/or severe maternal complications during pregnancy or puerperium in 14 hospitals in Mexico City and the state of Guanajuato, Mexico. RESULTS: Of 13 311 women, 157 (12 per 1 000 live births) had severe maternal complications including 4 maternal deaths. The most frequent complications were preeclampsia, postpartum hemorrhage, and chronic hypertension. Adverse perinatal outcomes were more frequent among women with severe maternal complications. A high use of uterotonics and parenteral antibiotics was found. A small proportion of women with eclampsia received magnesium sulfate. CONCLUSION: This study provides indicators on the incidence and management of maternal and neonatal complications in Mexico, which may be useful in studying and evaluating the performance of obstetric services.OBJETIVO: Describir la incidencia y manejo de complicaciones maternas y neonatales severas en hospitales seleccionados de México. MATERIAL Y MÉTODOS: En el marco de la Encuesta Multipaís de la OMS sobre Salud Materna y Neonatal, se recolectó información de los expedientes médicos de las mujeres que tuvieron su parto o experimentaron complicaciones maternas severas durante el embarazo o puerperio en 14 hospitales de la Ciudad de México y el estado de Guanajuato, México. RESULTADOS: De 13 311 mujeres, 157 (12/1 000 nacidos vivos) tuvieron complicaciones maternas severas, incluyendo 4 muertes maternas. Las complicaciones más frecuentes fueron preeclampsia, hemorragia postparto e hipertensión crónica. Los resultados perinatales adversos fueron más frecuentes en las mujeres con complicaciones severas. Hubo un uso amplio de uterotónicos y antibióticos parenterales. Una baja proporción de mujeres con eclampsia recibió sulfato de magnesio. CONCLUSIONES: Esta encuesta proporciona indicadores sobre la incidencia y manejo de las complicaciones maternas y neonatales en México, los cuales pueden ser de utilidad para estudiar y evaluar el desempeño de los servicios obstétricos.
- Subjects :
- Adult
Gerontology
Maternal mortality
mortalidad materna
medicine.medical_specialty
puerperal disorders
Population
Developing country
Salud
Hospitals, Maternity
Infant, Newborn, Diseases
Hospitals, Private
Preeclampsia
Tertiary Care Centers
Young Adult
Hospitals, Urban
Pregnancy
medicine
Humans
complicaciones del embarazo
Childbirth
Maternal Health Services
education
Mexico
Medical Audit
education.field_of_study
Eclampsia
Hospitals, Public
maternal mortality
business.industry
Obstetrics
pregnancy complications
México
lcsh:Public aspects of medicine
Incidence (epidemiology)
Medical record
Infant, Newborn
Pregnancy Outcome
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Middle Aged
medicine.disease
Health Surveys
Outcome and Process Assessment, Health Care
trastornos puerperales
Female
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Instituto Mexicano del Seguro Social, IMSS, Redalyc-IMSS, Instituto Nacional de Salud Pública, INSP, Redalyc-INSP, Salud Pública de México, Vol 54, Iss 5, Pp 496-505 (2012)
- Accession number :
- edsair.doi.dedup.....1e17d61b45a211b432dc21dafd928f79