Salud Pública de México
Print version ISSN 0036-3634
HERNANDEZ, Bernardo; ORTIZ-PANOZO, Eduardo and PEREZ-CUEVAS, Ricardo. Facility-based care for delivery and management of complications related to pregnancy and childbirth in Mexico. Salud pública Méx [online]. 2012, vol.54, n.5, pp. 496-505. ISSN 0036-3634.
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.
Keywords : maternal mortality; pregnancy complications; puerperal disorders; Mexico.