PATRÓN DE USO DE LOS SERVICIOS DE ATENCIÓN PRENATAL, PARTO Y PUERPERIO EN UNA INSTITUCIÓN DE SEGURIDAD SOCIAL MEXICANA

Résumé 0

"Background: Maternal health is a priority in the Mexicanhealth system, the proper planning and organization of the resources,as well as the use of the maternity care services suited to theneeds of pregnant women therefore being of importance. Thisstudy is aimed at determining the pattern of use of the prenatal,childbirth and puerperium care services at a Mexican social insuranceinstitution.Methods: A descriptive study was conducted of 403 womeninvolved in an obstetrical medical event, with the exception ofthose whose clinical file was not located or who were treated at asubdistrict hospital providing a low degree of coverage of obstetricalevents and in a third-level hospital. An analysis was made asto the type and frequency of use of the healthcare services in theprenatal stage, the childbirth care provided up to the immediatepuerperium and the advanced puerperium stage. The informationwas taken from the clinical file, both at the second-level hospitalas well as in family medicine and, if required, at the third-levelhospital.Results: 90.8% were women whose pregnancies ended in vaginalbirth or cesarean section, their prenatal care visits averaging6.2+4.1. Prenatal care was started during the first three months by48.6%, whilst 27.3% came in for visits 7 or more times. A total22.4% showed both characteristics. The average number of days ofhospitalization was 1.8+0.9 days. During the puerperium, officevisits averaged 1.2+ 0.4.Conclusions: Less than one fourth of the population studied keptthe prenatal care appointments as should have been, mention beingmade of areas of opportunity in childbirth care."