[Approach to the quality of care during pregnancy,delivery and postpartum in women withobstetric risk factors in Mexico].
SALUD PUBLICA DE MEXICO 2021;
62:798-809. [PMID:
33620976 DOI:
10.21149/11974]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 10/13/2020] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE
To assess the quality of care of women with obstetric risk factors during pregnancy, childbirth, and post-partum.
MATERIALS AND METHODS
We use data from The National Survey of Health and Nutrition 2018-19. Women were classified by the presence of obstetric risk factors (ORF) in their last pregnancy. The quality of care provided to women was evaluated with indicators of structure and process dur-ing antenatal care (ANC) and, delivery and postpartum care (DPC).
RESULTS
Compliance with process indicators in ANC and DPC for women with ORF was 56.9%. In the face of complications during pregnancy or delivery, it decreased in ANC, and in the face of social vulnerability compliance of ANC and DPC indicators decreases.
CONCLUSIONS
It is necessary to systematically improve the quality of care during pregnancy, childbirth, and postpartum, regardless the presence of ORF, with special attention to vulnerable groups.
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