title: Facility-based care for delivery and management of complications related to pregnancy and childbirth in Mexico.
abstract: OBJECTIVE
  To describe the incidence and management of severe maternal and newborn complications in selected health facilities in Mexico.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Institute for Health Metrics and Evaluation, University of Washington, USA.
authors.forename: Bernardo
authors.initials: B
authors.lastname: Hernández
authors.forename: Eduardo
authors.initials: E
authors.lastname: Ortiz-Panozo
authors.forename: Ricardo
authors.initials: R
authors.lastname: Pérez-Cuevas
mesh_terms: D000328:Adult; D005260:Female; D006306:Health Surveys; D006771:Hospitals, Maternity / Q000706:statistics & numerical data; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology / Q000628:therapy; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D008428:Maternal Mortality; D008485:Medical Audit; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D011256:Pregnancy Outcome; D011644:Puerperal Disorders / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D062606:Tertiary Care Centers / Q000706:statistics & numerical data; D055815:Young Adult