title: [Emergency obstetric causes and Immediate Response Team in a secondary hospital].
abstract: BACKGROUND
  The aim of this work is to describe the causes of the obstetric emergency, which motivates the activation of the Immediate Response Team at a second level hospital of the Instituto Mexicano del Seguro Social, which has not an Intensive Care Unit for Adult Patients.
  
  
  METHODS
  Retrospective observational study of the causes of obstetric emergency that occurred in the domains of Admission, Hospitalization, Labor, Delivery Room, Operating Room and Recovery of the Hospital General de Zona 53 of the IMSS, during the years 2014 and 2015.
  
  
  RESULTS
  In 2014, were attended 3915 women due to obstetric cause; of them, 75 cases were of obstetric emergency and 3276 live births. In 2015, were 4390 women with 3842 live births and 80 cases of obstetric emergency. The main domains where performed the Immediate Response Team were: Labor, Admission and Recovery. In 2014, preeclampsia-eclampsia-Hellp ranked first as a cause of obstetric emergency: 42 cases, also in 2015: 36 cases; followed by obstetric hemorrhage with 28 and 34 cases, respectively. In 2014, there was a maternal death from severe preeclampsia and extensive liver rupture.
  
  
  CONCLUSIONS
  Consolidation of Immediate Response Team at a hospital, according to the healthcare environment, it is essential, above all, within the meaning given by staff members.
authors.affiliation: Coordinación de Atención Integral en Segundo Nivel, Instituto Mexicano del Seguro Social, Ciudad de México, México. pol_roc@hotmail.com.
authors.forename: Luis Rafael
authors.initials: LR
authors.lastname: López-Ocaña
authors.forename: Norma Angélica
authors.initials: NA
authors.lastname: Hernández-Pineda
authors.forename: Polita Rocío
authors.initials: PR
authors.lastname: Cruz-Cruz
authors.forename: Manuel
authors.initials: M
authors.lastname: Ramiro-H
authors.forename: Víctor Octavio
authors.initials: VO
authors.lastname: Pérez Del Valle-Ibarra
mesh_terms: D000328:Adult; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008800:Mexico; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D011247:Pregnancy; D012189:Retrospective Studies; D063728:Secondary Care Centers
keywords: Emergency medical services; Maternal death; Pregnancy complications