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How inequity threatens the lives of pregnant women: barriers to accessing health services during an incomplete miscarriage in rural southern Mexico.
Gutiérrez-Peláez, Karen; Aranda, Zeus; Jiménez-Peña, Andrea; Mata-González, Hellen.
Afiliação
  • Gutiérrez-Peláez K; Programa de Médico Cirujano, Escuela de Medicina y Ciencias de la Salud del Instituto Tecnológico y de Estudios Superiores de Monterrey, Monterrey, Nuevo León, México.
  • Aranda Z; Programa de Investigación e Impacto, Partners In Health México/Compañeros En Salud, Ángel Albino Corzo, Chiapas, México zeusaranda213@gmail.com.
  • Jiménez-Peña A; Departamento de Salud, El Colegio de la Frontera Sur, San Cristóbal de las Casas, Chiapas, México.
  • Mata-González H; Programa Multicéntrico de Especialidades Médicas, Escuela de Medicina y Ciencias de la Salud del Instituto Tecnológico y de Estudios Superiores de Monterrey, Monterrey, Nuevo León, México.
BMJ Case Rep ; 15(5)2022 May 23.
Article em En | MEDLINE | ID: mdl-35606027
Globally, obstetric emergencies majorly account for maternal morbidity and mortality. Guerrero, Oaxaca and Chiapas accounted for more than 13% of maternal deaths in the country in 2021. Obstetric haemorrhage was the leading cause of maternal death after COVID-19 infection and hypertensive disorders. This case highlights the clinical course and social determinants of health that limited access to health services in a young woman with an obstetric emergency in rural southern Mexico. The case describes common challenges during an obstetric emergency in resource-poor settings, such as timely referral to a second level of care. Our analysis identifies the social determinants of health behind the slow and inadequate emergency response. Additionally, we present several interventions that can be implemented in low-resource settings for strengthening the response to obstetric emergencies at the primary and secondary levels of care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aborto Espontâneo / Aborto Incompleto / COVID-19 Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude / Implementation_research Limite: Female / Humans / Pregnancy País/Região como assunto: Mexico Idioma: En Revista: BMJ Case Rep Ano de publicação: 2022 Tipo de documento: Article País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aborto Espontâneo / Aborto Incompleto / COVID-19 Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude / Implementation_research Limite: Female / Humans / Pregnancy País/Região como assunto: Mexico Idioma: En Revista: BMJ Case Rep Ano de publicação: 2022 Tipo de documento: Article País de publicação: Reino Unido