Objective. To describe the prenatal care (PC) received in women with maternal hospital deaths from 2005 to 2011 in Tijuana, Baja California, Mexico. Materials and methods. Were reviewed the medical chars and registrations of the maternal deaths by the local Committees of Maternal Mortality. Results. There were 44 maternal hospital deaths. Thirty (68%) women assisted to PC appointments during pregnancy, the average number of PC visits was 3.8 and 18 (41%) had an adequate PC (≥ 5 visits). Six (14%) women didn't know they were pregnant; 19 (43%), 21 (48%) y 4 (9%) maternal deaths were due to direct, indirect obstetric cause or non-obstetric causes. Eighteen (18%), 2 (4 %) and 34 (77%) of the maternal deaths occurred during pregnancy, delivery or puerperium. Conclusions. It is necessary pregnancy women have an early, periodic and systematic PC to identify opportunely risk factors associated with pregnancy complications.

Objetivo. Describir la atención médica prenatal recibida en mujeres con mortalidad materna hospitalaria en el IMSS durante 2005-2012 en Tijuana, Baja California, México. Material y métodos. La información se obtuvo de los archivos de los Comités de Mortalidad Materna y revisión del expediente. Resultados. Hubo 44 muertes maternas (MM). Treinta (68%) asistieron a atención prenatal (AP), el promedio de citas fue de 3.8 y 18 (41%) tuvieron una AP adecuada (≥ 5 citas). Seis (14%) mujeres no sabían que estaban embarazadas; 19 (43%), 21 (48%) y 4 (9%) de las MM fueron por causa obstétrica directa, indirecta y no obstétrica. Ocho (18%), 2 (4 %) y 34 (77%) de las MM ocurrieron en el embarazo, parto y puerperio. Conclusiones. Es necesario que las mujeres embarazadas tengan una vigilancia prenatal temprana, periódica y sistemática que permita la identificación y el diagnóstico oportuno de pacientes con alto riesgo de desarrollar complicaciones durante su embarazo.

Objective. To describe the prenatal care (PC) received in women with maternal hospital deaths from 2005 to 2011 in Tijuana, Baja California, Mexico. Materials and methods. Were reviewed the medical chars and registrations of the maternal deaths by the local Committees of Maternal Mortality. Results. There were 44 maternal hospital deaths. Thirty (68%) women assisted to PC appointments during pregnancy, the average number of PC visits was 3.8 and 18 (41%) had an adequate PC (≥ 5 visits). Six (14%) women didn't know they were pregnant; 19 (43%), 21 (48%) y 4 (9%) maternal deaths were due to direct, indirect obstetric cause or non-obstetric causes. Eighteen (18%), 2 (4 %) and 34 (77%) of the maternal deaths occurred during pregnancy, delivery or puerperium. Conclusions. It is necessary pregnancy women have an early, periodic and systematic PC to identify opportunely risk factors associated with pregnancy complications.

Objetivo. Describir la atención médica prenatal recibida en mujeres con mortalidad materna hospitalaria en el IMSS durante 2005-2012 en Tijuana, Baja California, México. Material y métodos. La información se obtuvo de los archivos de los Comités de Mortalidad Materna y revisión del expediente. Resultados. Hubo 44 muertes maternas (MM). Treinta (68%) asistieron a atención prenatal (AP), el promedio de citas fue de 3.8 y 18 (41%) tuvieron una AP adecuada (≥ 5 citas). Seis (14%) mujeres no sabían que estaban embarazadas; 19 (43%), 21 (48%) y 4 (9%) de las MM fueron por causa obstétrica directa, indirecta y no obstétrica. Ocho (18%), 2 (4 %) y 34 (77%) de las MM ocurrieron en el embarazo, parto y puerperio. Conclusiones. Es necesario que las mujeres embarazadas tengan una vigilancia prenatal temprana, periódica y sistemática que permita la identificación y el diagnóstico oportuno de pacientes con alto riesgo de desarrollar complicaciones durante su embarazo.

OBJECTIVE: To evaluate the effects of gestational weight gain (GWG) on maternal and neonatal outcomes. MATERIALS AND METHODS: During 2009, women in the immediate puerperium were assessed at the Gynecology and Obstetrics Hospital in Tijuana, Baja California, Mexico. GWG was considered optimal when < 18 kg, < 16 kg, < 11.5 kg and <9 kg for women who, before pregnancy, were underweight, normal weight, overweight and obese, respectively. RESULTS: A total of 38% of women gained more than the recommended weight during pregnancy Women with normal weight previous to pregnancy who exceeded gestational weight-gain recommendations had a risk of oligo/polyhydramnios (OR 2.1, CI 95% 1.04-4.2) and cesarean delivery; overweight women previous to pregnancy had an increased risk of preeclampsia (OR 2.2 CI 95% I.I-4.6) and newborn macrosomia (OR 2.5, CI 95% 1.1-5.6); and obese women had a risk of newborn macrosomía (OR 6.6 IC 95% I.8-23). Pre-pregnancy weight was more greatly associated with gestational diabetes than gestational weight gain. CONCLUSIONS: Women whose weight gain during pregnancy is outside of the recommended ranges had an increased risk of adverse obstetric and neonatal outcomes.

OBJETIVO: Evaluar el efecto de la ganancia de peso gestacional (GPG) en la madre y el neonato. MATERIAL Y MÉTODOS: Se incluyeron 1 000 mujeres en puerperio inmediato atendidas en el Hospital de Ginecología del Instituto Mexicano del Seguro Social, en Tijuana, Baja California, México. Se consideró una GPG óptima si en las mujeres con bajo peso, peso normal, sobrepeso u obesidad previo al embarazo, la GPG fue < 18 kg, < 16 kg, < 11.5 kg y < 9 kg, respectivamente. RESULTADOS: Treinta y ocho por ciento de las mujeres tuvieron una GPG mayor a la recomendada, lo cual se asoció con oligo/ polihidramnios (RM 2.1, IC 95% 1.04-4.2) y cesáreas (RM 1.8, IC 95% 1.1-3.0) en las mujeres con peso normal previo al embarazo; con preeclampsia (RM 2.2 IC 95% I.I-4.6) y macrosomía (RM 2.5, IC 95% I.I-5.6) en las mujeres con sobrepeso, y con macrosomía (RM 6.6 IC 95% I.8-23) en las mujeres con obesidad. El peso previo al embarazo, más que la ganancia de peso gestacional, se asoció con diabetes gestacional. CONCLUSIONES: Un aumento de riesgo de complicaciones obstétricas y del neonato fue asociado con una GPG mayor a la recomendada.