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Gaceta médica de México
On-line version ISSN 2696-1288Print version ISSN 0016-3813
Abstract
VALDES-HERNANDEZ, Javier; REYES-PABLO, Aldelmo E.; NAVARRETE-HERNANDEZ, Eduardo and CANUN-SERRANO, Sonia. Demand for obstetric care and density of health resources for childbearing age Mexican women. Gac. Méd. Méx [online]. 2020, vol.156, n.2, pp.94-103. Epub May 26, 2021. ISSN 2696-1288. https://doi.org/10.24875/gmm.19005364.
Introduction:
In Mexico, there is an increase in the number of C-sections, as well as inequity and inequality in the distribution of resources for obstetric care.
Objective:
To identify the states and municipalities in Mexico that concentrate the demand for obstetric care and the C-section rates and their relationship with health resources and women of childbearing age (WCBA).
Method:
Births of the 2008-2017 period were recorded, grouped into five municipal strata, as well as 2017 health resources and WCBA.
Results:
The 2008-2017 national rate of C-sections was 45.3/100 births; 95 and 97 % of births and C-sections were concentrated in the very high stratum, where 80 % or more of health resources were used, with overuse standing out. The density of health resources assigned to WCBAs reflected inequity and inequality
Conclusions:
The high concentration of obstetric demand and health resources supply could entail a higher recurrence of C-sections. Policies for C-section reduction should consider proper organization and administration of health resources.
Keywords : Maternal health services; C-sections; Health resources; Woman of childbearing age.