Prevalence of congenital malformations and deformities of the osteomuscular system in live newborns in Mexico, 2008-2017.

Background: From 2009 to 2010 in Mexico. CMDOMS prevalence was 27.4/10,000 births.

Demand for obstetric care and density of health resources for childbearing age Mexican women.

Introduction: In Mexico, there is an increase recorded 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.

Estudio de variabilidad geográfica de las hospitalizaciones potencialmente evitables en México durante tres quinquenios.

IntroducciÓn: Las enfermedades que motivan hospitalización potencialmente evitable tienen la característica de ser sensibles a la prevención, diagnóstico y control ambulatorio en atención primaria a la salud.

Objetivos: Identificar la tendencia nacional de la hospitalización potencialmente evitable entre 2001 y 2015 y analizar el patrón geográfico a nivel municipal y priorizar municipios.

MÉtodo: Se usaron los egresos hospitalarios de la Secretaría de Salud.

[Percentage of births and fertility rates in adolescents in Mexico (2008-2012): stratification and priorization of municipalities with high risk].

Background: Mexico in 2008 was designed as the first place of adolescent pregnancy at the Organization for Economic Cooperation and Development, with specific fertility rate (SFR) for 15-1 9years of age of 64.2/1,000 woman at the same age.

Objective: Estimate of percentage births and SFR in adolescent population at national, state and municipal level in Mexico in 2008-2012 at the total group of adolescents 10 to 1 9 years old and by subgroups of 10-14 and 15 tol 9 years old, identifying the priority municipalities with adolescence pregnancies.

[Prevalence of Down syndrome using certificates of live births and fetal deaths in México 2008-2011].

Background: Down syndrome (DS) or trisomy 21 is the most common genetic cause of mental retardation with the clinical presentation of a series of well-defined characteristics. Advanced maternal age has been associated with DS.

Methods: The databases of all the certificates of live births and fetal deaths in Mexico were combined.

[Urbanization, megalopolization and mortality from birth defects in children under five years of age in Mexico].

Objectives: To identify the spatial-geographical relationship between local priority birth defect (BD) mortality in children under five years of age with demographic and economic variables representing megalopolization: urban localities,municipalities with larger populations and population density, and units and total gross output of agriculture, manufacturing and transportation.

Material And Methods: Thematic maps were produced in the form of polygons and point to their juxtaposition and analysis of spatial correspondence.

Results: Priority municipality concentrations: 98.

[Neural-Tube Defects mortality in children under 5 years of age in Mexico, 1998 to 2006].

Objectives: To analyze mortality due to neural-tube defects (NTD) in children under 5 years of age, 1998-2006 and select priority municipalities and compare them to those selected for birth defects (BD).

Materials And Methods: Sources of data were the Secretary of Health and the National Institute of Statistics and Geography. Spatial analysis was used to select municipalities and criteria were based on percentiles.

[Birth defects mortality in five-year-old minors of age, Mexico, 1998-2006].

Objective: To analyze mortality due to birth defects from 1998-2006. To select municipalities with high mortality among children under 5 years of age.

Material And Methods: The source of information was mortality records from vital statistics collected by SSA/INEGI.

[Maternal mortality decrease at IMSS, 2000-2005. As a result of specific actions or by chance?].

Objective: to assessment the epidemiological characteristics and evolution of maternal hospital deaths at Instituto Mexicano del Seguro Social (IMSS) on the years 2000-2005 and to analyze a possible relation with a specific program to reduce it, starting in 2001.

Methods: we collected and studied data about 253 and 144 hospital maternal deaths between 2000 and 2005, respectively. We compared rates, causes, type of obstetrical death, age, parity, history of prenatal care and preventability at admission in hospitals were the women died.

[Maternal mortality at the Mexican Institute of Social Security, from 1991 to 2005. A period of changes].

Objective: to describe and analyze the levels, tendency, causes and preventability of maternal mortality occurred at hospitals of the Mexican Institute of Social Security (IMSS) in the period 1991-2005, in order to identify possible strategies and activities to get a faster reduction of this problem.

Material And Methods: 3553 maternal deaths registered in medical units of IMSS between 1991 and 2005. This period was divided in two: from 1991 to 1997 and from 1998 to 2005, for comparison purposes.

[Maternal mortality in the IMSS: an analysis from the perspective of mortality and lethality].

Objective: To assess the incidence of hospital maternal mortality in the population covered by the Mexican Institute of Social Security (IMSS) from 2000 to 2003, utilizing the rates of the main causes of morbidity and lethality, in order to gain a better understanding of this epidemiological picture.

Methods: We collected information from 3,357,346 hospital deliveries and 832 maternal deaths that occurred in the medical units of the IMSS during the above-mentioned years. For the specific analysis of mortality, morbidity and lethality, deliveries and deaths with diagnoses of mild preeclampsia, severe preeclampsia, eclampsia, placenta previa, postpartum hemorrhage, chorioamnionitis and puerperal sepsis were selected, based on the criteria of International Diseases Classification, Tenth Revision.

[Maternal mortality at the Mexican Institute of Social Security (IMSS). Initial results from a reduction intervention strategy].

Objective: To analyze the preliminary results of a medical manager intervention to improve the quality of medical care during pregnancy, delivery and puerperium, on the maternal mortality rates in population covered by the Mexican Institute of Social Security (IMSS).

Material And Methods: We selected the 14 administrative delegations of IMSS that showed the highest rates and absolute numbers of maternal deaths in the years 1999 to 2001. Within this group, the manager medical staff developed activities for medical training of family physicians and gynecologists, to improve medical resources, to achieve a better coordination among medical services, to adequate reference of obstetrical complications to higher-level hospitals, and for monitoring of maternal mortality committees operation.

[Fractures in postmenopausal women in the IMSS: frequency and costs of hospital care].

Objective: To analyze the frequency and costs of hospitalary care due to fractures in postmenopausal period occurred in Instituto Mexicano del Seguro Social (IMSS).

Material And Method: Study about hospitalary discharges in IMSS, among 2000-2001, with diagnosis of hip, distal forearm and vertebral fractures, with an analysis by sex and age groups. To estimate hospitalary costs, we utilized the data of Grupos Relacionados de Diagnóstico (GRD) used in IMSS.

[Causality and hospital perinatal mortality trend at the Mexican Institute of Social Security, 1998-2002].

Objective: To analyze levels, trend and causes of hospital perinatal mortality at the Instituto Mexicano del Seguro Social (IMSS) during the 5 years from 1998 to 2002 to identify magnitude and related factors in our population and discuss some technical bases and epidemiologic aspects for planning strategies to contribute to its reduction.

Material And Methods: Descriptive study on the death certificates of 39,994 cases of perinatal deaths distributed among 19,108 fetal deaths of 28 weeks and more of gestation and 20,886 neonatal deaths 7 to days of life that occurred in IMSS hospitals during the reference period. With this information and the data on total births, dead or live from the official information system of our Institution, we established annual rates for the entire IMSS, including administrative regions and zones of medical services.

[Training experience in climacteric and menopause among physicians of the IMSS].

Objective: To analyze the level of knowledge concerning climateric and menopause among family physicians and gynecologists and obstetricians of the Instituto Mexicano del Seguro Social (IMSS), after a training process in institutional technical guidelines and in educational content for population. We also analyze possible changes in frequency of medical attention for climateric and menopause in the first level of medical care.

Material And Methods: Prospective and descriptive study on 1) results of the knowledge evaluation by means of 23 questions with multiple answers, and 2) analysis of rates of medical care for menopausal and perimenopausal disturbances (N95 code, X Revision, IDC) from 1995 to 2000.