Inicio oportuno de la atención prenatal en la unidad de medicina familiar 84

Abstract

Introduction: The prenatal care a woman receives during pregnancy contributes to better outcomes for both the mother and the newborn. It serves as a gateway to a wide range of healthcare services. The timely initiation of prenatal care is critically important, as it allows for the prevention and diagnosis of potential complications that could compromise the health and life of both the mother and the fetus, enabling appropriate management of the maternal-fetal unit. Objective: To determine the timeliness of prenatal care at Family Medicine Unit 84. Material and Methods: This is a cross-sectional, observational, and prospective study conducted on patients affiliated with the Mexican Social Security Institute (IMSS), assigned to FMU No. 84, who are pregnant and agree to participate in the study between August 2023 and December 2023. A questionnaire will be applied, covering sociodemographic factors, gynecological history, personal background, and institutional factors. Results: A total of 248 patients participated, with 67% initiating prenatal care in a timely manner. The predominant age group was young women, 135 (54.4%). The majority were married, 149 (60.1%), had a university degree, 147 (59.3%), and were employed, 123 (49.6%). Most were multiparous (64.5%) and had a planned pregnancy in only 109 (44%) of cases. Prenatal care was initiated before 14 weeks of gestation in 165 (66.5%) patients. A total of 217 (87.5%) came from non-rural areas, 231 (93.1%) had a partner, 231 (93.1%) received financial support from their partner, and the same number reported a monthly income above 2000. The vast majority, 240 (96.8%), considered prenatal care to be very important. Only 13 (5.2%) had a schedule compatible with their available time, and 6 (2.4%) had health problems. Conclusion: The initiation of prenatal care at Family Medicine Unit 84 is timely, with a compliance rate of 63%.

Introducción: La atención prenatal que recibe una mujer durante el embarazo contribuye a asegurar mejores resultados para la madre y el recién nacido, siendo un punto de entrada para recibir una amplia gama de servicios de salud. El inicio oportuno del control prenatal es de vital importancia, ya que nos permite prevenir y diagnosticar las posibles complicaciones que comprometan la salud y la vida de la madre y el feto y con ello dar un adecuado manejo del binomio. Objetivo: Determinar la oportunidad de la atención prenatal en la unidad de medicina familiar 84. Material y métodos: Estudio transversal, observacional y prospectivo, en pacientes del Instituto Mexicano del Seguro Social, adscritas a la UMF No. 84 que estén embarazadas y que acepten participar en el estudio durante agosto de 2023 a diciembre del 2023, se realizará un cuestionario con preguntas agrupadas en factores socio demográficos, antecedentes ginecológicos, antecedentes personales e institucionales. Resultados: 248 pacientes, con un 67% iniciando de manera oportuna el control prenatal, la edad que predomino fueron mujeres jóvenes 135 (54.4%), estado civil casadas 149 (60.1%), escolaridad licenciatura 147 (59.3%), ocupación predominante trabajadoras 123 (49.6%), en su mayoría multíparas 64.5%, con embarazo planificado solo 109 (44%), con inicio del control prenatal antes de las 14 sdg 165(66.5%), de procedencia no rural 217 (87.5%), con pareja 231 (93.1%), con apoyo económico de la pareja 231 (93.1%), con un ingreso mensual mayor a 2000 en su mayoría 231 (93.1%), la mayoría 240 (96.8%) considera que el control prenatal es muy importante, con un horario de atención compatible con su tiempo solo 13 (5.2%) y con problemas de salud 6 (2.4%) Conclusión: El inicio del control prenatal en la unidad de medicina familiar 84 es oportuno y se cumple con un 63 %.