Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcare
The prenatal approach from a preventive perspective is necessary to reduce perinatal complications. A perinatal care model with a holistic and horizontal approach is required. Mexico is currently considered an emerging market economy with inequality and an economic gap that impacts the accessibility...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-05-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1127802/full |
| _version_ | 1827944617727754240 |
|---|---|
| author | Ma de la Luz Bermudez Rojas Virginia Medina Jimenez Javier Ivan Manzanares Cuadros Daniel Alberto Diaz Martínez Nicolas Padilla Raygoza Elia Lara Lona |
| author_facet | Ma de la Luz Bermudez Rojas Virginia Medina Jimenez Javier Ivan Manzanares Cuadros Daniel Alberto Diaz Martínez Nicolas Padilla Raygoza Elia Lara Lona |
| author_sort | Ma de la Luz Bermudez Rojas |
| collection | DOAJ |
| description | The prenatal approach from a preventive perspective is necessary to reduce perinatal complications. A perinatal care model with a holistic and horizontal approach is required. Mexico is currently considered an emerging market economy with inequality and an economic gap that impacts the accessibility and distribution of healthcare services. Guanajuato is one of the 32 states of Mexico and represents 1.6% of the country’s surface. Strategies during the prenatal approach allow prediction, diagnosis, and anticipation of the principal causes of morbidity and mortality. Combining data from maternal characteristics and history with findings of biophysical and biochemical tests at 11 to 13 weeks of gestation can define the patient-specific risk for a large spectrum of complications that include miscarriage and fetal death, preterm delivery, preeclampsia, congenital disorders, and fetal growth abnormalities. We aim to describe the care model designed and implemented in the State Center for Timely Prenatal Screening of the Maternal and Child Hospital of Leon, Guanajuato, Mexico. Previous research showed there is a lack of information for low and middle-income countries regarding how to integrate prenatal screening strategies in the absence of resources to perform cell-free fetal DNA or biochemical serum markers in countries with emergent economies. This care model is carried out through horizontal processes where the screening is provided by trained and certified general practitioners who identify the population at risk in a timely manner for specialized care, and could help guide other Mexican states, and other countries with emergent economies with limited financial, professional, and infrastructural resources to improve prenatal care with a sense of equity, equality, and social inclusion as well as the timely evaluation of specialized perinatal care of high-risk patients. |
| first_indexed | 2024-03-13T10:33:00Z |
| format | Article |
| id | doaj.art-61037969bda64cf094d219bd5f5cfbba |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-13T10:33:00Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-61037969bda64cf094d219bd5f5cfbba2023-05-18T10:01:26ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-05-011010.3389/fmed.2023.11278021127802Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcareMa de la Luz Bermudez Rojas0Virginia Medina Jimenez1Javier Ivan Manzanares Cuadros2Daniel Alberto Diaz Martínez3Nicolas Padilla Raygoza4Elia Lara Lona5State Center for Timely Prenatal Screening, Maternal and Child Hospital of Leon Guanajuato, Maternal-Fetal Unit, Institute of Public Health, Leon, Guanajuato, MexicoState Center for Timely Prenatal Screening, Maternal and Child Hospital of Leon Guanajuato, Maternal-Fetal Unit, Institute of Public Health, Leon, Guanajuato, MexicoState Center for Timely Prenatal Screening, Maternal and Child Hospital of Leon Guanajuato, Maternal-Fetal Unit, Institute of Public Health, Leon, Guanajuato, MexicoInstitute of Public Health, Leon, Guanajuato, MexicoDepartment of Research and Technological Development, Directorate of Teaching and Research Institute of Public Health, Leon, Guanajuato, MexicoInstitute of Public Health, Leon, Guanajuato, MexicoThe prenatal approach from a preventive perspective is necessary to reduce perinatal complications. A perinatal care model with a holistic and horizontal approach is required. Mexico is currently considered an emerging market economy with inequality and an economic gap that impacts the accessibility and distribution of healthcare services. Guanajuato is one of the 32 states of Mexico and represents 1.6% of the country’s surface. Strategies during the prenatal approach allow prediction, diagnosis, and anticipation of the principal causes of morbidity and mortality. Combining data from maternal characteristics and history with findings of biophysical and biochemical tests at 11 to 13 weeks of gestation can define the patient-specific risk for a large spectrum of complications that include miscarriage and fetal death, preterm delivery, preeclampsia, congenital disorders, and fetal growth abnormalities. We aim to describe the care model designed and implemented in the State Center for Timely Prenatal Screening of the Maternal and Child Hospital of Leon, Guanajuato, Mexico. Previous research showed there is a lack of information for low and middle-income countries regarding how to integrate prenatal screening strategies in the absence of resources to perform cell-free fetal DNA or biochemical serum markers in countries with emergent economies. This care model is carried out through horizontal processes where the screening is provided by trained and certified general practitioners who identify the population at risk in a timely manner for specialized care, and could help guide other Mexican states, and other countries with emergent economies with limited financial, professional, and infrastructural resources to improve prenatal care with a sense of equity, equality, and social inclusion as well as the timely evaluation of specialized perinatal care of high-risk patients.https://www.frontiersin.org/articles/10.3389/fmed.2023.1127802/fullpregnancyprenatal carepreventionprenatal diagnosiscongenital abnormalitiespreeclampsia |
| spellingShingle | Ma de la Luz Bermudez Rojas Virginia Medina Jimenez Javier Ivan Manzanares Cuadros Daniel Alberto Diaz Martínez Nicolas Padilla Raygoza Elia Lara Lona Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcare Frontiers in Medicine pregnancy prenatal care prevention prenatal diagnosis congenital abnormalities preeclampsia |
| title | Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcare |
| title_full | Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcare |
| title_fullStr | Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcare |
| title_full_unstemmed | Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcare |
| title_short | Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcare |
| title_sort | universal prenatal screening a initiative from guanajuato mexico to improve equity in perinatal healthcare |
| topic | pregnancy prenatal care prevention prenatal diagnosis congenital abnormalities preeclampsia |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1127802/full |
| work_keys_str_mv | AT madelaluzbermudezrojas universalprenatalscreeningainitiativefromguanajuatomexicotoimproveequityinperinatalhealthcare AT virginiamedinajimenez universalprenatalscreeningainitiativefromguanajuatomexicotoimproveequityinperinatalhealthcare AT javierivanmanzanarescuadros universalprenatalscreeningainitiativefromguanajuatomexicotoimproveequityinperinatalhealthcare AT danielalbertodiazmartinez universalprenatalscreeningainitiativefromguanajuatomexicotoimproveequityinperinatalhealthcare AT nicolaspadillaraygoza universalprenatalscreeningainitiativefromguanajuatomexicotoimproveequityinperinatalhealthcare AT elialaralona universalprenatalscreeningainitiativefromguanajuatomexicotoimproveequityinperinatalhealthcare |