Hospitals by day, dispensaries by night: Hourly fluctuations of maternal mortality within Mexican health institutions, 2010-2014.

ABSTRACT: BACKGROUND:Quality of obstetric care may not be constant within clinics and hospitals. Night shifts and weekends experience understaffing and other organizational hurdles in comparison with the weekday morning shifts, and this may influence the risk of maternal deaths. OBJECTIVE:To analyze the hourly variation of maternal mortality within Mexican health institutions. METHODS:We performed a cross-sectional multivariate analysis of 3,908 maternal deaths and 10,589,444 births that occurred within health facilities in Mexico during the 2010-2014 period, using data from the Health Information Systems of the Mexican Ministry of Health. We fitted negative binomial regression models with covariate adjustment to all data, as well as similar models by basic cause of death and by weekdays/weekends. T

SUBMITTER: Lamadrid-Figueroa H 

PROVIDER: S-EPMC5979009 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature