Atención prenatal. Estratificación de riesgos - Dr. Daniel Márquez Contreras

Prenatal care is a set of essential medical procedures to prevent, diagnose, and treat complications during pregnancy, childbirth, and the postpartum period, with the central objective of stratifying obstetric risk. This stratification allows for the differentiation between low-risk and high-risk pregnancies, identified by maternal or fetal conditions that exponentially increase morbidity and mortality. Starting prenatal care early, ideally before week 14, is crucial to determine the gestational age and establish an individualized follow-up plan with specialized ultrasound evaluations and a specific vaccination schedule. The main barriers to a favorable perinatal prognosis are incorrect dating of gestational age and lack of strict adherence to the protocol. Comprehensive, periodic, quality control, provided by qualified personnel, allows for the anticipation of complications and the implementation of effective preventive strategies. Any pregnant woman who, according to validated scores, meets criteria such as hypertensive disorders, diabetes, a history of preterm birth, or critical socioeconomic conditions is considered high-risk obstetrically. These cases require interdisciplinary care and timely referral to a more complex level of care. In this videoconference, Dr. Daniel Márquez Contreras, obstetrician-gynecologist and maternal-fetal medicine specialist, describes the systematic process of monitoring and evaluating pregnant women, focusing on obstetric risk stratification to distinguish between low- and high-risk pregnancies.