With decalogue the IMSS cares for women’s health before, during and after pregnancy


  • The national model of Comprehensive Maternal Care (AMIIMSS) was presented.
  • The general director Zoé Robledo highlighted that AMI has a focus on women’s rights and the search for their well-being.
  • Dr. Célida Duque Molina, director of Medical Benefits, stressed that this intervention has no economic cost and the results may be reflected in the health of the adolescent, the pregnant woman and the newborn.

To take care of women’s health before, during and after pregnancy, the Mexican Institute of Social Security (IMSS) implemented the national model of Comprehensive Maternal Care (AMIIMSS), through a decalogue that health personnel will apply in order to accompany rights holders in the process, prevent complications and provide them with information on vaginal delivery as the best option to give birth and perform a cesarean section in specific cases.

The general director of the IMSS, Maestro Zoé Robledo, pointed out that this national strategy has a focus on the rights of women and the search for their well-being, placing them at the center of gynecology and obstetric care under the pillars of disease prevention and training of medical specialists and with a human sense.

He presented the Decalogue of Comprehensive Maternal Care, which is made up of the following points:

  1. Preconception consultation: If you want to get pregnant, the medical staff will guide the woman to be in the best health conditions at this stage.
  2. antenatal surveillance: The best way to prevent complications and know how your pregnancy is progressing is to go to all your prenatal visits.
  3. vaginal delivery: Is the best option. In consultation, the pregnant woman will receive information about the benefits for her and her baby.
  4. Caesarean section: Caesarean section is an exclusive surgery for specific cases and does not improve the mother-baby relationship. It is better to avoid complications.
  5. friendly service: Focused on human rights to create a positive and safe experience.
  6. professional attention: Trained personnel will ensure that the pregnant woman and her baby have a quality and warm service, focused on their health.
  7. Humanely: Nursing staff joins the effort in favor of the humanization of all hospital care.
  8. Family planning: After the birth of the baby, it is recommended to avoid another pregnancy, with various options of contraceptive methods.
  9. Lactation: The best food for the baby is breast milk, as it provides many benefits for its health and growth.
  10. Prevention of teenage pregnancy: You are invited to go to the IMSS for more information on how to prevent pregnancy at this stage of life.

Zoé Robledo affirmed that the AMI model recognizes the woman’s freedom to choose the family planning method that she wishes to use, listen to her, accompany her and guide her throughout the process of pregnancy, and provide her with friendly care.

He referred that in 2015, the United Nations Organization (UN) presented a Global Strategy for the Health of Women, Children and Adolescents, in order to counteract preventable maternal, neonatal and infant death by 2030. “There are eight missing years to reach that goal and you have to subtract two from the pandemic, what that means is working at a faster speed.”

The director general of Social Security explained that the UN has identified that every day some 830 women die from complications related to pregnancy or childbirth, a problem that is aggravated in low-income countries.

“That’s where the problem is and that’s where the will and the vocation to solve it is,” said Zoé Robledo.

For her part, Dr. Célida Duque Molina, director of Medical Benefits of the Institute, stressed that this intervention does not have an economic cost and the results may be reflected in the health of the adolescent and for the pregnant woman, a rapid recovery, for the newborn , prevents infections and with exclusive breastfeeding the prevention of childhood obesity.

He pointed out that along with the implementation of the AMI Model, it is accompanied by the implementation of a Technical Guideline that includes all the Clinical Practice Guidelines for the medical management of women and children.

Dr. Duque Molina indicated that for the strategy to be a success, collaborative and essential work is needed between the Family Medicine Units (FMU), hospitals and High Specialty Medical Units.

“What we are doing is going back to the origin, going back to our roots and we are sure that with the work of all the health sector, we will achieve it and it will have a great impact,” he emphasized.

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