Observational studyBMC pregnancy and childbirth2025
Assessing the quality of childbirth care in Mexico: findings from the maternal eCohort.
Observational study in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Age at Menarche and Risk of Hypertensive Disorders of Pregnancy: A Retrospective Cohort Study.Clinics and practice · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundIn 2022, the Mexican Institute of Social Security (IMSS) launched the "Comprehensive Women-Centered Maternal Health Care Model" (AMIIMSS program) to improve maternal healthcare. This research evaluated the childbirth care quality, comparing outcomes between IMSS and private hospitals and between IMSS hospitals with high and low adherence to the AMIIMSS program, and assessed whether the type of healthcare provider and delivery, the content of care, and the occurrence of obstetric violence were associated with the perceived quality of childbirth care, after controlling for other relevant demographic and clinical covariates.
methodsData were collected from an observational IMSS-affiliated eCohort of pregnant women aged 18 to 49, focusing on their experiences, perceptions of healthcare quality, obstetric violence, and health outcomes. The analysis included Chi-square tests and multivariable linear regression.
resultsThe study included 988 women; 14.9% went to private facilities for childbirth primarily because they perceived poor quality and past mistreatment at IMSS. C-sections rates were higher in private hospitals (92.5%) than at IMSS (51.3%). IMSS hospitals with high adherence to AMIIMSS program had a 10% lower C-section rate, and their care content was similar to that in private hospitals (85% of expected clinical actions). Complications affected 20.8% of women and 28% of newborns. The overall quality of care perceptions score was higher in private hospitals (mean 34.2, standard deviation 6.7) than at IMSS (mean 27.0, SD 6.7) on an 8-40-point scale. Delivering in private hospitals or at tertiary care facilities and receiving a higher care content was associated with better quality perceived by women. Whereas obstetric violence was associated with lower perceived quality.
conclusionAMIIMSS improves women's childbirth experiences but reveals weaknesses due to poor hospital adherence to the program and poor perceived quality. This underscores the need to strengthen the program's pillars-training, infrastructure, regulatory adaptation, and women's empowerment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.