Gestantes of high risk, subsidies of specializing attention.
Gestantes of low risk, population reveille of the control in primary health care (AP).
The above mentioned stratification is realized in the first consultation, managing thus to diminish the maternal - fetal morbimortalidad. The gestante will be evaluated in each of the later control panel, in order to identify risk factors do not present up to this moment.
A simple method to stratify the risk is the test of Number, which he considers to be a pregnancy of that low risk in which the gestante remembers with clarity the date of the last rule and answers negatively the following questions with regard to:
Medical, analytical, and structural problems of the mother:
Age 35-year-old 16-year-old or major minor.
Obesity with major IMC of 27.
Minor height of 1.45
Minor 45 kg weight.
Pelvic anomalies
Uterine malformations or previous uterine surgery
Gestation with DIU
Serious anemia minor Hb of 10 gr./dl
Positive Serologíaluética
Use of drugs
Prostitution
Gestante or sexual couple VIH bearer or sick with AIDS
Unfavorable obstetric precedents: distocias, deaths neonatales or fetal previous, premature babies, malformados, polihidramnios, one or more previous Cesarean sections, etc.)
Precedent of low weight on having been born.
Fetus precedent macrosómico 4.5 kg (major weight).
Precedents of two or more miscarriages
This way, they can be established inside the gestantes, two clearly definite types of populations:
The first one is constituted by the group of definite pregnant women of high obstetric risk (HOOP) for presenting precedents or alterations during the gestation that determine a clinical risk raised for the mother or the fetus.
The second subpopulation there is the rest of the gestantes, considered of low obstetric risk.