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CASA’s Family Health Clinic and Maternity Hospital

CASA’s Hospital provides high quality health care services to people living in rural and urban areas, as well as to indigenous communities. CASA Hospital services are most often accessed by young people, families and seniors. The CASA Hospital opened its doors to the public in 1994 and remains the only hospital in the country with an interdisciplinary team of traditional midwives, professional midwives, and doctors who work together to provide the best possible services to the public. The hospital offers its multiple services on a sliding fee scale to tens of thousands of patients and no one is denied service if they cannot pay. The hospital also serves as an educational institution for CASA’s distinguished midwifery school. Together with the hospital’s professional staff and equipment, midwifery students are involved with and give careful attention to humanized births.

Hospital Services

Maternity:

• Prenatal Consulting and Classes
• Ultrasounds
• Birth Assistance with Professional Midwives
• Six Private Birthing Rooms
• Birthing Tubs for Under Water Births
• Breast Feeding Support
• Postpartum Support
• Psicoprofilaxis

Family Planning and Gynecology:

• Anitconception Consulting
• Sterilizations
• Pap Smears
• Cancer Detection Program
• HIV and STD Exams

Other Health Services Available:

• General Doctor
• Psychologist
• Dentist
• Non-Profit Pharmacy
• Podiatrist
• Ophthalmologist
• Surgeon
• Pediatrician
• Laboratory

Special Package Offers:

1. Normal Birth Care
2. Water Birth Care
3. Cesarean Birth Care
4. Women’s Health Care
5. Health Consultations
6. Pap Smears
7. Breast Exams
8. Reproductive Advice and Sexual Education
9. Family Planning
10. 1 Pelvic Ultrasound
11. 1 Set of Labratory Tests

Prenatal Care with Midwives

Midwives provide a comfortable and safe space where they listen to and observe the needs of the pregnant mother. The midwives are companions to the pregnant mothers. They share their knowledge and experiences, which help the pregnant mothers trust themselves to discover their own strength and power to give birth.

Prenatal care consists of a physical exam where the development of the baby as well as the health of the mother is evaluated. This time is also given to resolve any doubts and answer questions there might be about birth.

Prenatal Care visits are given once a month until the seventh month of pregnancy. In the eighth month, they are given every two weeks and in the ninth month every week.

Achievements to Date

• There have been 265,316 consultations since the hospital’s opening.
• CASA´s maternal and infant mortality rates are lower than state and national rates. The perinatal mortality rate at the CASA hospital from 2002-2006 (2440 deliveries) was 5/1,000, while in Guanajuato it was 18/1,000 in this same period. The national rate for 2009 was 18.42/1,000. There were 5 maternal deaths in San Miguel de Allende and 58 in the state of Guanajuato between 2002 and 2005, while there were no maternal deaths in the CASA hospital during this period.
• Between 2002 and 2005, the average rate of caesarean sections at the CASA Hospital was 13% compared to the average rate in the state of Guanajuato of 35%. The caesarean rate at the CASA Hospital in 2010 amongst midwives was 9.33%. In both Mexico’s private and public sectors the rate of medically unjustified caesareans is very high and represents unnecessary health risks for mothers and babies as well as the squandering of precious public health dollars.
• There have been 154,747 lab tests and 11,104 ultrasounds since the hospital’s opening.
• The hospital has given free birth control methods to 21,737 people.
• The hospital has provided 11,353 pap smears and 3,747 breast examinations in order to promote early detection of breast and cervical cancer.
• In 2010, a total of 9,709 outpatient consultations were given.
• In 2010 the CASA hospital became the only private hospital in Guanajuato state to be accredited by the Federal Health Ministry and designated a public health care provider. Low-income people with government health insurance (Seguro Popular) will have free access to the CASA Hospital’s midwifery team. Third party government reimbursement of midwifery services has enormous potential to increase access to needed obstetrical care throughout Mexico, especially in remote areas and to disadvantaged populations. This June, CASA’s hospital staff signed the final contract with the state Health Ministry that allows women with government insurance to receive CASA’s services for free.
• In the first nine months of 2011, the doctors, midwives and CASA hospital team assisted 186 births, provided 6,712 consulting appointments and 7238 laboratory tests.

Goals for 2012

Ensure that low-income people with government health insurance (Seguro Popular) have free access to the CASA Hospital’s midwifery team by continuing to work with the local health ministry.

Testimony

"Thanks to Doña Antonia and her co-workers, my daughter and I are healthy and well. I felt bad, I was scared to come to CASA because I knew that I didn’t have money for the birth but as the birthing pains intensified, I had to go. So I went and the only thing I could think about was how I was going to pay… and I thought my only option was to give the baby up for adoption, or I couldn’t go on living. But now I only can say a thousand thank yous to everyone and I hope some say I can pay back for all your generosity. Without your support I could not have done it."
-Lucia Ramírez Ramírez

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