# ISSSTE obstetric care and facility challenges

> Live situation record from CLSTR: https://clstr.news/situations/issste-obstetric-care-and-facility-challenges
> Updated: 2026-09-06T01:30:13.000Z. Sources: 5. Developments: 2.

The Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) has implemented the ‘Código Oro’ (Gold Code) protocol to address critical obstetric emergencies. This system mobilizes multidisciplinary Obstetric Immediate Response Teams (ERIO) to manage life-threatening complications such as hemorrhage, preeclampsia, and sepsis, aiming to reduce maternal and perinatal mortality.

Despite these protocols, reports indicate significant infrastructure deficiencies in certain regions. In Hermosillo, Sonora, the Dr. Fernando Ocaranza hospital reportedly lacks a functioning labor and delivery unit, operating rooms, and a Neonatal Intensive Care Unit (UCIN). Such shortages have resulted in patients being forced to give birth in emergency rooms amidst inadequate surgical supplies and infection risks.

## Timeline

### 2026-09-06: ISSSTE hospital in Sonora lacks obstetric and neonatal facilities

A woman gave birth in the emergency room of an ISSSTE hospital in Sonora, Mexico, due to the lack of operating rooms, labor units, and neonatal intensive care facilities.

3 sources. https://clstr.news/cluster/issste-hospital-in-sonora-lacks-obstetric-and-neonatal-facilities

### 2026-08-24: ISSSTE utilizes ‘Código Oro’ protocol for obstetric emergencies

ISSSTE uses the ‘Código Oro’ protocol to provide immediate multidisciplinary response to obstetric emergencies, saving lives through rapid intervention at facilities like CMN ‘20 de Noviembre’.

2 sources. https://clstr.news/cluster/issste-utilizes-cdigo-oro-protocol-for-obstetric-emergencies

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Cite as: ISSSTE obstetric care and facility challenges. CLSTR, https://clstr.news/situations/issste-obstetric-care-and-facility-challenges