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High Complexity Obstetric Unit (UACO)


The High Complexity Obstetric Unit (UACO) is dedicated to the specialized care of pregnant women who present complex medical conditions or high and very high risk pregnancy situations , which may compromise the health of the mother, the baby or both.

Its primary objective is to protect maternal and fetal life and well-being through comprehensive, humane, timely, and safe care. To achieve this, it has a highly specialized multidisciplinary team that provides clinical stabilization, continuous monitoring, and advanced treatment throughout the entire care process, from pregnancy through the peripartum and postpartum periods.

Specialized care approach

The UACO is based on a care model based on intensive obstetric care , which allows for the early detection of complications, the making of precise clinical decisions and timely intervention in highly complex scenarios.

This approach integrates advanced technology, institutional protocols, and coordinated work between specialties, ensuring safe and patient-centered care, with ongoing support for the woman and her family.


The unit is prepared for the comprehensive management of highly complex obstetric and medical situations, including:

  • Hypertensive disorders of pregnancy, such as:
    • Severe preeclampsia
    • Eclampsia
    • Associated renal dysfunction
    • Associated hepatic dysfunction
  • Placenta accreta and its different degrees of severity
  • Postpartum hemorrhage
  • Heart disease during pregnancy and decompensation of pre-existing heart disease
  • Pre-existing chronic illnesses, such as:
    • Systemic lupus erythematosus
    • Rheumatoid Arthritis
    • Insulin-dependent diabetes
    • Other autoimmune or metabolic diseases
  • Multiple pregnancies and their possible complications
  • Severe infections during pregnancy
  • Obstetric sepsis
  • Indications for complex fetal surgery

Each case is evaluated individually, always prioritizing maternal and fetal safety.


The UACO has the infrastructure, technology, and trained personnel to perform highly complex procedures, including:

  • Invasive and non-invasive hemodynamic monitoring
  • Complex obstetric surgery, including specialized protocols for placenta accreta
  • Surgical procedures requiring endovascular intervention
  • Plasmapheresis during pregnancy, when clinically indicated
  • Advanced airway management
  • Invasive and non-invasive mechanical ventilation
  • Organ support therapies, such as:
    • Dialysis
    • Advanced respiratory support
    • Extracorporeal membrane oxygenation (ECMO), in selected cases
  • Intrauterine fetal surgery, using lasers and specialized invasive procedures
  • Continuous fetal monitoring to assess the baby's well-being.
  • Blood transfusion protocols, including massive transfusion
  • Specialized drug treatment for hypertensive crises, severe infections, and other complications

All management is geared towards achieving a safe transition to childbirth or a proper recovery in the subsequent period, with clear information, continuous support and a humanized approach.


  • Obstetric Intensive Care
  • Maternal-Fetal Medicine (Perinatology)
  • High-Risk Obstetrics
  • Obstetric Anesthesiology
  • Neonatology, for the care of the critically ill newborn

Preparation for examinations and procedures is defined individually during hospitalization, according to the patient's clinical condition and medical indications.


Request your appointment with the specialists at the High Complexity Obstetric Unit.


Call us: (+57) 602 331 9090


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