Justification:

Obstetric complications are one of the greatest challenges globally, and the indigenous population is one of the most vulnerable groups.

Objective:

To describe and compare the procedures performed by midwives and doctors during risky pregnancies.

Methods:

This was a descriptive, and cross-sectional study, in which, was applied a predesigned instrument to 9 midwives and 9 doctors from municipality of Amixtlán, Puebla; in which was described the procedures applied to the diagnosis, treatment, and monitoring of complications associated with preeclampsia and cord circulation.

Results:

Both groups take as a diagnosis base the observation and interviews. Although doctors using as a complement special equipment and clinic analysis; the language results a big limiting in the effective communication. In contrast, midwives make interventions using the Tutunaku language, maintaining the cultural environment. In addition, midwives applied effective procedures favoring the resolution labor and improving the mood and safety of the patient.

Conclusion:

Procedures made by both health professionals showed limitations in rural zones associated mainly to the cosmovision and the linguistic barrier, associated to the cosmovision and the scare equipment or medical personnel; as well as to the limitation that the midwives are undergone to make efficiently their procedures. The knowledges conjunction are associated to the traditional and allopathic medicine will permits to made a complementary procedures to improves the efficiency in the health services and reducing the maternal and infant mortality.