Estimates of the United Nations (UN) consider that in the world 2.5 million neonates died in the last year from preventable causes such as prematurity, complications during childbirth, and infections. Some died because the care they received was of poor quality. The most striking is that 1.7 million newborns could be saved by improving access to quality care for all pregnant women in humanitarian settings, especially those considered as low-and middle-income countries by the World Bank. Neonatal mortality can be considered as a sensitive indicator of the well-being of a population, the degree of development of a country, as well as health conditions in the mother's environment and the good quality of prenatal and intrapartum care. This will seek the achievement of the Sustainable Development Goals (SDGs) of the United Nations, through universal health coverage (UHC), by 2030. The medical advances that obstetrics has had around history show the interest and importance for the health sector of all countries in the world, the attention of women, especially during the reproductive stage in which it is located at stake the life and health of the human capital of the future. Today, obstetrics is the health science recognized worldwide because it addresses the health of women during the preconception, conception, prenatal, childbirth, postnatal, and postconception stages, as well as the newborn. Every day more progress is made, not only in the increasingly early diagnosis, but also in the care, attention during the months of gestation, and studies and tests to be carried out to have a greater certainty of what happens inside the uterus-definitely, we are going forward. But the latter is not available to all pregnant women, or in all regions of Mexico, because of the asymmetry in the structure, with imbalance in qualified human resources and technology that detract from this quality of care that is intended. Therefore, we are still reporting preventable maternal deaths and preterm infants, and the interest of this chapter is to show the need, as referred by the World Health Organization (WHO), to improve the quality of care with qualified personnel: obstetricians for women and neonatologists or pediatricians for newborn care.

Background: A body mass index ≥95 percentile increases 40 times the risk of diabetes. The hyperinsulinemia secondary to the resistance of insulin and obesity is associated to the development of acanthosis nigricans. The objective of current study was to associate acanthosis nigricans with childhood obesity with alterations in the curve of glucose tolerance.Methods: In current study 90 children were evaluated with obesity and acanthosis nigricans of which only 34 concluded the study. Glucose, cholesterol and triglycerides levels were determined while in fasting state, and glucose tolerance curve was conducted. The statistical analysis was done by determining X², Fisher´s test and U, Mann Whitney test.Results: Statistically significant difference was found between glucose levels at 2 hours and the presence of obesity and acanthosis nigricans (p<0.01).Conclusions: It is important that all the children with obesity and Acanthosis nigricans apply for a curve of glucose tolerance.