Objective: to systematize the implementation of procedures and decision-making of the perinatal specialist nurse, towards the community that attends the Concentrated Rural Health Center of Tepetitla de la Lardizabal, Tlaxcala for counseling in sexual and reproductive health. Method: Participatory Action Research was used, with 118 men and women between 15 and 45 years old, with convenience sampling. Results: Three phases were applied, corresponding to research with participants in the community, education and action; as a result, 16 diagnostic labels and flow chart of attention in the consultancy that are the basis of the proposed model were identified. Conclusions: this is a strategy that supports the practice, increasing the benefits of the discipline, supporting the clinical experience and allowing to improve the decision-making of the nursing professional, it is also evident that in ...