POPLINE Document Number: 314420
Author(s):
Rojas-Higuera R
Londono-Cardona JG
Arango-Gomez F
Source citation:
Revista de Salud Publica, 2006 Nov;8(3):223-234.
Abstract:
The objective was evaluating the frequency of 17 practices being used in managing the main causes of maternal and perinatal morbidity and mortality in some hospitals in Bogotá between August 2004 and March 2005. A cross-sectional study was carried out. The data related to 3,108 women who gave birth at gestational age greater than 24 weeks. The following percentages were obtained for each variable evaluated: having a perinatal record card (79.4 %), taking iron and folic acid supplement (87.3 %), syphilis screening (69.5 %), bacteriuria screening (69,7 %), constant accompaniment during giving birth (42.0 %), not taking enemas (99.4 %), not shaving the perinea (93.0 %), selective episiotomy in first-time mothers (56,5 %), adopting a squatting or seated position when giving birth (7.9 %), active management of birth in gestation greater than 41 weeks (14.7 %), active management of birth (73.5 %), administering prophylactic antibiotics during a caesarean birth (61.2 %), treating severe pre-eclampsia (76.5 %) and eclampsia (20.0 %) with magnesium sulphate, administering corticoids for inducing foetal maturation in mothers having a high risk of predetermined birth (51.6 %), exclusive maternal lactation, having no restrictions (99.1 %) and joint mother-newborn accommodation (91.2 %). Effective methodologies are required for guaranteeing adherence to maternal and perinatal attention regulations and guidelines and those administrative and management decisions facilitating compliance with them. (author's)
Spanish Abstract:
Evaluar en algunos hospitales de Bogotá, entre Agosto de 2004 y Marzo de 2005, la frecuencia de uso de 17 prácticas en el manejo de las principales causas de morbilidad y mortalidad materna y perinatal. Se realizó un estudio de corte transversal. La información corresponde a 3 108 mujeres que tuvieron parto con edad gestacional mayor a 24 semanas. En cada variable evaluada se obtuvieron los siguientes porcentajes: porte del carné perinatal (79.4 %), suplementación con hierro y ácido fólico (87.3 %), tamización para sífilis (69.5 %), tamización para bacteriuria (69.7 %), acompañamiento continuo durante el trabajo de parto (42.0 %), abstenerse de usar enemas (99.4 %), abstenerse de rasurar el periné (93 %), episiotomía selectiva en primíparas (56.5 %), posición cuclillas o sentada en el parto (7.9 %), manejo activo del trabajo de parto en gestación mayor a 41 semanas (14.7 %), manejo activo del alumbramiento (73.5 %), administración de antibióticos profilácticos en cesárea (61.2 %), tratamiento con sulfato de magnesio de la pre-eclampsia severa (76.5 %) y la eclampsia (20 %), administración de corticoides para inducir maduración fetal en madres con alto riesgo de parto pretérmino (51.6 %); lactancia materna exclusiva y sin restricciones (99.1 %), y alojamiento conjunto madre-recién nacido (91.2 %). Se requiere el desarrollo de metodologías efectivas que garanticen la adherencia a las normas y guías de atención materna y perinatal, y de decisiones administrativas y gerenciales que faciliten su cumplimiento. (del autor)
Keywords:
ColombiaIndex page
Research Report
Cross Sectional Analysis
Pregnant Women
Postpartum Women
Infant
Breastfeeding
Hospitals
Quality of Health Care
Childbirth
Program Evaluation
Developing Countries
South America, Northern
South America
Latin America
Americas
Research Methodology
Population Characteristics
Demographic Factors
Population
Puerperium
Reproduction
Youth
Age Factors
Infant Nutrition
Nutrition
Health
Health Facilities
Delivery of Health Care
Health Services Evaluation
Programs
Organization and Administration
Pregnancy Outcomes
Pregnancy