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Salud Publica Mex ; Resumen Objetivo. Se presentaron complicaciones en ambos sistemas. Sin embargo, en el hospitalario predominaron las maternas y en el tradicional, las neonatales.

Las complicaciones observadas pueden atribuirse a los recursos y acciones utilizados en cada sistema. A comparison of vaginal delivery care between hospital and traditional systems. Abstract Objective. To compare vaginal delivery hospital and traditional care systems to identify resources and practices, as well as maternal and neonatal complications related to each system. Material and Methods.

Between and , a cross-sectional study was conducted in three hospitals of Merida City and four municipalities of the state of Yucatan. The study sample consisted of women who had a normal vaginal delivery. Delivery procedures were observed and a questionnaire to identify complications was applied 15 days after childbirth. Data analysis consisted in comparison of proportions with the chi-squared test. Maternal and neonatal complications were identified in both systems; however, maternal complications were more frequent in hospital care, whereas neonatal complications were more frequent in traditional delivery care.

The total number of complications was similar in the two systems. No difference was found in the quality of care between the hospital and the traditional systems. Observed complications may be attributable to resources and practices of each system.

Additional studies should be conducted to evaluate the advantages and disadvantages of each system, as well as to improve the quality of maternal and child care. A ello se suma Las mujeres estudiadas en el sistema hospitalario se distribuyeron de acuerdo con la cobertura de cada una de las tres instituciones oficiales de salud en el estado.

En el sistema tradicional, los partos fueron atendidos en las viviendas de las mujeres. Es costumbre que la partera arribe una vez que la mujer presente los dolores de parto. En el posparto revisaron la placenta. La edad promedio de las parteras fue de Las primeras afectaron a Las segundas a En el hospitalario se presentaron complicaciones en La mayor frecuencia de complicaciones neonatales en el sistema tradicional puede atribuirse a la falta de recursos o a un manejo inadecuado.

Es decir, en los dos existe el riesgo de que se presenten complicaciones maternas y neonatales. Desde luego, es necesario considerar las limitaciones de este estudio. Chalmers I. British debate on obstetric practice. Pediatrics ; Torres A, Reich M. The shift from home to institutional childbirth: A comparative study of the United Kingdom and the Netherlands.

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Wound infections after preoperative depilatory versus razor preparation. Am J Surg ; Romney M, Gordon H. Is your enema really necessary? Br Med J ; Mechanism of pain in diabetic peripheral neuropathy: Effect of glucose on pain perception in human. Am J Med ; Fields H. Induction of labor: Methods, hazards, complications and contraindications. Hosp Top ; Perinatal deaths: Analysis by clinical cause to asses the value of induction of labour. Tacker SB, Banta D. Benefits and risks of episiotomy: An interpretative review of the English language literature, Obstet Gynecol Surv ; Effect of episiotomy on the frequency of vaginal outlet lacerations.

J Reprod Med ; Goer H. Obstetric myths versus research realities: A guide to the medical literature. Westport:Bergin and Garvey, Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. Am J Obstet Gynecol ; Association of episiotomy and delivery position with deep perineal laceration during spontaneous delivery in nulliparous women. LaVoie A. Episiotomy may be overused. Kerssens J. Patient satisfaction with home-birth care in The Netherlands.

J Adv Nurs ; Tew M. The case against hospital deliveries: The statistical evidence. En: Kitzinger S, Davis J, ed. The place of birth. Londres: Oxford University Press, National Center for Health Statistics. New study shows lower mortality rates for infants delivered by certified nurse midwives. Ityavyar DA. A traditional midwife practice, Sokoto State, Nigeria.

Soc Sci Med ; Traditional birth attendants in Mexico: Advantages and inadequacies of care for normal deliveries. Resultados Preliminares. Encuesta Nacional sobre Fecundidad y Salud.

Favier A. Squatting in childbirth. A new look at an old tradition. J Obstet Gynecol Neonatal Nurs ; World Health Organization. Care in normal birth: Report of a technical working group. Se ubica debajo del ombligo. Referencias 1. Baird D. Induction of labour.


estallido vaginal



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