Assuntos
Centros de Assistência à Gravidez e ao Parto/normas , Características Culturais , Parto Domiciliar/enfermagem , Tocologia , Parto Normal/enfermagem , Papel do Profissional de Enfermagem , Adulto , Feminino , Saúde Holística , Parto Domiciliar/normas , Humanos , Recém-Nascido , México , Tocologia/educação , Tocologia/normas , Narração , Relações Enfermeiro-Paciente , Gravidez , Saúde da MulherRESUMO
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 1989 and 1990, 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 205 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. RESULTS: 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. CONCLUSIONS: 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. The English version of this paper is available at: http://www.insp.mx/salud/index.html.
Assuntos
Parto Obstétrico/normas , Parto Domiciliar/normas , Medicina Tradicional , Complicações do Trabalho de Parto/epidemiologia , Obstetrícia/normas , Adulto , Estudos Transversais , Parto Obstétrico/métodos , Feminino , Parto Domiciliar/efeitos adversos , Humanos , Recém-Nascido , México/epidemiologia , Parto Normal , Complicações do Trabalho de Parto/terapia , Obstetrícia/estatística & dados numéricos , GravidezRESUMO
El ministerio de Salud de Nicaragua, con el afán de evaluar la calidad de la atención que prestan las parteras tradicionales, decidió realizar el presente diagnóstico en tres Sistemas Locales de Atención Integral a la Salud, SILAIS (Masaya, Carazo y Rivas); lo que permitirá elaborar estrategias locales para mejorar y fortalecer el trabajo de la partera tradicional y unificar criterios a nivel territorial en cuanto a contenido, metodología y modalidades de capacitación y coordinación , a fin de garantizar una mejor atención integral a la mujer y a la niñez.
Assuntos
Feminino , Educação/organização & administração , Parto Domiciliar/normas , /educação , Período Pós-Parto/fisiologiaRESUMO
El presente documento contiene los siguientes informes: Porcentaje de captación de embarazos. Consultas prenatales por embarazo atendido. Porcentaje de embarazos con cuatro controles. Porcentaje de embarazadas de alto riesgo. Porcentaje de atención de embarazos. Atención de parto domiciliario. Porcentaje de post parto