Epidemiología de complicaciones materno- neonatales durante trabajo de parto. Centro de salud Hospital Dr. José Garcés Rodríguez Salinas, provincia de Santa Elena 2010 - 2012. Propuesta de medidas preventivas.
Fecha
2016
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Universidad de Guayaquil. Facultad Piloto de Odontología.
Resumen
La Constitución de la República del Ecuador, en el artículo 43, numerales 2 y 3 el Estado garantiza a las mujeres embarazadas la gratuidad de los servicios de salud materna; y, la protección prioritaria y cuidado de su salud integral y de su vida durante el embarazo, parto y posparto. Para ello el Ministerio de Salud Pública, en el año 2007, implanta un programa de estudio sobre Mejoramiento Continuo de la Calidad (MCC) aplicado la estrategia de Cuidados Obstétrico y Neonatal Esencial (CONE), quedándose establecidos en la mayoría de los centros hospitalarios del país equipos de MCC cuyo objetivo sería la de medir y mejorar la atención a madres y recién nacidos.
Las expectativas de resultados de los MCC sería en asegurar que todas las madres y recién nacidos tengan accesibilidad a un conjunto de atenciones las veinticuatro horas del día, trescientos sesenta y cinco días del año a los cuidados obstétrico de calidad.
En el caso del Centro Salud Hospital Dr. José Garcés Rodríguez, posterior a la conformación del equipo de MCC., las estadísticas presentan un incremento de las complicaciones durante la atención del trabajo del parto en relación a número de partos complicados y número de cesáreas. Motivando a desarrollar una investigación retrospectiva de cuáles y cuántas complicaciones se presentaron en las usuarias que tuvieron su parto normal o cesárea en el periodo 2010 – 2012, para plantear medidas preventivas que ayuden a disminuir las complicaciones como hemorragias intensas, las infecciones, los trastornos hipertensivos del embarazo y el parto obstruido. Contribuyendo a reducir el
índice de mortalidad materna perinatal, gastos en tratamiento y recuperación de la madre y recién nacido, y secuelas bio psicosocial de la familia.
Palabras claves: accesibilidad, trabajo de parto, normas, calidad, protección, cuidados obstétricos, complicaciones y mortalidad
In The Constitution of Ecuador Republic, Article 43, in paragraphs 2 and 3, the State guarantees the pregnant women free health services, and priory protection and comprehensive health care and life during pregnancy, childbirth and postpartum. For this reason, in 2007 the Public Health Minister implemented a research program based on the study of Continuous Quality Improvement (CQI). They applied the strategy of Essential Obstetric And Neonatal Cares (EONC). As a result, a lot of CQI equipments were established in most hospitals in the country, with the purpose of measuring and improving medical assistance for mothers and newborns. The expected results of the CQI would be to make sure that all mothers and newborns have access to a twenty-four hour medical assistance, three hundred sixty five days a year, and a high-quality obstetric care. In the case of “Dr. Jose Garcés Rodríguez” Hospital Health Center, after the formation of the CQI team., Statistics show a complication increase during the assistance of women in labo, in relation to the number of complicated deliveries and cesarean sections. Motivating the team to develop a retrospective investigation about which and how many complications occurred in women who have had natural or pain-free deliveries in the period of 2010 - 2012, to propose preventive measures in order to help reduce complications such as severe bleedings, infections, hypertensive disorders of pregnancy and obstructed labor. Helping, thus to reduce perinatal maternal mortality, treatment and recovery expenses of the mother and the newborn, and also bio psychosocial consequences of the family. Keywords: accessibility, work childbirth, standards, quality, protection, obstetric care, complications and mortality.
In The Constitution of Ecuador Republic, Article 43, in paragraphs 2 and 3, the State guarantees the pregnant women free health services, and priory protection and comprehensive health care and life during pregnancy, childbirth and postpartum. For this reason, in 2007 the Public Health Minister implemented a research program based on the study of Continuous Quality Improvement (CQI). They applied the strategy of Essential Obstetric And Neonatal Cares (EONC). As a result, a lot of CQI equipments were established in most hospitals in the country, with the purpose of measuring and improving medical assistance for mothers and newborns. The expected results of the CQI would be to make sure that all mothers and newborns have access to a twenty-four hour medical assistance, three hundred sixty five days a year, and a high-quality obstetric care. In the case of “Dr. Jose Garcés Rodríguez” Hospital Health Center, after the formation of the CQI team., Statistics show a complication increase during the assistance of women in labo, in relation to the number of complicated deliveries and cesarean sections. Motivating the team to develop a retrospective investigation about which and how many complications occurred in women who have had natural or pain-free deliveries in the period of 2010 - 2012, to propose preventive measures in order to help reduce complications such as severe bleedings, infections, hypertensive disorders of pregnancy and obstructed labor. Helping, thus to reduce perinatal maternal mortality, treatment and recovery expenses of the mother and the newborn, and also bio psychosocial consequences of the family. Keywords: accessibility, work childbirth, standards, quality, protection, obstetric care, complications and mortality.
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EPIDEMIOLOGIA, EMBARAZO, NEONATO