Aproximación a la calidad de la atención durante el embarazo, parto y posparto en mujeres con factores de riesgo obstétrico en México

Brenes-Monge, Alexander; Yáñez-Alvarez, Irais; Meneses-León, Joacim; Poblano-Verástegui, Ofelia; Vértiz-Ramírez, José de Jesús; Saturno-Hernández, Pedro Jesús

doi:10.21149/11974

Cited by 8 publications

(2 citation statements)

References 10 publications

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“…13,14 In addition, the economic benefit of breastfeeding reduces family spending in relation to the use of milk formulas. 15 Before the pandemic, indigenous pregnant women received a lower quality of care, 16,17 and the proportion of delivery care with midwives was higher than non-indigenous women in Mexico. 18 The majority of indigenous groups in the Altos de Chiapas region perceive the practice of breastfeeding positively, 17 but not necessarily EBF.…”

Section: Artículo Originalmentioning

confidence: 99%

Perceptions, knowledge, and practices of breastfeeding in indigenous regions of Mexico during Covid-19 pandemic

Del Carmen Morales-Domínguez,

Bonvecchio-Arenas,

Lozada-Tequeanes

et al. 2023

Salud Publica Mex

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Objective. To explore the perceptions, knowledge, and practices of breastfeeding in the context of Covid-19 of pregnant and postpartum women, midwives, and health providers in an indigenous region of Chiapas, Mexico. Materials and methods. Qualitative thematic analysis study involving semi-structured interviews (n = 46) with pregnant women (n = 19), postpartum women (n = 6), health providers (n = 10, i.e., doctors/nurses), and midwives (n = 11). Results. Among mothers, 47% (n = 11) did not know if Covid-19 is transmitted through breastfeeding. They mentioned that they would stay away from their newborns if infected. Health providers and midwives have not received education or any supporting material on the value of breastfeeding during Covid-19 infection. Conclusion. Breastfeeding mothers’ promotion and counseling remain poor in indigenous communities and have worsened during the Covid-19 pandemic. Breastfeeding training among health providers and midwives should be provided or strengthened even more in emergency situations.

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Section: Artículo Originalmentioning

confidence: 99%

Perceptions, knowledge, and practices of breastfeeding in indigenous regions of Mexico during Covid-19 pandemic

Del Carmen Morales-Domínguez,

Bonvecchio-Arenas,

Lozada-Tequeanes

et al. 2023

Salud Publica Mex

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“…La obstetriz me cogía de la mano me sobaba la barriga…" (Magdalena) "Me han tratado bien…" (Marta)Todo esto permite comprender que la atención institucional del parto debe ser individualizada, sin embargo, muchas veces estos establecimientos de salud están llenos de pacientes de alto riesgo debido a su capacidad resolutiva y a su atención especializada y multidisciplinaria.En este mismo contexto, aún existen barreras de accesibilidad al parto institucional como el acceso geográfico, el nivel económico, la identidad cultural, y el rechazo a los protocolos de atención materno-fetal (1). Por otra parte, la teoría de cuidados transpersonales indica que la atención en salud debe estar orientada a mejorar la calidad de vida de la paciente, bajo un trato digno, honesto y respetuoso(17,18) del proceso del embarazo, parto y puerperio. Por consiguiente, el parto para la mujer rural dentro de una institución está lleno de significado positivo, puesto que, ha sido respetado bajo los principios de un proceso natural y espontáneo.…”

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Vivencias y expectativas de la mujer rural frente al parto institucional

Guerrero Suárez,

Becerra Goicochea

2023

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El parto institucional es un proceso complejo, sobre todo desde la experiencia vivida de las madres de la zona rural de Perú. Objetivo. Develar las vivencias y expectativas de la mujer rural en el parto institucional en un hospital de Cajamarca. Metodología. Estudio con enfoque cualitativo con diseño fenomenológico. Se aplicó como técnica de recolección de datos la entrevista a profundidad, como instrumento se usó una guía de preguntas orientadoras relacionada con ¿cuáles son las vivencias y expectativas de la mujer rural frente al parto institucional en el Hospital Regional Docente de Cajamarca?, la cual ha permitido acercarse al fenómeno en estudio. Hallazgos. Se obtuvieron 5 discursos de puérperas que se atendieron el parto en este nosocomio, al momento de la recolección de datos. Los discursos fueron grabados y transcritos, procediendo a la elaboración de las unidades de significado con el respectivo análisis ideográfico y nomotético, dando origen a 52 unidades de significado, sintetizadas en 4 categorías, siendo: significado del parto para la mujer rural, necesidad de apoyo emocional y físico; el proceso del parto institucional y finalmente el nacimiento del bebé. A manera de cierre. Las vivencias y expectativas de las mujeres procedentes de la zona rural, revelan que se requiere un enfoque diferenciado en la atención de parto institucional.

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Mapping and assessing sexual and reproductive health policy changes over time in Colombia: measuring their impact on pregnancy terminations

Nazif‐Muñoz

Chabot

2022

Humanit Soc Sci Commun

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Sexual and reproductive health and rights policies (SRHRPs) and their association with reproductive and non-reproductive behavior require precise theoretical and methodological frames. By studying the case of Colombia, we move forward with a comprehensive framework that considers simultaneously multiple SRHRP conceptualizations and their impacts over time on induced pregnancy terminations (IPT). With a mixed-method approach, we first map the evolution of SRHRPs and then analyze their direct and indirect effects on IPTs, using the provision of contraceptive methods by the government, female use of contraceptive methods, and conversations with health professionals in a mediation approach. We build a unique data set from more than 2100 policy documents, and then use data on 81,760 women (20–40 years) from four waves (2000–2015) of Colombia’s Demographic and Health Surveys. We find that SRHRPs are directly associated with an 18% reduction in reported IPTs. Associations between these variables are explained by the increased use of modern contraceptive methods (6%), and the government’s provision of those contraceptive methods (13%). Studies interested in the impact of SRHRPs need to consider not only the direct effects of legal changes on abortion outcomes but also show changes over time may operate through different sub-programs embedded in these policies, such as access to contraceptive methods and family planning. This will add further nuances to how SRHRPs are both multilayered and implemented.

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Aproximación a la calidad de la atención durante el embarazo, parto y posparto en mujeres con factores de riesgo obstétrico en México

Cited by 8 publications

References 10 publications

Perceptions, knowledge, and practices of breastfeeding in indigenous regions of Mexico during Covid-19 pandemic

Perceptions, knowledge, and practices of breastfeeding in indigenous regions of Mexico during Covid-19 pandemic

Vivencias y expectativas de la mujer rural frente al parto institucional

Mapping and assessing sexual and reproductive health policy changes over time in Colombia: measuring their impact on pregnancy terminations

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