Evidence‐based maternal and perinatal healthcare practices in public hospitals in Argentina

Karolinski, Ariel; Micone, Paula; Mercer, Raúl; Gibbons, Luz; Althabe, Fernando; Belizán, José M.; Messina, Analía; Lapidus, Alicia M.; Correa, Alberto; Taddeo, Corina; Lambruschini, Rodolfo; Bertin, Marta; Dibiase, Lucía; Varela, Dolores Montes; Laterra, Cristina

doi:10.1016/j.ijgo.2009.01.003

Cited by 21 publications

(18 citation statements)

References 13 publications

(12 reference statements)

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“…As there was no follow-up of the newborns, it was not possible to detect improvement in indicators like neonatal mortality. However, it seems likely that improvements in care would lead to improvements in newborn health (33,34). Furthermore, the Hawthorne effect was a potential methodological limitation of the current study.…”

Section: Discussionmentioning

confidence: 99%

Impact of a Nursing Skill‐Improvement Intervention on Newborn‐Specific Delivery Practices: An Experience from Bihar, India

Das

Nawal

Singh

et al. 2016

Birth

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Section: Discussionmentioning

confidence: 99%

Impact of a Nursing Skill‐Improvement Intervention on Newborn‐Specific Delivery Practices: An Experience from Bihar, India

Das

Nawal

Singh

et al. 2016

Birth

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“…Kenyon et al [14] showed a reduction in maternal and neonatal morbidity, but not a statistically significant reduction in perinatal mortality, although a trend toward a beneficial effect was shown. In addition, a clear reduction in major markers of maternal and neonatal morbidity when antibiotics are administered makes a reduction in death possible [15]. …”

Section: Discussionmentioning

confidence: 99%

“…AMTSL to reduce postpartum hemorrhage was defined considering only the component prophylactic administration of 10 IU of oxytocin immediately after delivery of the neonate in a vaginal delivery to prevent hemorrhage (the other components of AMTSL are not recorded) [12,15]. …”

Section: Methodsmentioning

confidence: 99%

Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay

Karolinski¹,

Mazzoni²,

Belizán³

et al. 2010

Intl J Gynecology & Obste

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Objective: To review the use of evidence-based practices in the care of mothers who died or had severe morbidity attending public hospitals in two Latin American countries. Methods: This study is part of a multicenter intervention to increase the use of evidence-based obstetric practice. Data on maternal deaths and women admitted to intensive care units whose deliveries occurred in 24 hospitals in Argentina and Uruguay were analyzed. Primary outcomes were use rates of effective interventions to reduce maternal mortality (MM) and severe maternal morbidity (SMM). Results: A total of 106 women were included: 26 maternal deaths and 80 women with SMM. Some effective interventions for severe acute hemorrhage had a high use rate, such as blood transfusion (91%) and timely cesarean delivery (75%), while active management of the third stage of labor (25%) showed a lower rate. The overall use rate of effective interventions was 58% (95% CI, 49%-67%). This implies that 42% of the women did not receive one of the effective interventions to reduce MM and SMM. Conclusion: This study shows a low use of effective interventions to reduce MM and SMM in public hospitals in Argentina and Uruguay. Dissemination and implementation of evidence-based practices must be guaranteed to effectively achieve progress on maternal health.

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“…28 Nevertheless, Argentina's health system has struggled with adopting evidence-based, safe clinical practices. 29 Entrenched behaviours, such as the routine use of episiotomies or high rates of unjustified cesarean sections, which unnecessarily put women's bodies at risk, contribute to this failure. Argentina's legal response to these public health challenges involves imposing obligations on physicians to refrain from over-medicalized practices and requesting the Ministry of Health to issue health policies and practice protocols that identify and eliminate entrenched practices known to be harmful or unnecessary.…”

Section: Obstetric Violence As a Public Health Issuementioning

confidence: 99%

Obstetric violence: a new framework for identifying challenges to maternal healthcare in Argentina

Vacaflor

2016

Reproductive Health Matters

124

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Argentina has recognized women's right to not be subjected to obstetric violence, the violence exercised by health personnel on the body and reproductive processes of pregnant women, as expressed through dehumanizing treatment, medicalization abuse, and the conversion of natural processes of reproduction into pathological ones. Argentina's legislative decision to frame this abuse and mistreatment of women under the rubric of gender-based violence permits the identification of failures in both the healthcare system and women's participation in society. This article examines how applying the Violence Against Women framework to address issues of abuse and mistreatment of women during maternal health care provides a beneficial approach for analyzing such embedded structural problems from public health, human rights, and ethics perspectives. The framework of Violence Against Women seeks to transform existing harmful cultural practices, not only through the protection of women's reproductive autonomy, but also through the empowerment of women's participation in society.

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Evidence‐based maternal and perinatal healthcare practices in public hospitals in Argentina

Abstract: There is limited use of the selected evidence-based maternal and perinatal practices in public hospitals in Argentina and a large variation in their use among and within hospitals. Efforts should be made to increase the use of these evidence-based practices.

Cited by 21 publications

References 13 publications

Impact of a Nursing Skill‐Improvement Intervention on Newborn‐Specific Delivery Practices: An Experience from Bihar, India

Impact of a Nursing Skill‐Improvement Intervention on Newborn‐Specific Delivery Practices: An Experience from Bihar, India

Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay

Obstetric violence: a new framework for identifying challenges to maternal healthcare in Argentina

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