Skilled Birth Attendants in Mexico: How Does Care During Normal Birth by General Physicians, Obstetric Nurses, and Professional Midwives Compare With World Health Organization Evidence‐Based Practice Guidelines?

Walker, Dilys; DeMaria, Lisa; Suárez, Leticia; Cragin, Leslie

doi:10.1111/j.1542-2011.2011.00075.x

Cited by 23 publications

(31 citation statements)

References 12 publications

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“…Asimismo y tomando en consideración que en la actualidad las parteras profesionales y las enfermeras obstetras son dos modelos de atención no médicos exitosos para la atención de los partos vaginales sin riesgo, y que han sido subutilizados, 47,48 se debe fomentar su integración en los equipos de trabajo con médicos y enfermeras para manejar en su conjunto el proceso del parto fisiológico y cubrir las necesidades de la población usuaria.…”

Section: Recomendacionesunclassified

Características sociodemográficas y reproductivas asociadas con el aumento de cesáreas en México

et al. 2013

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Objetivo. Describir la tendencia de la cesárea en México y su asociación con características sociodemográficas y reproductivas. Material y métodos. Con base en Encuestas Nacionales de Salud 2000, 2006 y 2012, se analizó información de cesáreas en mujeres. Se utilizó un modelo de regresión logística multivariado en 2012. Resultados. Se identificó un incremento de 50.3% de la operación cesárea a nivel nacional en el periodo de 2000 a 2012. Las mujeres con mayor posibilidad de tener una cesárea fueron las que se atendieron en el sector privado (RM=2.84, 95%IC:2.15- 3.74). Al asociar la edad y la paridad se observan los riesgos más altos en primíparas de 12 a 19 y de 35 o más años (RM=6.02, 95%IC:1.24-29.26 y RM=5.20, 95%IC:2.41-11.21, respectivamente). Conclusiones. Se proponen algunas recomendaciones encaminadas a revertir el incremento de esta práctica clínica, sobre todo en aquellos casos donde no hay una indicación precisa para su realización.

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Section: Recomendacionesunclassified

Características sociodemográficas y reproductivas asociadas con el aumento de cesáreas en México

et al. 2013

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“…[14,15,16] On the contrary, there are other potentially harmful practices whose routine use is pervasive in the Mexican health system, namely, routine episiotomy, fundal pressure (Kristeller maneuver) and uterine sweeping.…”

Section: Introductionmentioning

confidence: 99%

Can a simulation-based training program impact the use of evidence based routine practices at birth? Results of a hospital-based cluster randomized trial in Mexico

Fritz¹,

Walker²,

Cohen

et al. 2017

PLoS ONE

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BackgroundIn Mexico, although the majority of births are attended in hospitals, reports have emerged of obstetric violence, use of unsafe practices, and failure to employ evidence-based practices (EBP). Recent attention has refocused global efforts towards provision of quality care that is both patient-centered and evidence-based. Scaling up of local interventions should rely on strong evidence of effectiveness.ObjectiveTo perform a secondary analysis to evaluate the impact of a simulation and team-training program (PRONTO) on the performance of EBP in normal births.MethodsA pair-matched cluster randomized controlled trial of the intervention was designed to measure the impact of the program (PRONTO intervention) on a sample of 24 hospitals (12 hospitals received the PRONTO training and 12 served as controls) in the states of Chiapas, Guerrero, and Mexico. We estimated the impact of receiving the intervention on the probability of birth practices performance in a sample of 641 observed births of which 318 occurred in the treated hospitals and 323 occurred in control hospitals. Data was collected at 4 time points (baseline, 4th, 8th and 12th months after the training). Women were blinded to treatment allocation but observers and providers were not. Estimates were obtained by fitting difference-in-differences logistic regression models considering confounding variables. The trial is registered at clinicaltrials.gov: # NCT01477554.ResultsSignificant changes were found following the intervention. At 4 months post-intervention an increase of 20 percentage points (p.p.) for complete Active Management of Third Stage of Labor (AMTSL) (p = 0.044), and 16 p.p. increase for Skin-to-Skin Contact (p = 0.067); at 12 months a 25 p.p. increase of the 1st step of AMTSL (p = 0.026) and a 42 p.p. increase of Delayed Cord Clamping (p = 0.004); at 4 months a 30 (p = 0.001) and at 8 months a 22 (p = 0.010) p.p. decrease for Uterine Sweeping.ConclusionsThe intervention has an impact on adopting EBP at birth, contributing to an increased quality of care. Long lasting impacts on these practices are possible if there were to be a widespread adoption of the training techniques including simulation, team-training and facilitated discussions regarding routine care.

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“…However, studies in which postpartum women were interviewed revealed that a lower level of interventionist care is associated with greater satisfaction with the birth experience (15,27) as well as enhancing the autonomy of nursemidwives and midwives (28) .…”

Section: Category Dmentioning

confidence: 99%

Care in a birth center according to the recommendations of the World Health Organization

Silva

Paixão

Oliveira

et al. 2013

Rev. esc. enferm. USP

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Birth centers are maternal care models that use appropriate technology when providing care to birthing women. This descriptive study aimed to characterize intrapartum care in a freestanding birth center, in light of the practices recommended by the World Health Organization (WHO), with 1,079 assisted births from 2006 to 2009 in the Sapopemba Birth Center, São Paulo, Brazil. Results included the use of intermittent auscultation (mean=7 controls); maternal positions during delivery: semi-sitting (82.3%), side-lying (16.0%), other positions (1.7%), oral intake (95.6%); companionship (93.3%); exposure to up to three vaginal examinations (85.4%), shower bathing (84.0%), walking (68.0%), massage (60.1%), exercising with a Swiss ball (51.7%); amniotomy (53.4%), oxytocin use during the first (31.0%) and second stages of labor (25.8%), bath immersion (29.3%) and episiotomy (14.1%). In this birth center, care providers used practices recommended by the WHO, although some practices might have been applied less frequently.

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Skilled Birth Attendants in Mexico: How Does Care During Normal Birth by General Physicians, Obstetric Nurses, and Professional Midwives Compare With World Health Organization Evidence‐Based Practice Guidelines?

Cited by 23 publications

References 12 publications

Características sociodemográficas y reproductivas asociadas con el aumento de cesáreas en México

Características sociodemográficas y reproductivas asociadas con el aumento de cesáreas en México

Can a simulation-based training program impact the use of evidence based routine practices at birth? Results of a hospital-based cluster randomized trial in Mexico

Care in a birth center according to the recommendations of the World Health Organization

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