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USO DE PRÁCTICAS DE ATENCIÓN MATERNA Y PERINATAL BASADAS EN EVIDENCIA EN LOS HOSPITALES PÚBLICOS DE ARGENTINA

Revista del Hospital Materno Infantil Ramón Sardá 01/2009;
Source: DOAJ

ABSTRACT Objetivo: Investigar el uso de prácticas benéficas de atención materna y perinatal en una red de hospitales maternales públicos de Argentina. Método: Estudio descriptivo prospectivo multicéntrico de 6.661 partos en 9 hospitales. Se evaluó el uso de 5 prácticas de atención obstétrica que reducen la morbilidad y la mortalidad materna y perinatal. Resultados: Las medianas de los porcentajes de uso para las prácticas seleccionadas fueron las siguientes: asistencia continua de la paciente durante el parto (17,9%), administración de corticosteroides en los casos de parto prematuro (35,3%), evitación de la episiotomía para las madres primigestas (41,2%), suplemento de hierro y folato (52,5%), manejo activo de la tercera etapa del trabajo de parto (93,5%). Conclusión: En los hospitales públicos de la Argentina, la frecuencia de uso de las prácticas maternas y perinatales basadas en evidencia seleccionadas es baja, además de haber una gran variación entre los distintos hospitales y dentro de cada uno de ellos. Debería fomentarse el uso de estas prácticas basadas en evidencia.

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