perinatal care
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Author(s):  
Angeles Cobo ◽  
Eulalia Isabel Analuisa Jiménez

Introducción: la humanización del parto asegura el respeto de los derechos fundamentales, reproductivos y sexuales de la gestante y la familia, reduciendo complicaciones perinatales y morbi-mortalidad materno-infantil. Objetivo: Caracterizar el parto humanizado y las funciones de enfermería en los establecimientos de salud pública. Métodos: diseño documental con revisión bibliográfica sobre humanización del parto para lo cual se realizó una búsqueda en bases de datos como: PubMed, Taylor y Francis, LILACS, MEDLINE, BVS, SCIELO, LATINDEX, GOOGLE ACADÉMICO, en idioma español e inglés. Resultados: En base a revisión y análisis de 40 artículos se pudo conocer que el parto humanizado es reconocido mundialmente  como una estrategia eficiente para reducir complicaciones perinatales y lograr una maternidad satisfactoria y que a nivel latinoamericano; Brasil, Perú, Argentina, Ecuador, Venezuela y México ya cuentan con iniciativas del sector público, privado y de organizaciones civiles para promocionar parto humanizado, y con ello reducir las tasas de cesáreas, parto instrumentado, morbi-mortalidad materno infantil y lograr una maternidad satisfactoria, segura basada en prácticas no invasivas ni farmacológicas para el alivio del dolor, educación y autorización sobre procedimientos, autonomía, buen trato y respeto por sentimientos y creencias. Conclusiones: En el pato humanizado, el rol de enfermería es esencial sobre todo en los establecimientos públicos en donde se asume maltrato, negligencia o falta de respeto por el parto, por lo que la enfermera está llamada a educar a la parturienta sobre el trabajo de parto y parto. Palabras clave: parto humanizado, atención perinatal, enfermería, recién nacido.   ABSTRACT Introduction: the humanization of childbirth ensures respect for the fundamental, reproductive and sexual rights of the pregnant woman and the family, reducing perinatal complications and maternal and infant morbidity and mortality. Objective: To characterize humanized delivery and nursing functions in public health establishments. Methods: documentary design with bibliographic review on the humanization of childbirth for which a search was carried out in databases such as: PubMed, Taylor and Francis, LILACS, MEDLINE, BVS, SCIELO, LATINDEX, GOOGLE ACADEMICO, in Spanish and English. Results: Based on a review and analysis of 40 articles, it was possible to know that humanized delivery is recognized worldwide as an efficient strategy to reduce perinatal complications and achieve a satisfactory maternity and that at the Latin American level; Brazil, Peru, Argentina, Ecuador, Venezuela and Mexico already have initiatives from the public and private sectors and civil organizations to promote humanized delivery, and thereby reduce the rates of cesarean sections, instrumented delivery, maternal and infant morbidity and mortality and achieve motherhood, satisfactory, safe based on non-invasive or pharmacological practices for pain relief, education and authorization on procedures, autonomy, good treatment and respect for feelings and beliefs. Conclusions: In the humanized duck, the role of nursing is essential especially in public establishments where abuse, neglect or lack of respect for childbirth is assumed, so the nurse is called to educate the woman in labor about the labor of labor and delivery. Keywords: humanized delivery, perinatal care, nursing, newborn   


2022 ◽  
pp. 465-477
Author(s):  
Soo Downe ◽  
Claudia Meier Magistretti ◽  
Shefaly Shorey ◽  
Bengt Lindström

AbstractIn this chapter, the relation of salutogenesis to maternity care is discussed by giving a critical overview of studies in perinatal care, primarily measuring and promoting parental sense of coherence (SOC) and well-being.An overview is given on salutogenic approaches to neonatal and infant service provision. Important aspects of and salutogenic interventions for parent–child attachment in the first year of a child’s life are examined. Parents’ and caregivers’ relationship with their infants and newborns plays a critical role in shaping the emotional, cognitive, and social development of their child. Different interventions of early support to optimize parenting capacity and their impact are also discussed.Although the chapter focuses only on examples of salutogenic approaches based on reasonable evidence, there is a growing awareness of the value of salutogenic approaches to the provision of maternity care, and to facilities and services to enhance parenting and well-being in infancy and early childhood. Research gaps are identified, and suggestions for the direction of future research are outlined.


Author(s):  
Steven C. Mehl ◽  
Walker D. Short ◽  
Austin Kinley ◽  
Tim C. Lee ◽  
Raphael C. Sun ◽  
...  

2021 ◽  
Author(s):  
Mehmet Tekin

The under-five mortality rate (U5MR) represents children who die before reaching the age of 5 per 1000 live births. It is directly related to the development and economic income levels of countries. For this reason, high rates are observed in low- and middle-income countries (LMICs). The neonatal period deserves more attention as the decline in mortality rates has recently stalled. The most common causes of death under 5 years old are acute respiratory infections, diarrhea, malaria, and birth complications. Although neonatal disorders and birth complications have recently come to the fore, among these reasons, deaths due to infections are still high in LMICs. The crucial topics in prevention are perinatal care and vaccination. Apart from these, access to medicine, food, and clean water is essential in preventing deaths under 5. For preventive services to achieve their goal, these services must reach everyone. Ending preventable child deaths is only possible by improving access to well-equipped healthcare professionals during pregnancy and childbirth, life-saving interventions such as vaccinations, breastfeeding and the provision of low-cost medicines, and access to water and sanitation, which are now lacking in low-income countries.


Vestnik ◽  
2021 ◽  
pp. 19-22
Author(s):  
Г.Ж. Бодыков ◽  
А.М. Курманова ◽  
С.М. Оспангалиева ◽  
Ж.Р. Жаналиева ◽  
Б.К. Аманжолова ◽  
...  

Динамика и уровень перинатальной смертности за последние десятилетие свидетельствовали о том, что в г. Алматы имеет устойчивую тенденцию к снижению до 8,8‰ к 2019 году. В структуре перинатальной смертности большая часть приходится на антенатальную (5,5-6,5‰); около трети - на раннюю неонатальную смертность (3,2 до 2,3‰). В структуре причин неонатальных потерь наблюдалось устойчивое снижение дыхательных и сердечно-сосудистых нарушений в 2,3-3,8 раза - с 5 до 1,3‰, врожденных аномалий с 4,4 до 0,9‰, неонатальные потери от инфекционных болезней остаются стабильными. Сохраняющие риски инфекционной патологии, особенно в беспрецедентной ситуации в период пандемии диктуют необходимость пересмотра подходов к оказанию перинатальной помощи населению и разработкой новой концепции перинатальной помощи с существенными изменениями в подходах инфекционного контроля, развития превентивной перинатологии с более эффективной антенатальной охраной здоровья плода. The dynamics and level of perinatal mortality over the past decade testified to the fact that in Almaty it has a steady downward trend to 8.8 ‰ by 2019. In the structure of perinatal mortality, most of it falls on antenatal (5.5-6.5 ‰); about a third - for early neonatal mortality (3.2 to 2.3 ‰). In the structure of the causes of neonatal losses, there was a steady decrease in respiratory and cardiovascular disorders by 2.3-3.8 times - from 5 to 1.3 ‰, congenital anomalies from 4.4 to 0.9 ‰, neonatal losses from infectious diseases remain stable. The persisting risks of infectious pathology, especially in an unprecedented situation during a pandemic, dictate the need to revise approaches to providing perinatal care to the population and develop a new concept of perinatal care with significant changes in approaches to infection control, thedevelopment of preventive perinatology with more effective antenatal fetal health care.


Vestnik ◽  
2021 ◽  
pp. 13-18
Author(s):  
Г.Ж. Бодыков ◽  
А.М. Курманова ◽  
К.С. Болат ◽  
Б.К. Аманжолова ◽  
Б.У. Умбетов ◽  
...  

Анализ демографических показателей за последние десять лет в г. Алматы выявил, что на фоне относительно стабильных показателей рождаемости (17,7 до 18,2‰), общей смертности (8,03 до 6,49‰) наблюдалось значительное снижение младенческой (с 17,4 до 8,05‰) и повышение материнской смертности (с 2,4 до 15,4 на 100 тыс. живорожденных). Несмотря на снижение распространенности анемии с 31,8% до 18,8%, удельный вес её все еще высокий, являющейся фоном для развития преэклампсии и ухудшения течения экстрагенитальных заболеваний, среди которых наиболее часто встречаются болезни почек и мочевыделительной системы (10,1%), системы кровообращения (3,5%), органов дыхания (3,3%); развития осложнений в виде невынашивания беременности (16,9%), преждевременных родов (7,2%), акушерских кровотечений (1,2%), учащения операции кесарева сечения (до 30,0%), органоуносящих операций (0,4%). В этих условиях созрела необходимость создания системы мониторинга женщин группы высокого риска, включающей наблюдение за ними, коррекцию лечения, проведение профилактики патологических состояний с использованием современных цифровых технологий. An analysis of demographic indicators over the past ten years in Almaty revealed that against the background of relatively stable birth rates (from 17.7 to 18.2‰), overall mortality (from 8.03 to 6.49‰), there was a significant decrease in infant mortality (from 17,4 to 8.05 ‰) and perinatal mortality (from 20.1‰ to 8.0‰), an increase in maternal mortality (from 2.4 to 15.4 per 100 thousand live births). Despite the decrease in the prevalence of anemia from 31.8% to 18.8%, its proportion is still high, which is a background for the development of preeclampsia and worsening of the course of extragenital diseases, among which diseases of the kidneys and urinary system (10.1%) , circulatory system (3.5%), respiratory system (3.3%) are most common; the development of complications in the form of miscarriage (16.9%), premature birth (7.2%), obstetric bleeding (1.2%), increased frequency of cesarean section (up to 30.0%), organ-carrying operations (0.4%). In these conditions, need to create a monitoring system for high-risk women, including monitoring them, correcting treatment, and preventing pathological conditions using modern digital technologies.


2021 ◽  
Vol 21 (4) ◽  
pp. 1860-9
Author(s):  
Christina Kinnevey ◽  
David Douglas ◽  
Ann Larsen ◽  
Molly Wilson ◽  
Sarah Sams ◽  
...  

Background: Uganda, like much of Sub-Saharan Africa and other underserved regions continues to face the challenge of high neonatal and maternal mortality. The Helping Babies Survive (HBS) course and the Advanced Life Support in Obstetrics (ALSO) provide hands on education to train providers in key life-saving interventions. A uterine balloon tamponade (UBT) procedure can be life-saving in the event of uterine bleeding. The purpose of this implementation research is to gain more insight into the effectiveness of a tailored down 5-day combined HBS-ALSO-UBT course. In this study, we found that a tailored down 5-day combined HBS-ALSO-UBT could be performed with significantly improved self-assessment in diagnosing and managing a wide range of peripartum conditions.Keywords: Neonatal; Perinatal Care; Maternal Morbidity.


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