Adecuación entre la práctica clínica obstétrica en el Hospital Clínico Universitario Virgen de la Arrixaca (Murcia) y las recomendaciones de la Estrategia de Atención al Parto Normal.
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| Title: | Adecuación entre la práctica clínica obstétrica en el Hospital Clínico Universitario Virgen de la Arrixaca (Murcia) y las recomendaciones de la Estrategia de Atención al Parto Normal. |
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| Alternate Title: | Adaptation between the obstetric clinical practise at the University Hospital Virgen de la Arrixaca (Murcia) and the recommendations of the Strategy Normal Birth Care. |
| Authors: | Ballesteros-Meseguer, Carmen1 carmenbm@um.es, Carrillo-García, César2, Meseguer de Pedro, Mariano3, Canteras-Jordana, Manuel4, Martínez Roche, María Emilia5 |
| Source: | Matronas Profesion. 2015, Vol. 16 Issue 4, p110-116. 7p. |
| Subjects: | ACADEMIC medical centers, ADAPTABILITY (Personality), CHILDBIRTH, CLINICAL competence, MATERNAL health services, RESEARCH methodology, MEDICAL protocols, RESEARCH, WOMEN'S health, DESCRIPTIVE statistics |
| Geographic Terms: | SPAIN |
| Abstract (English): | Objective: The aim is to check the adaption of the obstetric clinical practise and the recommendations of the Strategy Normal Birth Care. Persons, material and methods: This has been a descriptive, transversal and analytical study of the obstetrical activity of 12,093 child-births which took place between 2011 and 2012 in the Clinical University Hospital Virgen de la Arrixaca (Murcia). The studied variables were: parity, gestational age, onset of labor, use of epidural analgesia, use of oxytocin, stage position during fetal expulsion, newborn weight and type of delivery (eutocic, implemented or cesarean). Results: The clinical appropriateness of the recommendations of the Strategy Normal Birth Care presents a tendency to decrease in the following practises: perineal saving (13%), the use of enemas (7%) and the number of emergency caesareans (11.38%). Likewise, some practices have also had a tendency to increase: accompaniment of childbirth (88.7%), continuous monitoring (99%), intrapartum fluid intake (34.8%), the number of vaginal births after cesarean (93.1%) and the number of women with epidural (77%). There has not been any varia tion in the remaining studied variables (amniotomy and performing instrumental births). Conclusions: The recommendations of the Strategy are not followed entirely. Some points of improvement have been identified. It will be necessary to develop some reduction policies of procedure advised against by the Ministry, and to reinforce the interdisciplinary team training. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Comprobar el grado de adecuación de la práctica clínica obstétrica a las recomendaciones de la Estrategia de Atención al Parto Normal. Personas, material y método: Estudio descriptivo, transversal, de la actividad obstétrica de 12.093 mujeres durante el proceso de parto (en los años 2011 y 2012) en el Hospital Clínico Universitario Virgen de la Arrixaca (Murcia). Las variables estudiadas fueron: paridad, edad gestacional, inicio del parto, utilización de analgesia epidural, uso de oxitocina, posición durante la etapa de expulsión fetal, peso del recién nacido y finalización del parto. Resultados: Se observa una adecuación de la práctica clínica a las recomendaciones de la Estrategia de Atención al Parto Normal en la tendencia a disminuir las siguientes prácticas: el rasurado perineal (13%), el uso de enemas (7%) y el número de cesáreas urgentes (11,38%). Asimismo, se constata una tendencia a aumentar el acompañamiento al parto (88,7%), la monitorización continua (99%), la ingesta de líquidos intraparto (34,8%), el número de partos vaginales tras cesárea previa (93,1 %) y el porcentaje de epidural (77%). El resto de variables estudiadas (realización de amniotomía y partos instrumentados) se mantienen sin cambios. Conclusiones: Las recomendaciones de la Estrategia no se siguen en su totalidad. Se han identificado puntos de mejora. Es necesario desarrollar políticas que permitan reducir los procedimientos desaconsejados por el Ministerio de Sanidad, así como reforzar la formación del equipo interdisciplinar. [ABSTRACT FROM AUTHOR] |
| Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Items | – Name: Title Label: Title Group: Ti Data: Adecuación entre la práctica clínica obstétrica en el Hospital Clínico Universitario Virgen de la Arrixaca (Murcia) y las recomendaciones de la Estrategia de Atención al Parto Normal. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Adaptation between the obstetric clinical practise at the University Hospital Virgen de la Arrixaca (Murcia) and the recommendations of the Strategy Normal Birth Care. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ballesteros-Meseguer%2C+Carmen%22">Ballesteros-Meseguer, Carmen</searchLink><relatesTo>1</relatesTo><i> carmenbm@um.es</i><br /><searchLink fieldCode="AR" term="%22Carrillo-García%2C+César%22">Carrillo-García, César</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Meseguer+de+Pedro%2C+Mariano%22">Meseguer de Pedro, Mariano</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Canteras-Jordana%2C+Manuel%22">Canteras-Jordana, Manuel</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Martínez+Roche%2C+María+Emilia%22">Martínez Roche, María Emilia</searchLink><relatesTo>5</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Matronas+Profesion%22">Matronas Profesion</searchLink>. 2015, Vol. 16 Issue 4, p110-116. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22ACADEMIC+medical+centers%22">ACADEMIC medical centers</searchLink><br /><searchLink fieldCode="DE" term="%22ADAPTABILITY+%28Personality%29%22">ADAPTABILITY (Personality)</searchLink><br /><searchLink fieldCode="DE" term="%22CHILDBIRTH%22">CHILDBIRTH</searchLink><br /><searchLink fieldCode="DE" term="%22CLINICAL+competence%22">CLINICAL competence</searchLink><br /><searchLink fieldCode="DE" term="%22MATERNAL+health+services%22">MATERNAL health services</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+methodology%22">RESEARCH methodology</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+protocols%22">MEDICAL protocols</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH%22">RESEARCH</searchLink><br /><searchLink fieldCode="DE" term="%22WOMEN'S+health%22">WOMEN'S health</searchLink><br /><searchLink fieldCode="DE" term="%22DESCRIPTIVE+statistics%22">DESCRIPTIVE statistics</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22SPAIN%22">SPAIN</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objective: The aim is to check the adaption of the obstetric clinical practise and the recommendations of the Strategy Normal Birth Care. Persons, material and methods: This has been a descriptive, transversal and analytical study of the obstetrical activity of 12,093 child-births which took place between 2011 and 2012 in the Clinical University Hospital Virgen de la Arrixaca (Murcia). The studied variables were: parity, gestational age, onset of labor, use of epidural analgesia, use of oxytocin, stage position during fetal expulsion, newborn weight and type of delivery (eutocic, implemented or cesarean). Results: The clinical appropriateness of the recommendations of the Strategy Normal Birth Care presents a tendency to decrease in the following practises: perineal saving (13%), the use of enemas (7%) and the number of emergency caesareans (11.38%). Likewise, some practices have also had a tendency to increase: accompaniment of childbirth (88.7%), continuous monitoring (99%), intrapartum fluid intake (34.8%), the number of vaginal births after cesarean (93.1%) and the number of women with epidural (77%). There has not been any varia tion in the remaining studied variables (amniotomy and performing instrumental births). Conclusions: The recommendations of the Strategy are not followed entirely. Some points of improvement have been identified. It will be necessary to develop some reduction policies of procedure advised against by the Ministry, and to reinforce the interdisciplinary team training. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivo: Comprobar el grado de adecuación de la práctica clínica obstétrica a las recomendaciones de la Estrategia de Atención al Parto Normal. Personas, material y método: Estudio descriptivo, transversal, de la actividad obstétrica de 12.093 mujeres durante el proceso de parto (en los años 2011 y 2012) en el Hospital Clínico Universitario Virgen de la Arrixaca (Murcia). Las variables estudiadas fueron: paridad, edad gestacional, inicio del parto, utilización de analgesia epidural, uso de oxitocina, posición durante la etapa de expulsión fetal, peso del recién nacido y finalización del parto. Resultados: Se observa una adecuación de la práctica clínica a las recomendaciones de la Estrategia de Atención al Parto Normal en la tendencia a disminuir las siguientes prácticas: el rasurado perineal (13%), el uso de enemas (7%) y el número de cesáreas urgentes (11,38%). Asimismo, se constata una tendencia a aumentar el acompañamiento al parto (88,7%), la monitorización continua (99%), la ingesta de líquidos intraparto (34,8%), el número de partos vaginales tras cesárea previa (93,1 %) y el porcentaje de epidural (77%). El resto de variables estudiadas (realización de amniotomía y partos instrumentados) se mantienen sin cambios. Conclusiones: Las recomendaciones de la Estrategia no se siguen en su totalidad. Se han identificado puntos de mejora. Es necesario desarrollar políticas que permitan reducir los procedimientos desaconsejados por el Ministerio de Sanidad, así como reforzar la formación del equipo interdisciplinar. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 110 Subjects: – SubjectFull: ACADEMIC medical centers Type: general – SubjectFull: ADAPTABILITY (Personality) Type: general – SubjectFull: CHILDBIRTH Type: general – SubjectFull: CLINICAL competence Type: general – SubjectFull: MATERNAL health services Type: general – SubjectFull: RESEARCH methodology Type: general – SubjectFull: MEDICAL protocols Type: general – SubjectFull: RESEARCH Type: general – SubjectFull: WOMEN'S health Type: general – SubjectFull: DESCRIPTIVE statistics Type: general – SubjectFull: SPAIN Type: general Titles: – TitleFull: Adecuación entre la práctica clínica obstétrica en el Hospital Clínico Universitario Virgen de la Arrixaca (Murcia) y las recomendaciones de la Estrategia de Atención al Parto Normal. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ballesteros-Meseguer, Carmen – PersonEntity: Name: NameFull: Carrillo-García, César – PersonEntity: Name: NameFull: Meseguer de Pedro, Mariano – PersonEntity: Name: NameFull: Canteras-Jordana, Manuel – PersonEntity: Name: NameFull: Martínez Roche, María Emilia IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: 2015 Type: published Y: 2015 Identifiers: – Type: issn-print Value: 15780740 Numbering: – Type: volume Value: 16 – Type: issue Value: 4 Titles: – TitleFull: Matronas Profesion Type: main |
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