Respuesta a solicitudes de planes de parto en una muestra de instituciones colombianas entre 2020 y 2023: serie de casos.
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| Title: | Respuesta a solicitudes de planes de parto en una muestra de instituciones colombianas entre 2020 y 2023: serie de casos. |
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| Alternate Title: | Response to requests for birth plans in a sample of Colombian institutions between 2020 and 2023: A case series. |
| Authors: | Hinojosa Millán, Salomé1 shinojosa@utp.edu.co, Páez-Castellanos, Édgar Augusto1,2, Barrios Galvis, Sonia Paola3, Fonseca Alzate, Alejandra4 |
| Source: | Revista Colombiana de Obstetricia y Ginecologia. ene-mar2026, Vol. 77 Issue 1, p5-14. 10p. |
| Subjects: | CHILDBIRTH, REGULATORY compliance, EPIDURAL analgesia, PRENATAL care, PREGNANT women, INTRAPARTUM care, HEALTH facilities |
| Abstract (English): | Objectives: To describe the responses issued by a sample of Colombian healthcare institutions to birth plans submitted by pregnant women between 2020 and 2023, as well as the reasons provided for denying specific requests. Material and methods: A case series study was conducted. Pregnant women who had submitted a birth plan to the healthcare institution assigned by their insurer between June 1, 2020, and October 11, 2023, within Colombian territory, and who received a positive response from the receiving institution were included. Consecutive sampling was used. The characteristics of institutions that issued positive responses were assessed, along with the proportion of accepted requests within birth plans, according to local regulations. Results: Only 10% of the responses were personalized. Between 41% and 52% of the requests received no response, except for the request for companionship, which was denied in 9% of vaginal births and 31% of cesarean sections. Other procedures frequently denied included the availability of a Pilates ball and freedom of position during childbirth, which were refused in 31% and 36% of cases, respectively. Epidural analgesia was accepted in 41% of private institutions and 7% of public institutions. The reasons given for denying these requests included lack of infrastructure, risk of infection, and lack of trained personnel. Conclusions: Health regulatory and oversight bodies are required to monitor institutional compliance with pregnant women’s requests as expressed in birth plans during prenatal care. In addition, further quantitative and qualitative studies using appropriate study designs are needed to confirm these findings and to better assess the true magnitude of the problem, its underlying causes, determinants, and potential points of intervention. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivos: describir las respuestas emitidas a los planes de parto radicados por mujeres en gestación entre 2020 y 2023 en algunas instituciones colombianas, y las razones para no acceder a esta solicitud. Materiales y métodos: serie de casos. Se incluyeron mujeres gestantes que hubieran radicado el plan de parto en la institución de salud asignada por su aseguradora entre el 1 de junio de 2020 y el 11 de octubre de 2023, en el territorio colombiano y que recibieron una contestación de la institución receptora de la solicitud. Se realizó muestreo consecutivo. Se evaluaron las características de las instituciones que dieron respuesta positiva, así como la proporción de dichas respuestas positivas a las solicitudes realizadas en el plan de parto según la normatividad local. Resultados: Se identificó que solo el 10% de las respuestas fueron personalizadas; que entre un 41% y 52% de las solicitudes no hubo respuesta, excepto en la solicitud de acompañamiento en donde se negó este requerimiento entre el 9% el parto vaginal y el 31% en la cesárea. Otros procedimientos frecuentemente negados fueron la disponibilidad del balón de pilates y la libre postura en el parto en el 31% y el 36% respectivamente. La analgesia peridural fue aceptada en el 41% de las instituciones privadas, y el 7% en instituciones públicas. Como razones para negar las solicitudes se adujo la falta de infraestructura, el riesgo de infecciones y falta de personal entrenado. Conclusiones: se requiere que los organismos de control en salud hagan una vigilancia del cumplimiento, por parte de las instituciones, de las solicitudes del plan de parto de las gestantes durante el control prenatal. Además, se necesitan estudios cuantitativos y cualitativos que confirmen estos hallazgos mediante diseños adecuados que permitan estudiar de mejor manera la magnitud del problema, sus causas, los determinantes y posibles puntos de intervención. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Colombiana de Obstetricia y Ginecologia is the property of Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia 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.) | |
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| Items | – Name: Title Label: Title Group: Ti Data: Respuesta a solicitudes de planes de parto en una muestra de instituciones colombianas entre 2020 y 2023: serie de casos. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Response to requests for birth plans in a sample of Colombian institutions between 2020 and 2023: A case series. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Hinojosa+Millán%2C+Salomé%22">Hinojosa Millán, Salomé</searchLink><relatesTo>1</relatesTo><i> shinojosa@utp.edu.co</i><br /><searchLink fieldCode="AR" term="%22Páez-Castellanos%2C+Édgar+Augusto%22">Páez-Castellanos, Édgar Augusto</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Barrios+Galvis%2C+Sonia+Paola%22">Barrios Galvis, Sonia Paola</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Fonseca+Alzate%2C+Alejandra%22">Fonseca Alzate, Alejandra</searchLink><relatesTo>4</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Colombiana+de+Obstetricia+y+Ginecologia%22">Revista Colombiana de Obstetricia y Ginecologia</searchLink>. ene-mar2026, Vol. 77 Issue 1, p5-14. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CHILDBIRTH%22">CHILDBIRTH</searchLink><br /><searchLink fieldCode="DE" term="%22REGULATORY+compliance%22">REGULATORY compliance</searchLink><br /><searchLink fieldCode="DE" term="%22EPIDURAL+analgesia%22">EPIDURAL analgesia</searchLink><br /><searchLink fieldCode="DE" term="%22PRENATAL+care%22">PRENATAL care</searchLink><br /><searchLink fieldCode="DE" term="%22PREGNANT+women%22">PREGNANT women</searchLink><br /><searchLink fieldCode="DE" term="%22INTRAPARTUM+care%22">INTRAPARTUM care</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+facilities%22">HEALTH facilities</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objectives: To describe the responses issued by a sample of Colombian healthcare institutions to birth plans submitted by pregnant women between 2020 and 2023, as well as the reasons provided for denying specific requests. Material and methods: A case series study was conducted. Pregnant women who had submitted a birth plan to the healthcare institution assigned by their insurer between June 1, 2020, and October 11, 2023, within Colombian territory, and who received a positive response from the receiving institution were included. Consecutive sampling was used. The characteristics of institutions that issued positive responses were assessed, along with the proportion of accepted requests within birth plans, according to local regulations. Results: Only 10% of the responses were personalized. Between 41% and 52% of the requests received no response, except for the request for companionship, which was denied in 9% of vaginal births and 31% of cesarean sections. Other procedures frequently denied included the availability of a Pilates ball and freedom of position during childbirth, which were refused in 31% and 36% of cases, respectively. Epidural analgesia was accepted in 41% of private institutions and 7% of public institutions. The reasons given for denying these requests included lack of infrastructure, risk of infection, and lack of trained personnel. Conclusions: Health regulatory and oversight bodies are required to monitor institutional compliance with pregnant women’s requests as expressed in birth plans during prenatal care. In addition, further quantitative and qualitative studies using appropriate study designs are needed to confirm these findings and to better assess the true magnitude of the problem, its underlying causes, determinants, and potential points of intervention. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivos: describir las respuestas emitidas a los planes de parto radicados por mujeres en gestación entre 2020 y 2023 en algunas instituciones colombianas, y las razones para no acceder a esta solicitud. Materiales y métodos: serie de casos. Se incluyeron mujeres gestantes que hubieran radicado el plan de parto en la institución de salud asignada por su aseguradora entre el 1 de junio de 2020 y el 11 de octubre de 2023, en el territorio colombiano y que recibieron una contestación de la institución receptora de la solicitud. Se realizó muestreo consecutivo. Se evaluaron las características de las instituciones que dieron respuesta positiva, así como la proporción de dichas respuestas positivas a las solicitudes realizadas en el plan de parto según la normatividad local. Resultados: Se identificó que solo el 10% de las respuestas fueron personalizadas; que entre un 41% y 52% de las solicitudes no hubo respuesta, excepto en la solicitud de acompañamiento en donde se negó este requerimiento entre el 9% el parto vaginal y el 31% en la cesárea. Otros procedimientos frecuentemente negados fueron la disponibilidad del balón de pilates y la libre postura en el parto en el 31% y el 36% respectivamente. La analgesia peridural fue aceptada en el 41% de las instituciones privadas, y el 7% en instituciones públicas. Como razones para negar las solicitudes se adujo la falta de infraestructura, el riesgo de infecciones y falta de personal entrenado. Conclusiones: se requiere que los organismos de control en salud hagan una vigilancia del cumplimiento, por parte de las instituciones, de las solicitudes del plan de parto de las gestantes durante el control prenatal. Además, se necesitan estudios cuantitativos y cualitativos que confirmen estos hallazgos mediante diseños adecuados que permitan estudiar de mejor manera la magnitud del problema, sus causas, los determinantes y posibles puntos de intervención. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Colombiana de Obstetricia y Ginecologia is the property of Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia 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: Identifiers: – Type: doi Value: 10.18597/rcog.4430 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 10 StartPage: 5 Subjects: – SubjectFull: CHILDBIRTH Type: general – SubjectFull: REGULATORY compliance Type: general – SubjectFull: EPIDURAL analgesia Type: general – SubjectFull: PRENATAL care Type: general – SubjectFull: PREGNANT women Type: general – SubjectFull: INTRAPARTUM care Type: general – SubjectFull: HEALTH facilities Type: general Titles: – TitleFull: Respuesta a solicitudes de planes de parto en una muestra de instituciones colombianas entre 2020 y 2023: serie de casos. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Hinojosa Millán, Salomé – PersonEntity: Name: NameFull: Páez-Castellanos, Édgar Augusto – PersonEntity: Name: NameFull: Barrios Galvis, Sonia Paola – PersonEntity: Name: NameFull: Fonseca Alzate, Alejandra IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: ene-mar2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 00347434 Numbering: – Type: volume Value: 77 – Type: issue Value: 1 Titles: – TitleFull: Revista Colombiana de Obstetricia y Ginecologia Type: main |
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