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Evidence‐based maternal and perinatal healthcare practices in public hospitals in Argentina
Author(s) -
Karolinski Ariel,
Micone Paula,
Mercer Raúl,
Gibbons Luz,
Althabe Fernando,
Belizán José M.,
Messina Analía,
Lapidus Alicia,
Correa Alberto,
Taddeo Corina,
Lambruschini Rodolfo,
Bertin Marta,
Dibiase Lucía,
Montes Varela Dolores,
Laterra Cristina
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.01.003
Subject(s) - medicine , episiotomy , childbirth , public health , maternity care , pregnancy , obstetrics , health care , public hospital , family medicine , nursing , economics , genetics , biology , economic growth
Objective To investigate the use of beneficial maternal and perinatal healthcare practices in a network of public maternity hospitals in Argentina. Method A multicenter, prospective, descriptive study of 6661 deliveries in 9 hospitals. The use of 5 obstetric care practices that reduce maternal and perinatal morbidity and mortality was evaluated. Results Median use rates for the selected practices were: continuous support for women during childbirth (17.9%); corticosteroids for preterm birth (35.3%); avoidance of episiotomy in primiparous women (41.2%); iron and folate supplementation (52.5%); active management of third stage of labor (93.5%). Conclusion There is limited use of the selected evidence‐based maternal and perinatal practices in public hospitals in Argentina and a large variation in their use among and within hospitals. Efforts should be made to increase the use of these evidence‐based practices.