RESUMO
Las causas de mortalidad materna en Latino América y el Caribe estan lideradas por los trastornos hipertensivos del embarazo, en donde una de cada 4 muertes maternas es por esta patología. En términos generales podemos discutir 5 grandes razones para explicar nuestras altas tasas de muerte materna...
Assuntos
Humanos , Hipertensão/complicações , Hipertensão/diagnóstico , Hipertensão/prevenção & controle , Pré-Eclâmpsia/diagnóstico , Pré-Eclâmpsia/mortalidade , Pré-Eclâmpsia/prevenção & controleRESUMO
OBJECTIVE: To document the use of active management of the third stage of labour for preventing postpartum haemorrhage and to explore factors associated with such use in seven developing countries. METHODS: Nationally representative samples of facility-based deliveries were selected and observed to determine the use of active management of the third stage of labour and associated factors. Policies on active management were assessed through document review and interviews with relevant professionals. FINDINGS: Use of a uterotonic during the third or fourth stages of labour was nearly universal. Correct use of active management of the third stage of labour was found in only 0.5% to 32% of observed deliveries due to multiple deficiencies in practice. In every country except Indonesia, policies regarding active management were conflicting. CONCLUSION: Developing countries have not targeted decreasing postpartum haemorrhage as an achievable goal; there is little use of active management of the third stage of labour, and policies regarding such management often conflict. Studies are needed to identify the most effective components of active management so that the most efficient package of practices can be promoted.
Assuntos
Parto Obstétrico/métodos , Países em Desenvolvimento , Terceira Fase do Trabalho de Parto , Hemorragia Pós-Parto/prevenção & controle , Adulto , Parto Obstétrico/enfermagem , Feminino , Humanos , Entrevistas como Assunto , Observação , Política Organizacional , Gravidez , Complicações na Gravidez/mortalidade , Adulto JovemRESUMO
La mejor forma de detección de displasia del cérvix uterino es la citología cèrvico-vaginal (Papanicolaou), la cual es barata, indolora y bastante precisa. Los esfuerzos mundiales para prevenir el cáncer cervicouterino se han centrado en el tamizaje de las mujeres a través de la prueba de Papanicolaou. Se ha demostrado que estas pruebas de tamizaje para detección de cáncer cervicouterino son un método importante pero imperfecto para algunos paises en vías de desarrollo donde ocurren el 80% de los casos nuevos de cáncer...
