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04653nas a22003497a 4500 |
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OSt |
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20210428130411.0 |
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| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1578-0740 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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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 = |
| Remainder of 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 / |
| Statement of responsibility, etc. |
Carmen Ballesteros-Meseguer, César Carrillo-García, Mariano Meseguer de Pedro, Manuel Canteras-Jordana, María Emilia Martínez Roche |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.116 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
Objetivo: Comprobar el grado de adecuación de la práctica clínica obstétrica a las recomendaciones de la Estrategia de Atención al Parto Normal.<br/>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<br/>oxitocina, posición durante la etapa de expulsión fetal, peso del recién nacido y finalización del parto.<br/>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%).<br/>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<br/>mantienen sin cambios.<br/>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. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Objective: The aim is to check the adaption of the obstetric clinical practise and the recommendations of the Strategy Normal Birth Care.<br/>Persons, material and methods: This has been a descriptive, transversal and analytical study of the obstetrical activity of 12,093 childbirths 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<br/>and type of delivery (eutocic, implemented or cesarean).<br/>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<br/>(88.7%), continuous monitoring (99%), intrapartum fluid intake<br/>(34.8%), the number of vaginal births after cesarean (93.1%) and the number of women with epidural (77%). There has not been any variation in the remaining studied variables (amniotomy and performing instrumental births).<br/>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 |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
parto normal |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
enfermería obstétrica |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
procedimientos quirúrgicos obstétricos |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
trabajo de parto |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
episiotomía |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
normal delivery |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
obstetric nursing |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
obstetric surgical procedures |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
labor |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
obstetric |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
episiotomy |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2015 v. 16, n.4, p. 110-116 |
| Title |
Matronas profesión. |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| Uniform Resource Identifier |
<a href="https://www.federacion-matronas.org/wp-content/uploads/2018/01/original-estrategia-de-atencion-al-parto-normal.pdf">https://www.federacion-matronas.org/wp-content/uploads/2018/01/original-estrategia-de-atencion-al-parto-normal.pdf</a> |
| Link text |
Acceso a texto completo |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
