RESUMEN
This paper reports the findings at baseline in a multi-phase project that aimed at reducing maternal mortality in a local government area (LGA) of South-West Nigeria. The objectives were to determine the availability of essential obstetric care (EOC) services in the LGA and to assess the quality of existing services. The first phase of this interventional study, which is the focus of this paper, consisted of a baseline health facility and needs assessment survey using instruments adapted from the United Nations guidelines. Twenty-one of 26 health facilities surveyed were public facilities, and five were privately owned. None of the facilities met the criteria for a basic EOC facility, while only one private facility met the criteria for a comprehensive EOC facility. Three facilities employed a nurse and/or a midwife, while unskilled health attendants manned 46% of the facilities. No health worker in the LGA had ever been trained in lifesaving skills. There was a widespread lack of basic EOC equipment and supplies. The study concluded that there were major deficiencies in the supply side of obstetric care services in the LGA, and EOC was almost non-existent. This result has implications for interventions for the reduction of maternal mortality in the LGA and in Nigeria.
Asunto(s)
Parto Obstétrico/métodos , Femenino , Accesibilidad a los Servicios de Salud , Hospitales Privados , Humanos , Servicios de Salud Materna/métodos , Mortalidad Materna , Nigeria , Obstetricia/normas , Servicio de Ginecología y Obstetricia en Hospital/provisión & distribución , EmbarazoRESUMEN
Presenta los contenidos a desarrollarse en las pasantías para el manejo de las funciones obstétricas esenciales de emergencia, con las que se pretende proporcionar conocimientos y desarrollar habilidades y destrezas en el personal de salud que atiende a la mujers durante el embarazo y parto en las diferentes urgencias obstétricas.
Asunto(s)
Femenino , Trabajo de Parto/fisiología , Servicios de Salud Materna/provisión & distribución , Obstetricia/educación , Servicio de Ginecología y Obstetricia en Hospital/provisión & distribuciónRESUMEN
En resumen el presente trabajo, se ha demostrado, aún de la poca casuística; que la dosis única fue la responsable de la mayor incidencia de naúseas y agitación. Los mejores resultados, fueron obtenidos con la infusión contínua de ocitocina precedida de una mínima dosis en bolo o sólo en infusión continuada
Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Analgesia Obstétrica/métodos , Anestesia de Conducción/métodos , Anestesia Obstétrica/clasificación , Anestesia Obstétrica/métodos , Anestesia Epidural , Cesárea/efectos adversos , Cesárea/métodos , Hipnosis Anestésica , Anestesiología/educación , Servicio de Ginecología y Obstetricia en Hospital/provisión & distribuciónRESUMEN
Apresentamos uma nova "Rotina de Funcionamento"para o Serviço de Ginecologia do Hospital Materno-Infantil Presidente Vargas, iniciada em agosto de 1991. Os médicos preceptores tiveram seu número reduzido para oito e os residentes continuam a ser onze. As funçoes de todos foram reorganizadas. O ensino prático estará sub supervisao constante; todos os médicos preceptores colaborarao nos ensino teórico. Profundas alteraçoes foram introduzidas na dinâmica do Serviço, adotando-se o atendimento "por demanda", isto é, suspende-se a marcaçao de consultas com antecedência.