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Int J Gynaecol Obstet ; 105(2): 118-22, 2009 May.
Article in English | MEDLINE | ID: mdl-19232607

ABSTRACT

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.


Subject(s)
Evidence-Based Medicine/statistics & numerical data , Hospitals, Maternity/statistics & numerical data , Hospitals, Public/statistics & numerical data , Quality of Health Care/statistics & numerical data , Adrenal Cortex Hormones/therapeutic use , Argentina , Dietary Supplements/statistics & numerical data , Episiotomy/statistics & numerical data , Female , Folic Acid/administration & dosage , Humans , Iron/administration & dosage , Labor Stage, Third , Pregnancy , Premature Birth/drug therapy , Prospective Studies
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