Assuntos
Adolescente , Adulto , Humanos , Feminino , Pessoal Técnico de Saúde , Dispositivos IntrauterinosAssuntos
Instituições de Assistência Ambulatorial , Anticoncepção , Estudos de Avaliação como Assunto , Dispositivos Intrauterinos , Retenção Psicológica , Comportamento Contraceptivo , Cobre , Atenção à Saúde , Países em Desenvolvimento , Diagnóstico , Serviços de Planejamento Familiar , Saúde , Instalações de Saúde , Dispositivos Intrauterinos Medicados , América LatinaRESUMO
All the breech presentations that occurred in a large sample of data on obstetric deliveries from a random sample of urban hospitals in Colombia are examined. The 463 breeches are analyzed by age and parity of the mother, type of breech presentation (frank or footling) and type of delivery (vaginal or abdominal). The data suggest that abdominal delivery reduces perinatal mortality although cell values are too small to adequately control for birth weight.
Assuntos
Apresentação Pélvica , Apresentação no Trabalho de Parto , Adolescente , Adulto , Peso ao Nascer , Cesárea , Colômbia , Parto Obstétrico , Feminino , Idade Gestacional , Humanos , Mortalidade Infantil , Recém-Nascido , Idade Materna , Paridade , GravidezRESUMO
PIP: Between March and October 1977 40 urban Colombian hospitals participated in an evaluation of services given to women with high risk pregnancies. The purpose of the study was to find out whether high risk cases go to the more appropriate and better equipped hospitals. A total of 13,450 deliveries were observed at random, i.e. 8.3% of all deliveries in all 40 hospitals during the same time. Social, cultural, and clinical characteristics of mothers and infants were carefully recorded. It was found that Social Security hospitals had the lowest number of high risk patients, a moderate number of surgical interventions, and the lowest maternal and perinatal mortality rate. On the other hand, average size hospitals serviced a larger number of high risk patients, had the highest rate of surgical intervention and of perinatal mortality, and a moderate maternal mortality rate. University hospitals, with the highest concentration of high risk patients and with a moderate incidence of surgical interventions, had a moderate rate of perinatal mortality, and a high rate of maternal mortality. Obviously not all high risk patients were serviced by the best equipped hospitals and by the best prepared personnel, which resulted in a high rate of maternal-infant morbidity and mortality. It would be necessary to reorganize all available services in a more functional way, so that high risk patients can be assisted and treated in the most appropriate environment.^ieng
Assuntos
Fatores Etários , Peso Corporal , Educação , Morte Fetal , Hospitais , Mortalidade Infantil , Serviços de Saúde Materna , Mortalidade Materna , Paridade , Mulheres , América , Biologia , Coeficiente de Natalidade , Colômbia , Atenção à Saúde , Demografia , Países em Desenvolvimento , Fertilidade , Saúde , Instalações de Saúde , Serviços de Saúde , América Latina , Centros de Saúde Materno-Infantil , Mortalidade , Programas Nacionais de Saúde , Fisiologia , População , Características da População , Dinâmica Populacional , Atenção Primária à Saúde , Reprodução , América do SulRESUMO
The International Fertility Research Program, in cooperation with the Government of Colombia, drew a random sample of urban hospitals in which obstetric deliveries take place. Data were collected on a sample of the deliveries. Hospitals were divided into six types: university, university maternity, social security and three sizes of general hospitals. These groups of hospitals are compared with respect to the proportion of high-risk patients admitted, intervention rates and perinatal mortality rates.