Showing papers by "Eduardo Ortiz-Panozo published in 2012"
Journal Article•
TL;DR: The community-based intervention improved overall knowledge of women on alarm signs and specific knowledge on alarmSigns for preeclampsia-eClampsia and puerperal sepsis and it is necessary to spread this methodology, so that a greater number of women of the community will also be benefitted with the intervention.
Abstract: espanolObjetivo: Evaluar una intervencion comunitaria desarrollada en una comunidad maya del estado de Yucatan, en 2008, para mejorar los conocimientos de las mujeres embarazadas sobre signos de alarma para preeclampsia-eclampsia, hemorragia obstetrica y sepsis puerperal a traves de metodologia participativa. Material y metodos: Ensayo comunitario controlado, aleatorizado, con un grupo experimental (n = 28) y un grupo control (n = 28). Se utilizaron estrategias participativas de capacitacion con lideres locales traductoras de lengua maya. El efecto de la intervencion se evaluo mediante un analisis de diferencias en diferencias. Resultados: La intervencion incremento el conocimiento sobre signos de alarma para preeclampsia-eclampsia en 42.9% (p = 0.012), hemorragia obstetrica en 32.1% (p = 0.071) y sepsis puerperal en 25.0% (p = 0.659). En el grupo control hubo un incremento de 32.1% en el conocimiento de signos de alarma para sepsis puerperal (p = 0.033), mientras que para las otras complicaciones no hubo cambios. El efecto global de la intervencion fue 33.3% en promedio (p = 0.007). Conclusiones: La intervencion comunitaria mejoro los conocimientos de las mujeres sobre los signos de alarma de manera global y en especifico para preeclampsia-eclampsia. Es necesario extender el estudio siguiendo esta metodologia para que un mayor numero de mujeres de la comunidad sean beneficiadas con la intervencion. Englishaimed to improve women�s knowledge on alarm signs for preeclampsia-eclampsia, obstetrical hemorrhage, and puerperal sepsis, in Mayan pregnant women in the state of Yucatan, Mexico, in 2008, using participatory methodology. Material and methods. Community-based randomized controlled trial, with experimental (n = 28) and control (n = 28) groups. Participatory strategies with translators of Mayan language were used. Analysis of differences in differences was carried out to evaluate the effect of intervention. Results. The intervention increased knowledge on alarm signs for preeclampsia-eclampsia in 42.9% (p = 0.012), obstetrical hemorrhage in 32.1% (p = 0.071) and puerperal sepsis in 25.0% (p = 0.659). Control group increased 32.1% (p = 0.033) knowledge on alarm signs for puerperal sepsis. Overall effect of intervention was 33.3% (p = 0.007). Conclusions. The community-based intervention improved overall knowledge of women on alarm signs and specific knowledge on alarm signs for preeclampsia-eclampsia. It is necessary to spread this methodology, so that a greater number of women of the community will also be benefitted with the intervention.
7 citations
TL;DR: This study provides indicators on the incidence and management of maternal and neonatal complications in Mexico, which may be useful in studying and evaluating the performance of obstetric services.
Abstract: Objective. To describe the incidence and management of severe maternal and newborn complications in selected health facilities in Mexico. Materials and methods. As part of the WHO Multicountry Survey on Maternal and Newborn health, information was collected from medical records of women with deliveries and/or severe maternal complications during pregnancy or puerperium in 14 hospitals in Mexico City and the state of Guanajuato, Mexico. Results. Of 13 311 women, 157 (12 per 1 000 live births) had severe maternal complications including 4 maternal deaths. The most frequent complications were preeclampsia, postpartum hemorrhage, and chronic hypertension. Adverse perinatal outcomes were more frequent among women with severe maternal complications. A high use of uterotonics and parenteral antibiotics was found. A small proportion of women with eclampsia received magnesium sulfate. Conclusions. This study provides indicators on the incidence and management of maternal and neonatal complications in Mexico, which may be useful in studying and evaluating the performance of obstetric services.
7 citations