medigraphic.com
Instituto Nacional de Salud Pública

2024, Number 1

<< Back Next >>

salud publica mex 2024; 66 (1)

Design and implementation of AMBAR: an innovative evidence-based training program for childbirth and newborn care

Fritz J, Treviño-Siller S, Sánchez-Domínguez M, González-Hernández D, Bishop A, Lamadrid-Figueroa H

Language: English
References: 41
Page: 50-58
PDF size: 331.33 Kb.


ABSTRACT

Objective. To present the development of a training model called AMBAR (Atención a la mujer embarazada y al recién nacido [Care for pregnant women and newborns]), which was designed to improve the quality of attention of health personnel responsible for obstetric care. Materials and methods. AMBAR was designed based on the results of a qualitative study exploring public health providers’ needs and experiences. It was implemented in three health networks, and a total of 339 health personnel participated. Results. The educational design of the course was appealing to the trained personnel, and the inclusion of simulations in all modules encouraged interest, participation, as well as the integration of new knowledge and skills into practice. Conclusion. AMBAR can promote better practices and increase the quality of birth care. With the proper support and willingness of staff and management, AMBAR can be implemented in all health services, both public and private.


REFERENCES

  1. Bowser D, Hill K. Exploring evidence for disrespect and abuse in facilitybasedchildbirth report of a landscape analysis. USAID-TRAction Project, 2010 [cited Sep 29, 2023]. Available from: https://www.hsph.harvard.edu/wp content/uploads/sites/2413/2014/05/Exploring-Evidence-RMC_Bowser_rep_2010.pdf

  2. Castro R, Frías SM. Obstetric violence in Mexico: results from a 2016National Household Survey. Violence Against Women. 2020;26(6-7):555-72. https://doi.org/10.1177/1077801219836732

  3. Treviño-Siller S, González-Hernández D, Fritz J, Rojas A, Martínez-GarridoP, Olvera-García M, et al. La voz del personal y las usuarias de los serviciosde salud: Percepción y conocimiento sobre la partería profesional. In:Freyermuth G, Vega M, Tinoco A, Gil G, eds. Los caminos para parir enMéxico en el siglo XXI. Experiencias de investigación, vinculación, formacióny comunicación. Mexico City: Centro de Investigaciones y Estudios Superioresen Antropología Social, 2108;80-7 [cited Sep 29, 2023]. Available from:https://omm.org.mx/wp-content/uploads/2020/09/Los-caminos-para-pariren-Me%CC%81xico_Formacio%CC%81n_29nov_web.pdf

  4. Treviño-Siller S, González-Hernández D, Fritz J, Olvera-García M, MontoyaA, Sánchez-Dominguez M, et al. Is it possible to incorporate evidencebasedprofessional midwifery practices into public health services inMexico? Women and Birth. 2019;33(3):240-50. https://doi.org/10.1016/j.wombi.2019.05.008

  5. Montoya A, Fritz J, Labora A, Rodriguez M, Walker D, Treviño-Siller S, etal. Respectful and evidence-based birth care in Mexico (or lack thereof):An observational study. Women and Birth. 2020;33(6):574-82. https://doi.org/10.1016/j.wombi.2020.02.011

  6. Fritz J, Walker DM, Cohen S, Angeles G, Lamadrid-Figueroa H. Cana simulation-based training program impact the use of evidence basedroutine practices at birth? Results of a hospital-based cluster randomizedtrial in Mexico. PLoS One. 2017;12(3). https://doi.org/10.1371/journal.pone.0172623

  7. Warren C, Njuki R, Abuya T, Ndwiga C, Maingi G, Serwanga J, et al. Studyprotocol for promoting respectful maternity care initiative to assess,measure and design interventions to reduce disrespect and abuse duringchildbirth in Kenya. BMC Pregnancy Childbirth. 2013;13:1-9. https://doi.org/10.1186/1471-2393-13-21

  8. World Health Organization. Trends in maternal mortality 2000 to 2020:estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. Geneva: WHO, UNICEF, UNFPA, World Bank Groupand UNDESA/Population Division, 2023 [cited May 16, 2023]. Availablefrom: https://www.who.int/publications/i/item/9789240068759

  9. The World Bank. Mortality rate, infant (per 1,000 live births). Data.The World Bank, 2023 [cited May 16, 2023]. Available from: https://data.worldbank.org/indicator/SP.DYN.IMRT.IN

  10. Fondo de Población de las Naciones Unidas. El Estado de las Parterasen el Mundo 2014. Hacia el acceso universal a la salud, un derecho de lamujer. New York: UNFPA, 2014, 01-228 [cited Mar 18, 2023]. Availablefrom: https://www.unfpa.org/es/publications/el-estado-de-las-parteras-enel-mundo-2014

  11. Segal L, Leach MJ. An evidence-based health workforce model forprimary and community care. Implement Sci. 2011;6(1). https://doi.org/10.1186/1748-5908-6-93

  12. Secretaría de Salud. Gobierno de México. Datos abiertos: Nacimientos.Mexico: Dirección General de Información en Salud, 2020 [cited Jun 25,2023]. Available from: http://www.dgis.salud.gob.mx/contenidos/basesdedatos/da_nacimientos_gobmx.html

  13. Institute of Health Metrics and Evaluation. Health-related SDGs. Prevalenceof child stunting, Global. IHME, 2020 [cited Aug 6, 2022]. Availablefrom: https://vizhub.healthdata.org/sdg/#

  14. Secretaría de Salud. Subsistema de Información sobre Nacimientos(SINAC). Mexico: Dirección General de Información en Salud, 2021 [citedOct 6, 2022]. Available from: http://www.dgis.salud.gob.mx/contenidos/sinais/s_sinac.html

  15. Lazcano-Ponce E, Schiavon R, Uribe-Zúñiga P, Walker D, Suárez-LópezL, Luna-Gordillo R, et al. Cobertura de atención del parto en México: Suinterpretación en el contexto de la mortalidad materna. Salud PublicaMex. 2013;55(suppl 2):S214-24.

  16. World Health Organization. Maternal, Newborn, Child and AdolescentHealth and Ageing. Quality of care for maternal, newborn, child and adolescent health. Geneva: WHO, 2023 [cited May 16, 2023]. Available from:https://www.who.int/teams/maternal-newborn-child-adolescent-healthand-ageing/quality-of-care

  17. Séris M, Fritz J, Montoya A, Lamadrid-Figueroa H. AMBAR: A midwifery-led training program to improve obstetric and neonatal practicesamong low-risk births in Mexico. Birth. 2023;50(1):151-60. https://doi.org/10.1111/birt.12699

  18. Quintas-Cid MC. Pedagogía experiencial o vivencial: el programa Intensivopara jóvenes. RES Rev Educ Soc. 2016;(22):291-301 [cited May 16,2023]. Available from: https://eduso.net/res/wp-content/uploads/2020/06/pedagiaexpereincial_res_22.pdf

  19. Chassin MR, Galvin RW, Quality and the NR on HC. The urgent needto improve health care quality. Institute of Medicine National Roundtableon Health Care Quality. JAMA. 1998;280(11):1000-5. https://doi.org/10.1001/jama.280.11.1000

  20. World Health Organization. Delivering quality health services: aglobal imperative for universal health coverage. Geneva: WHO, 2018[cited May 16, 2023]. Available from: https://www.who.int/publications/i/item/9789241513906

  21. Brüggemann AJ, Wijma B, Swahnberg K. Abuse in health care: Aconcept analysis. Scand J Caring Sci. 2012;26(1):123-32. https://doi.org/10.1111/j.1471-6712.2011.00918.x

  22. Walker DM, Cohen SR, Estrada F, Monterroso ME, Jenny A, Fritz J, etal. PRONTO training for obstetric and neonatal emergencies in Mexico.Int J Gynecol Obstet. 2012;116(2):128-33. https://doi.org/10.1016/j.ijgo.2011.09.021

  23. Heckmair B, Michl W. Erleben und Lernen: Einstieg in die Erlebnispädagogik.Luchterhand, 1998.

  24. Lori JR, Ofosu-Darkwah H, Boyd CJ, Banerjee T, Adanu RMK. Improvinghealth literacy through group antenatal care: A prospective cohort study. BMCPregnancy Childbirth. 2017;17(1). https://doi.org/10.1186/s12884-017-1414-5

  25. Hamman WR. The complexity of team training: What we have learnedfrom aviation and its applications to medicine. BMJ Qual Saf. 2004;13(suppl1):i72-9. http://doi.org/10.1136/qshc.2004.009910

  26. Halamek LP, Kaegi DM, Gaba DM, Sowb YA, Smith BC, Smith BE, et al.Time for a new paradigm in pediatric medical education: Teaching neonatalresuscitation in a simulated delivery room environment. Pediatrics.2000;106(4). https://doi.org/10.1542/peds.106.4.e45

  27. World Health Organization. Midwifery education and care. Geneva:WHO, 2023 [cited May 16, 2023]. Available from: https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/maternalhealth/midwifery

  28. Subsecretaría de Promoción y prevención de la salud. Norma OficialMexicana NOM-007-SSA2-2016, Para la atención de la mujer duranteel embarazo, parto y puerperio, y de la persona recién nacida. Mexico:Secretaría de Salud, 2016 [cited Feb 1, 2022]. Available from: https://www.cndh.org.mx/sites/all/doc/Programas/VIH/Leyes%20y%20normas%20y%20reglamentos/Norma%20Oficial%20Mexicana/NOM-007-SSA2-2016%20Embarazo,%20parto%20y%20puerperio.pdf

  29. Sistema Nacional de Salud. Guía de práctica clínica (GPC). Vigilancia yAtención Amigable en el Trabajo de Parto en Embarazo de Bajo Riesgo.Mexico: CENETEC, 2019 [cited May 16, 2023]. Available from: http://www.cenetec-difusion.com/CMGPC/GPC-IMSS-052-19/ER.pdf

  30. García-Ramírez HJ, Almaguer-González JA, Vargas-Vite V, Pimienta-Luna F. Guía de Implantación. Modelo de atención a las mujeresdurante el embarazo, parto y puerperio. Enfoque humanizado,intercultural y seguro. Mexico: Secretaría de Salud, 2018 [cited May 16,2023]. Available from: https://www.gob.mx/cms/uploads/attachment/file/29343/GuiaImplantacionModeloParto.pdf

  31. Wolfe A. Crossing the quality chasm: A new health care system for the21st century. Washington DC: The National Academies Press, 2001, 233-5.https://doi.org/10.17226/10027

  32. Renfrew MJ, McFadden A, Bastos MH, Campbell J, Amos-ChannonA, Cheung NF, et al. Midwifery and quality care: findings from a newevidence-informed framework for maternal and newborn care. Lancet.2014;384(9948):1129-45. https://doi.org/10.1016/S0140-6736(14)60789-3

  33. Juvinyà-Canal D, Bertran-Noguer C, Suñer-Soler R. Alfabetización parala salud, más que información. Health literacy, more than information. GacSanit 2018;32(1):8-10. https://doi.org/10.1016/j.gaceta.2017.07.005

  34. Stanton C, Armbruster D, Knight R, Ariawan I, Gbangbade S, GetachewA, et al. Use of active management of the third stage of labour in sevendeveloping countries. Bull World Heal Organ. 2009;87(3):207-15. https://doi.org/10.2471/BLT.08.052597

  35. Suzuki S. Effect of early skin-to-skin contact on breast-feeding. JObstet Gynaecol. 2013;33(7):695-6. https://doi.org/10.3109/01443615.2013.819843

  36. Liljestrand J. Episiotomía en el parto vaginal: Comentario de la BSR. LaBiblioteca de Salud Reproductiva de la OMS. Ginebra: Organización Mundialde la Salud. 2003;1(4):11-34 [cited May 16, 2023]. Available from: https://cienciadedatosysalud.org/wp-content/uploads/2019/06/Episiotomia_def_3.pdf

  37. Sartore A, De Seta F, Maso G, Ricci G, Alberico S, Borelli M, et al. Theeffects of uterine fundal pressure (Kristeller maneuver) on pelvic floorfunction after vaginal delivery. Arch Gynecol Obstet. 2012;286(5):1135-9.https://doi.org/10.1007/s00404-012-2444-x

  38. Camacho-Villarreal AL, Pérez-López JC. Revisión de cavidad uterina instrumentadagentil frente a la revisión manual y su relación con la hemorragiaposparto. Enfermería Univ. 2013;10(1):21-6. https://doi.org/10.1016/S1665-7063(13)72624-1

  39. Sesia P. Violencia obstétrica en México: La consolidación disputada deun nuevo paradigma. In: Quattrocchi P, Magnone N. Violencia obstétricaen América Latina: Conceptualización, experiencias, medición yestrategias. Remedios de Escalada: EDUNLa, 2020, 3-29. https://doi.org/10.18294/9789874937506

  40. Vázquez-Mata G, Guillamet-Lloveras A. El entrenamiento basadoen la simulación como innovación imprescindible en laformación médica. Educ med. 2009;12(3):149-55 [cited May 16,2023]. Available from: https://scielo.isciii.es/scielo.php?pid=S1575-18132009000400004&script=sci_abstract

  41. Valdez-Santiago R, Arenas-Monreal L, Rojas-Carmona A, Sánchez-Domínguez M. “If we’re here, it’s only because we have no money…”discrimination and violence in Mexican maternity wards. BMC PregnancyChildbirth. 2018;18. https://doi.org/10.1186/s12884-018-1897-8




2020     |     www.medigraphic.com