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Instituto Nacional de Perinatología
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2006, Number 4

Perinatol Reprod Hum 2006; 20 (4)

Obstetric urgency and people’s knowledge in Tenejapa, Chiapas

Freyermuth-Enciso G, Villalobos-Vázquez I, Argüello H, Torre C
Full text How to cite this article

Language: Spanish
References: 10
Page: 60-68
PDF size: 104.04 Kb.


Key words:

Maternal mortality, obstetric urgency, Chiapas, knowledge, indigenous.

ABSTRACT

Objective: To establish the degree of awareness among the population who are old enough to have children regarding the signs and symptoms of obstetric urgency in an indigenous community. Another objective was to find out about the health care options chosen by the population in the event of a complication during pregnancy.
Material and method: It was carried out a sampling for conglomerates in towns of the county of Tenejapa, Chiapas. In the four selected towns a census was applied to know the number of men and women in reproductive age. The selection of informants, to those that were applied the survey, was carried out through aleatory numbers. Besides including in the survey questions in those that the knowledge were investigated on the signs and symptoms of obstetric urgency, one investigates that is on those significant considered variables in the practices of interest: age, sex, education, children’s number, knowledge of Spanish language, use of health services and the regularity with the people listen the radio.
Results: We interviewed to 417 people, with a rate of non answer of 13%.The research shows that an important part of population (50%) doesn’t recognize the signs of an obstetric urgency. It also shows that despite the fact that intention to access health care services is high, many people don’t do it. It is also acknow-ledged that midwives continue to have a very important role during maternal care. Professional health care is not available in this municipality or it is a long distance away. Therefore, attention of obstetric urgency should be given priority status.


REFERENCES

  1. World Health Organization. Making pregnancy Safer: the critical role of the skilled attendant. Department of reproductive Health and Research. Geneve: 2004.

  2. World Health Organization. Global Action for Skilled Attendants for Pregnant Women. Family and Community Health, Department of reproductive Health and Research. Geneve: 2004. Disponible en: www.who.int/reproductivehealth/publications/global_action_for_skilled_attendants.

  3. AMDD, UNFPA. Para comprender las causas de las defunciones maternas. Módulo. Sistema de Aprendizaje a Distancia sobre Cuestiones de Población; 2002.

  4. OMS. Nuevo Modelo de Control Prenatal de la OMS. Grupo de Investigación del estudio de Control Prenatal de la OMS, Ginebra: 2003. Disponible en: www.who.int/reproductive-health/publications/rhr_01_30_sp/RHR_01_30_4.sp.html

  5. Carrolli G. Elementos del Paquete de Control Prenatal de la OMS, Diálogo de Expertos en Salud Materna y Perinatal. Organizado por Arranque Parejo en la Vida y Population Council, 3-5 de abril 2005.

  6. Freyermuth G. Realidad y disimulo. Complicaciones e indiferencia social en Chiapas frente a la muerte femenina, presentada en el Seminario Permanente de Antropología Médica en Chiapas, CIESAS-SURESTE, San Cristóbal de las Casas, Chiapas, 28 de enero de 2006.

  7. ISECH. Mortalidad Materna. Perfil epidemiológico, Vida Mejor, Arranque Parejo en la Vida, 2004.

  8. Alonso C, Arguello H, Freyermuth G, Enciso. Red Social contra la Muerte Materna en Chiapas (RED SOCIAL), “Recomendaciones a partir del estudio de la Línea de Base en Tenejapa. Foro Nacional de Mujeres y Políticas de Población, ACAS, A.C. 2004. Carpeta.

  9. Freyermuth G, et al. Maternidad Peligrosa. Evaluación de la Urgencia Obstétrica de Emergencia en los Altos de Chiapas. San Cristóbal de Las Casas CIESAS, INDESOL y Foro Nacional de Mujeres y Políticas de Población, 2004.

  10. ISECH. Mortalidad Materna. Perfil epidemiológico, Vida Mejor, Arranque Parejo en la Vida, 2004.




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CÓMO CITAR (Vancouver)

Perinatol Reprod Hum. 2006;20