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dc.contributor.author
Karolinski, Ariel Pedro
dc.contributor.author
Mazzoni, Agustina
dc.contributor.author
Belizan, Jose
dc.contributor.author
Althabe, Fernando
dc.contributor.author
Bergel, Eduardo
dc.contributor.author
Buekens, Pierre
dc.date.available
2023-03-07T11:18:55Z
dc.date.issued
2010-08
dc.identifier.citation
Karolinski, Ariel Pedro; Mazzoni, Agustina; Belizan, Jose; Althabe, Fernando; Bergel, Eduardo; et al.; Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay; Elsevier Ireland; International Journal of Gynecology Obstetrics; 110; 2; 8-2010; 175-180
dc.identifier.issn
0020-7292
dc.identifier.uri
http://hdl.handle.net/11336/189763
dc.description.abstract
Objective: To review the use of evidence-based practices in the care of mothers who died or had severe morbidity attending public hospitals in two Latin American countries. Methods: This study is part of a multicenter intervention to increase the use of evidence-based obstetric practice. Data on maternal deaths and women admitted to intensive care units whose deliveries occurred in 24 hospitals in Argentina and Uruguay were analyzed. Primary outcomes were use rates of effective interventions to reduce maternal mortality (MM) and severe maternal morbidity (SMM). Results: A total of 106 women were included: 26 maternal deaths and 80 women with SMM. Some effective interventions for severe acute hemorrhage had a high use rate, such as blood transfusion (91%) and timely cesarean delivery (75%), while active management of the third stage of labor (25%) showed a lower rate. The overall use rate of effective interventions was 58% (95% CI, 49%-67%). This implies that 42% of the women did not receive one of the effective interventions to reduce MM and SMM. Conclusion: This study shows a low use of effective interventions to reduce MM and SMM in public hospitals in Argentina and Uruguay. Dissemination and implementation of evidence-based practices must be guaranteed to effectively achieve progress on maternal health.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier Ireland
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.subject
AUDIT OF CLINICAL PRACTICE
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EVIDENCE-BASED MEDICINE
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MATERNAL MORTALITY
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OBSTETRIC EMERGENCIES
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PHYSICIAN'S PRACTICE PATTERNS
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PROCESS EVALUATION (HEALTH CARE)
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QUALITY OF HEALTH CARE
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UTILIZATION REVIEW
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Políticas y Servicios de Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-03-05T15:34:16Z
dc.journal.volume
110
dc.journal.number
2
dc.journal.pagination
175-180
dc.journal.pais
Irlanda
dc.description.fil
Fil: Karolinski, Ariel Pedro. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Mazzoni, Agustina. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Bergel, Eduardo. Organizacion Mundial de la Salud; Argentina
dc.description.fil
Fil: Buekens, Pierre. University of Tulane; Estados Unidos
dc.journal.title
International Journal of Gynecology Obstetrics
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/full/10.1016/j.ijgo.2010.05.002
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.ijgo.2010.05.002
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