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Federación Mexicana de Ginecología y Obstetricia, A.C.

2014, Número 10

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Ginecol Obstet Mex 2014; 82 (10)


Causas de demora en la atención de pacientes con complicaciones obstétricas ¿qué es necesario atender?

Rodríguez-Angulo E, Palma-Solís M, Zapata-Vázquez R

Idioma: Español
Referencias bibliográficas: 57
Paginas: 647-658
Archivo PDF: 373.44 Kb.


RESUMEN

Antecedentes: las muertes maternas se originan por diferentes causas y una de ellas es la demora en la atención.
Objetivo: construir un marco de análisis que permita identificar los factores no abordados en la investigación, en la búsqueda de un modelo preventivo del riesgo materno.
Material y método: estudio retrospectivo efectuado con base en la búsqueda de artículos y revisiones en cuatro bases de datos (Pubmed, EBSCO, Web of Science y Google Scholar) para identificar referencias relacionadas con la demora en la atención de pacientes que tuvo como consecuencia la muerte de la madre.
Resultados: se analizaron tres clases de demora: 1) en la búsqueda de ayuda, 2) en alcanzar la ayuda y 3) en el diagnóstico y tratamiento. Las principales causas de la primera demora fueron: la falta de decisión en buscar ayuda al momento de la complicación (79%) y no reconocer los signos de alarma de la complicación (82.1%). La segunda demora se debió, principalmente, a la falta de transporte (92.3%) al momento del traslado a otro hospital. La tercera demora se relacionó con la baja calidad del cuidado en los servicios de salud (63%).
Conclusiones: hacen falta intervenciones educativas que integren el conocimiento de los signos de alarma con las condiciones de género, adaptadas a cada contexto.


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