2014, Number 3
Influence of the maternal and child health program on the health of pregnant women and infants in 'Salvador Allende' polyclinic
Language: Spanish
References: 12
Page: 364-371
PDF size: 93.32 Kb.
ABSTRACT
Introduction: primary healthcare includes the systematic, methodical follow-up of pregnant women and newborns.Objectives: characterize the nutritional status of pregnant women and their infants, maternal and child factors influencing infant growth, and the application of the maternal and child health program by family doctors and nurses.
Methods: an observational longitudinal study was conducted to characterize the nutritional status of pregnant women and their infants cared for by family doctors from recruitment to the first year of life, and the possible factors affecting their development.
Results: the group was composed of 55 pregnant women and their infants. Age range was 18-35 years, and 94.5% had a high educational level. 56.3% of the mothers had nutritional disorders or chronic diseases. Body mass index at the start of pregnancy was normal in 63%, whereas weight gain until the end of pregnancy was adequate in 56%. 89% of the deliveries occurred after 37 weeks of pregnancy. Birth weight was adequate except for 3 children: one by excess: 4 800 g (41 weeks) of an obese mother, and two by defect: 1 970 g (36 weeks) of an obese hypertensive mother and 2 450 g (36 weeks) from a twin pregnancy.
Conclusions: weight gain and weaning are adequate. Prematurity was a common factor in the two low weight cases. The program has had excellent results.
REFERENCES
Sierra Pérez D, Muñiz Roque AM, Gandul Salabarría L, Pérez Charbonier C, Barceló Montiel Z, Fernández Corona BG, et al. Programa del Médico y Enfermera de la Familia [Internet]. La Habana: Editora Ministerio de Salud Pública; 2010. [citado 16 sept. 2013]. Disponible en: http://www.bvs.sld.cu/libros/programa_med_enf_familia/programa_med_enf_com pleto.pdf
Pérez Guirado NM, Presno Labrador C, Sarmiento Brooks G. El recién nacido de bajo peso: Algunas consideraciones epidemiológicas. Rev Cub Med Gen Integr [Internet]. 2005 Dic [citado 08 marz 2013];21(5-6). Disponible en: http://www.scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 21252005000500012&lng=es
Chao SM, Donatoni G, Bemis C, Donovan K, Harding C, Davenport D, et al. Integrated Approaches to Improve Birth Outcomes: Perinatal Periods of Risk, Infant Mortality Review, and the Los Angeles Mommy and Baby Project. Matern Child Health J [Internet]. 2010[citado 16 sept 2013];14(6):827–37. Available from: http://www.link.springer.com/article/10.1007/s10995-010-0627-2/fulltext.html
Matos Matos S, Rodríguez Ferrá R, Félix R, Santana Suárez FR, Sosa Uria D. Repercusión de la malnutrición materna por defecto en el embarazo, el parto y el recién nacido. Rev Cub Med Gen Integr [Internet]. 1997 [citado 08 marz 2013];13(6):566-7. Disponible en: http://www.bvs.sld.cu/revistas/mgi/vol13_6_97/mgi08697.htm