Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay

Autores
Karolinski, Ariel Pedro; Mazzoni, Agustina; Belizan, Jose; Althabe, Fernando; Bergel, Eduardo; Buekens, Pierre
Año de publicación
2010
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
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.
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
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
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Bergel, Eduardo. Organizacion Mundial de la Salud; Argentina
Fil: Buekens, Pierre. University of Tulane; Estados Unidos
Materia
AUDIT OF CLINICAL PRACTICE
EVIDENCE-BASED MEDICINE
MATERNAL MORTALITY
OBSTETRIC EMERGENCIES
PHYSICIAN'S PRACTICE PATTERNS
PROCESS EVALUATION (HEALTH CARE)
QUALITY OF HEALTH CARE
UTILIZATION REVIEW
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/189763
Acceder
id CONICETDig_8419d9ea8ca6fabe3b5ca77d5502fee4
oai_identifier_str oai:ri.conicet.gov.ar:11336/189763
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and UruguayKarolinski, Ariel PedroMazzoni, AgustinaBelizan, JoseAlthabe, FernandoBergel, EduardoBuekens, PierreAUDIT OF CLINICAL PRACTICEEVIDENCE-BASED MEDICINEMATERNAL MORTALITYOBSTETRIC EMERGENCIESPHYSICIAN'S PRACTICE PATTERNSPROCESS EVALUATION (HEALTH CARE)QUALITY OF HEALTH CAREUTILIZATION REVIEWhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective: 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.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; ArgentinaFil: Mazzoni, Agustina. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Bergel, Eduardo. Organizacion Mundial de la Salud; ArgentinaFil: Buekens, Pierre. University of Tulane; Estados UnidosElsevier Ireland2010-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/189763Karolinski, 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; 175-1800020-7292CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/full/10.1016/j.ijgo.2010.05.002info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ijgo.2010.05.002info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T15:11:20Zoai:ri.conicet.gov.ar:11336/189763instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 15:11:20.781CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
title Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
spellingShingle Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
Karolinski, Ariel Pedro
AUDIT OF CLINICAL PRACTICE
EVIDENCE-BASED MEDICINE
MATERNAL MORTALITY
OBSTETRIC EMERGENCIES
PHYSICIAN'S PRACTICE PATTERNS
PROCESS EVALUATION (HEALTH CARE)
QUALITY OF HEALTH CARE
UTILIZATION REVIEW
title_short Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
title_full Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
title_fullStr Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
title_full_unstemmed Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
title_sort Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
dc.creator.none.fl_str_mv Karolinski, Ariel Pedro
Mazzoni, Agustina
Belizan, Jose
Althabe, Fernando
Bergel, Eduardo
Buekens, Pierre
author Karolinski, Ariel Pedro
author_facet Karolinski, Ariel Pedro
Mazzoni, Agustina
Belizan, Jose
Althabe, Fernando
Bergel, Eduardo
Buekens, Pierre
author_role author
author2 Mazzoni, Agustina
Belizan, Jose
Althabe, Fernando
Bergel, Eduardo
Buekens, Pierre
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv AUDIT OF CLINICAL PRACTICE
EVIDENCE-BASED MEDICINE
MATERNAL MORTALITY
OBSTETRIC EMERGENCIES
PHYSICIAN'S PRACTICE PATTERNS
PROCESS EVALUATION (HEALTH CARE)
QUALITY OF HEALTH CARE
UTILIZATION REVIEW
topic AUDIT OF CLINICAL PRACTICE
EVIDENCE-BASED MEDICINE
MATERNAL MORTALITY
OBSTETRIC EMERGENCIES
PHYSICIAN'S PRACTICE PATTERNS
PROCESS EVALUATION (HEALTH CARE)
QUALITY OF HEALTH CARE
UTILIZATION REVIEW
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv 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.
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
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
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Bergel, Eduardo. Organizacion Mundial de la Salud; Argentina
Fil: Buekens, Pierre. University of Tulane; Estados Unidos
description 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.
publishDate 2010
dc.date.none.fl_str_mv 2010-08
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/189763
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
0020-7292
CONICET Digital
CONICET
url http://hdl.handle.net/11336/189763
identifier_str_mv 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
0020-7292
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/full/10.1016/j.ijgo.2010.05.002
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ijgo.2010.05.002
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier Ireland
publisher.none.fl_str_mv Elsevier Ireland
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1846083261233627136
score 13.22299

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