A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016

Autores
Harrison, Margo S.; Saleem, Sarah; Ali, Sumera; Pasha, Omrana; Chomba, Elwyn; Carlo, Waldemar A.; Garces, Ana L.; Krebs, Nancy F.; Hambidge, K. Michael; Goudar, Shivaprasad S.; Dhaded, S.M.; Kodkany, Bhala; Derman, Richard J.; Patel, Archana; Hibberd, Patricia L.; Esamai, Fabian; Liechty, Edward A.; Tshefu, Antoinette; Lokangaka, Adrien; Bauserman, Melissa; Bose, Carl L.; Althabe, Fernando; Belizan, Jose; Buekens, Pierre; Moore, Janet L.; Wallace, Dennis D.; Miodovnik, Menachem; Koso-Thomas, Marion; McClure, Elizabeth M.; Goldenberg, Robert L.
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.
Fil: Harrison, Margo S.. University of Colorado; Estados Unidos
Fil: Saleem, Sarah. Aga Khan University; Pakistán
Fil: Ali, Sumera. Aga Khan University; Pakistán
Fil: Pasha, Omrana. Aga Khan University; Pakistán
Fil: Chomba, Elwyn. University of Zambia; Zambia
Fil: Carlo, Waldemar A.. University of Alabama at Birmingahm; Estados Unidos
Fil: Garces, Ana L.. Instituto de Nutrición de Centroamérica y Panamá; Guatemala
Fil: Krebs, Nancy F.. University of Colorado; Estados Unidos
Fil: Hambidge, K. Michael. University of Colorado; Estados Unidos
Fil: Goudar, Shivaprasad S.. Jawaharlal Nehru Medical College Belgaum; India
Fil: Dhaded, S.M.. Jawaharlal Nehru Medical College Belgaum; India
Fil: Kodkany, Bhala. Jawaharlal Nehru Medical College Belgaum; India
Fil: Derman, Richard J.. Thomas Jefferson University; Estados Unidos
Fil: Patel, Archana. Lata Medical Research Foundation; India
Fil: Hibberd, Patricia L.. Boston University; Estados Unidos
Fil: Esamai, Fabian. Moi University; Kenia
Fil: Liechty, Edward A.. Indiana University; Estados Unidos
Fil: Tshefu, Antoinette. No especifíca;
Fil: Lokangaka, Adrien. No especifíca;
Fil: Bauserman, Melissa. North Carolina State University; Estados Unidos
Fil: Bose, Carl L.. North Carolina State University; Estados Unidos
Fil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Buekens, Pierre. University of Tulane; Estados Unidos
Fil: Moore, Janet L.. No especifíca;
Fil: Wallace, Dennis D.. No especifíca;
Fil: Miodovnik, Menachem. National Instituto of Child Health & Human Development; Estados Unidos
Fil: Koso-Thomas, Marion. National Instituto of Child Health & Human Development; Estados Unidos
Fil: McClure, Elizabeth M.. No especifíca;
Fil: Goldenberg, Robert L.. Columbia University; Estados Unidos
Materia
CESAREAN DELIVERY
FACILITY-BASED DELIVERY
LOW- AND MIDDLE-INCOME COUNTRIES
MODE OF DELIVERY
OPERATIVE VAGINAL DELIVERY
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/148137
Acceder
id CONICETDig_ffbc18bf19dc9b3a52703f54f29effcc
oai_identifier_str oai:ri.conicet.gov.ar:11336/148137
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016Harrison, Margo S.Saleem, SarahAli, SumeraPasha, OmranaChomba, ElwynCarlo, Waldemar A.Garces, Ana L.Krebs, Nancy F.Hambidge, K. MichaelGoudar, Shivaprasad S.Dhaded, S.M.Kodkany, BhalaDerman, Richard J.Patel, ArchanaHibberd, Patricia L.Esamai, FabianLiechty, Edward A.Tshefu, AntoinetteLokangaka, AdrienBauserman, MelissaBose, Carl L.Althabe, FernandoBelizan, JoseBuekens, PierreMoore, Janet L.Wallace, Dennis D.Miodovnik, MenachemKoso-Thomas, MarionMcClure, Elizabeth M.Goldenberg, Robert L.CESAREAN DELIVERYFACILITY-BASED DELIVERYLOW- AND MIDDLE-INCOME COUNTRIESMODE OF DELIVERYOPERATIVE VAGINAL DELIVERYhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.Fil: Harrison, Margo S.. University of Colorado; Estados UnidosFil: Saleem, Sarah. Aga Khan University; PakistánFil: Ali, Sumera. Aga Khan University; PakistánFil: Pasha, Omrana. Aga Khan University; PakistánFil: Chomba, Elwyn. University of Zambia; ZambiaFil: Carlo, Waldemar A.. University of Alabama at Birmingahm; Estados UnidosFil: Garces, Ana L.. Instituto de Nutrición de Centroamérica y Panamá; GuatemalaFil: Krebs, Nancy F.. University of Colorado; Estados UnidosFil: Hambidge, K. Michael. University of Colorado; Estados UnidosFil: Goudar, Shivaprasad S.. Jawaharlal Nehru Medical College Belgaum; IndiaFil: Dhaded, S.M.. Jawaharlal Nehru Medical College Belgaum; IndiaFil: Kodkany, Bhala. Jawaharlal Nehru Medical College Belgaum; IndiaFil: Derman, Richard J.. Thomas Jefferson University; Estados UnidosFil: Patel, Archana. Lata Medical Research Foundation; IndiaFil: Hibberd, Patricia L.. Boston University; Estados UnidosFil: Esamai, Fabian. Moi University; KeniaFil: Liechty, Edward A.. Indiana University; Estados UnidosFil: Tshefu, Antoinette. No especifíca;Fil: Lokangaka, Adrien. No especifíca;Fil: Bauserman, Melissa. North Carolina State University; Estados UnidosFil: Bose, Carl L.. North Carolina State University; Estados UnidosFil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Buekens, Pierre. University of Tulane; Estados UnidosFil: Moore, Janet L.. No especifíca;Fil: Wallace, Dennis D.. No especifíca;Fil: Miodovnik, Menachem. National Instituto of Child Health & Human Development; Estados UnidosFil: Koso-Thomas, Marion. National Instituto of Child Health & Human Development; Estados UnidosFil: McClure, Elizabeth M.. No especifíca;Fil: Goldenberg, Robert L.. Columbia University; Estados UnidosThieme Medical Publ Inc2019-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/148137Harrison, Margo S.; Saleem, Sarah; Ali, Sumera; Pasha, Omrana; Chomba, Elwyn; et al.; A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016; Thieme Medical Publ Inc; American Journal of Perinatology; 36; 7; 6-2019; 730-7360735-1631CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1055/s-0038-1673656info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:04:22Zoai:ri.conicet.gov.ar:11336/148137instacron: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:34982025-09-29 10:04:22.579CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016
title A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016
spellingShingle A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016
Harrison, Margo S.
CESAREAN DELIVERY
FACILITY-BASED DELIVERY
LOW- AND MIDDLE-INCOME COUNTRIES
MODE OF DELIVERY
OPERATIVE VAGINAL DELIVERY
title_short A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016
title_full A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016
title_fullStr A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016
title_full_unstemmed A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016
title_sort A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016
dc.creator.none.fl_str_mv Harrison, Margo S.
Saleem, Sarah
Ali, Sumera
Pasha, Omrana
Chomba, Elwyn
Carlo, Waldemar A.
Garces, Ana L.
Krebs, Nancy F.
Hambidge, K. Michael
Goudar, Shivaprasad S.
Dhaded, S.M.
Kodkany, Bhala
Derman, Richard J.
Patel, Archana
Hibberd, Patricia L.
Esamai, Fabian
Liechty, Edward A.
Tshefu, Antoinette
Lokangaka, Adrien
Bauserman, Melissa
Bose, Carl L.
Althabe, Fernando
Belizan, Jose
Buekens, Pierre
Moore, Janet L.
Wallace, Dennis D.
Miodovnik, Menachem
Koso-Thomas, Marion
McClure, Elizabeth M.
Goldenberg, Robert L.
author Harrison, Margo S.
author_facet Harrison, Margo S.
Saleem, Sarah
Ali, Sumera
Pasha, Omrana
Chomba, Elwyn
Carlo, Waldemar A.
Garces, Ana L.
Krebs, Nancy F.
Hambidge, K. Michael
Goudar, Shivaprasad S.
Dhaded, S.M.
Kodkany, Bhala
Derman, Richard J.
Patel, Archana
Hibberd, Patricia L.
Esamai, Fabian
Liechty, Edward A.
Tshefu, Antoinette
Lokangaka, Adrien
Bauserman, Melissa
Bose, Carl L.
Althabe, Fernando
Belizan, Jose
Buekens, Pierre
Moore, Janet L.
Wallace, Dennis D.
Miodovnik, Menachem
Koso-Thomas, Marion
McClure, Elizabeth M.
Goldenberg, Robert L.
author_role author
author2 Saleem, Sarah
Ali, Sumera
Pasha, Omrana
Chomba, Elwyn
Carlo, Waldemar A.
Garces, Ana L.
Krebs, Nancy F.
Hambidge, K. Michael
Goudar, Shivaprasad S.
Dhaded, S.M.
Kodkany, Bhala
Derman, Richard J.
Patel, Archana
Hibberd, Patricia L.
Esamai, Fabian
Liechty, Edward A.
Tshefu, Antoinette
Lokangaka, Adrien
Bauserman, Melissa
Bose, Carl L.
Althabe, Fernando
Belizan, Jose
Buekens, Pierre
Moore, Janet L.
Wallace, Dennis D.
Miodovnik, Menachem
Koso-Thomas, Marion
McClure, Elizabeth M.
Goldenberg, Robert L.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv CESAREAN DELIVERY
FACILITY-BASED DELIVERY
LOW- AND MIDDLE-INCOME COUNTRIES
MODE OF DELIVERY
OPERATIVE VAGINAL DELIVERY
topic CESAREAN DELIVERY
FACILITY-BASED DELIVERY
LOW- AND MIDDLE-INCOME COUNTRIES
MODE OF DELIVERY
OPERATIVE VAGINAL DELIVERY
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 Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.
Fil: Harrison, Margo S.. University of Colorado; Estados Unidos
Fil: Saleem, Sarah. Aga Khan University; Pakistán
Fil: Ali, Sumera. Aga Khan University; Pakistán
Fil: Pasha, Omrana. Aga Khan University; Pakistán
Fil: Chomba, Elwyn. University of Zambia; Zambia
Fil: Carlo, Waldemar A.. University of Alabama at Birmingahm; Estados Unidos
Fil: Garces, Ana L.. Instituto de Nutrición de Centroamérica y Panamá; Guatemala
Fil: Krebs, Nancy F.. University of Colorado; Estados Unidos
Fil: Hambidge, K. Michael. University of Colorado; Estados Unidos
Fil: Goudar, Shivaprasad S.. Jawaharlal Nehru Medical College Belgaum; India
Fil: Dhaded, S.M.. Jawaharlal Nehru Medical College Belgaum; India
Fil: Kodkany, Bhala. Jawaharlal Nehru Medical College Belgaum; India
Fil: Derman, Richard J.. Thomas Jefferson University; Estados Unidos
Fil: Patel, Archana. Lata Medical Research Foundation; India
Fil: Hibberd, Patricia L.. Boston University; Estados Unidos
Fil: Esamai, Fabian. Moi University; Kenia
Fil: Liechty, Edward A.. Indiana University; Estados Unidos
Fil: Tshefu, Antoinette. No especifíca;
Fil: Lokangaka, Adrien. No especifíca;
Fil: Bauserman, Melissa. North Carolina State University; Estados Unidos
Fil: Bose, Carl L.. North Carolina State University; Estados Unidos
Fil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Buekens, Pierre. University of Tulane; Estados Unidos
Fil: Moore, Janet L.. No especifíca;
Fil: Wallace, Dennis D.. No especifíca;
Fil: Miodovnik, Menachem. National Instituto of Child Health & Human Development; Estados Unidos
Fil: Koso-Thomas, Marion. National Instituto of Child Health & Human Development; Estados Unidos
Fil: McClure, Elizabeth M.. No especifíca;
Fil: Goldenberg, Robert L.. Columbia University; Estados Unidos
description Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.
publishDate 2019
dc.date.none.fl_str_mv 2019-06
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/11336/148137
Harrison, Margo S.; Saleem, Sarah; Ali, Sumera; Pasha, Omrana; Chomba, Elwyn; et al.; A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016; Thieme Medical Publ Inc; American Journal of Perinatology; 36; 7; 6-2019; 730-736
0735-1631
CONICET Digital
CONICET
url http://hdl.handle.net/11336/148137
identifier_str_mv Harrison, Margo S.; Saleem, Sarah; Ali, Sumera; Pasha, Omrana; Chomba, Elwyn; et al.; A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016; Thieme Medical Publ Inc; American Journal of Perinatology; 36; 7; 6-2019; 730-736
0735-1631
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1055/s-0038-1673656
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Thieme Medical Publ Inc
publisher.none.fl_str_mv Thieme Medical Publ Inc
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_ 1844613869165608960
score 13.070432

Publicaciones similares