Evaluación de las estrategias para la reducción de la tasa de cesáreas.

Overall, cesarean section rates have increased substantially over the years. In the United States, for example, there was an increase from just over 20% in 1996 to almost 33% in 2011. In Brazil, the situation was even more critical, with an increase from 40% to nearly 55% in the same period. However...

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Detalles Bibliográficos
Autor Principal: Torres Garrido, Diego Arath (author)
Outros autores: Villa Alarcón, Alex Fabricio (author)
Formato: bachelorThesis
Idioma:spa
Publicado: 2024
Subjects:
Acceso en liña:http://dspace.unach.edu.ec/handle/51000/13393
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Summary:Overall, cesarean section rates have increased substantially over the years. In the United States, for example, there was an increase from just over 20% in 1996 to almost 33% in 2011. In Brazil, the situation was even more critical, with an increase from 40% to nearly 55% in the same period. However, considering only the private health system, the values exceed 80%. Unnecessary cesarean sections may entail additional risks and complications for the mother, such as infections, hemorrhages, thrombosis, and damage to internal organs, as well as affect the postpartum recovery process. An extensive literature review has made it possible to evaluate the strategies implemented to reduce the cesarean section rate. The studies analyzed highlight that the implementation of strategies focused on the training of medical personnel, together with the improvement of technological and environmental resources, has proven to be effective in reducing the cesarean section rate and its associated complications. Research in Burundi and the Democratic Republic of Congo has shown that improved infrastructure and training positively impact safe delivery. Research indicates that interventions encouraging women's participation in childbirth and improving communication and support during childbirth lead to greater patient satisfaction. Studies in countries such as Iran and Australia have shown that physiological childbirth programs and educational strategiesfor patients and medicalstaff create a positive and empowering environment for women. In addition, research emphasizesthe need for a comprehensive approach that includes academic, technological, infrastructural, and health policy elements to improve childbirth care. Finally, effective implementation of staff education and training strategies, facility design improvements, and technologies such as free ultrasounds can transform obstetric care in Ecuador.