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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

URIBE T., Claudia et al. Modelo de asistencia integral del parto: Concepto de integralidad basado en la calidad y seguridad. Rev. chil. obstet. ginecol. [online]. 2018, vol.83, n.3, pp.266-276. ISSN 0048-766X.  http://dx.doi.org/10.4067/s0717-75262018000300266.

Introduction:

Worldwide there is a need to reduce the use of excessive technology during childbirth. Consequently, there is an interest to develop respectful and personalized models of care. Chile has one of the highest C-section rates in the region, many of which are not needed. A FONDEF project developed and tested a comprehensive health care model in childbirth (MASIP), considering active participation of women and families and less unneeded clinical interventions.

Objective:

to evaluate the effectiveness of MASIP in comparison with standard care.

Methods:

a randomized controlled experiment was conducted in one public hospital in Santiago Chile. Two arms were compared: MASIP vs. standard care. Low obstetric risk women were included. Variables of interest included quality and safety measures.

Results:

MASIP had better quality results, such as maternal wellbeing and less clinical interventions. During the study c-section was lower in both arms in comparison to a historical record of the same population. Safety outcomes were similar in both arms.

Conclusion:

MASIP is as safe as the standard care but it has better quality of care. Interventions to improve users’ satisfaction and experience should consider the components of MASIP.

Palabras clave : Childbirth; comprehensive health care; maternity safety; quality care; maternal wellbeing; delivery rooms.

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