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Revista chilena de obstetricia y ginecología

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


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.


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.


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


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.


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.


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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