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Revista chilena de obstetricia y ginecología

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

Resumen

MENDOZA-CHUCTAYA, Giuston; MONTESINOS-SEGURA, Reneé; AGRAMONTE-VILCA, Mario  y  AGUIRRE-TENORIO, Lillyan. Características y Prevalencia de Partos Domiciliarios en un distrito Rural de la Sierra del Perú, 2015-2016. Rev. chil. obstet. ginecol. [online]. 2018, vol.83, n.4, pp.377-385. ISSN 0048-766X.  http://dx.doi.org/10.4067/s0717-75262018000400377.

Introduction and objectives:

In Perú, Maternal and neonatal mortality rates are increased by the non-institutional births in rural areas. This is why the study's objective was to determine the prevalence and characteristics of non-institutional births in the province of Ocongate, a rural area located in Cusco, in the highland of Peru, 2015-2016

Methods and materials:

An observational case-control study was conducted, which included 46 cases of noninstitutional births and 100 controls of institutional births between 2015 and 2016. Gynecological, Obstetric and sociodemographic characteristics are described and analyzed by a bivariate analysis, which was performed with chi square statistical test calculating the Odds Ratio and 95% confidence intervals (95% CI) with Multiple Logistic Regression.

Results:

Forty-nine (8.7%) of the total registered deliveries were non-institutional births. The average age was 25.3 ± 6.4 years. In the multivariate analysis, it was found that: not having any prenatal control [OR = 12.2; 95% CI 4.6-64.9]; having a history of home birth [OR = 4.5; 95% CI 1.01-20.5]; living at a distance of> 90 minutes [OR = 3.2; 95% CI 1.08-10.2]; and having a late uptake of a pregnant woman, are all risk factors for having a noninstitutional birth.

Conclusions:

The majority of women who had non-institutional births was negatively affected by the late pregnancy uptake, a longer travel time to the nearest health center, a previous non-institutional birth and no prenatal control. It is necessary to design strategies to reduce non-institutional births in rural areas of Perú.

Palabras clave : Maternal death; Rural Health; Accessibility to Health Services.

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