Atención obstétrica en entornos de recursos limitados para reducir la mortalidad materno infantil en el Ecuador

Abstract

Maternal health worldwide is deteriorating due to multiple factors, this occurs mainly in poor countries which represents a problem in the development of a country, an example is the maternal and infant mortality rate which is at very high values in some parts of the world, within the factors that are linked to this problem is the lack of access to health and limited resources that some communities have. In Ecuador, the main factor of maternal deaths is the lack of attention to labor and birth at home, which usually occurs in several places by non-professional personnel who perform health work, either due to cultural factors or due to the lack of trained human resources. Maternal mortality is equivalent to the inequality that exists between countries and their internal sectors. The most frequent complications during pregnancy, childbirth and puerperium are hypertensive disorders, hemorrhage and infections; their frequency varies from one country to another and the lack of timely care increases the risk of maternal and infant mortality. Among the interventions proposed in Ecuador are prenatal care, which is essential during pregnancy because it allows the identification of obstetric risk cases; another intervention is the implementation of the Breast Score and the Esamyn regulations, which focus on humanized care and childbirth according to the culture of each region