Propuesta de protocolo de atención materno – neonatal basado en el modelo Esamyn, para el hospital Teófilo Dávila

Abstract

Introduction: Quality maternal-neonatal care is essential to reduce obstetric and neonatal complications, thus improving health outcomes and user satisfaction. This project proposes the implementation of a specific protocol based on the ESAMYN model for the Teófilo Dávila Hospital, in order to standardise and optimise care processes through humanisation, clinical safety and cultural integration in the stages of prenatal care, delivery and immediate and immediate postpartum. Methodology: The methodology used consisted of a systematic review of current ESAMYN regulations, articulating their main components with specific hospital care actions. A proposal structured in clearly defined phases was elaborated, identifying specific responsibilities of healthcare personnel, as well as key indicators to evaluate the impact on the quality of care. Results: As a result, a comprehensive protocol was obtained that includes practices such as prenatal education, preventive screening, humanised care during delivery (accompaniment, free mobilisation, cultural respect), immediate skin-to-skin contact, early breastfeeding, reduction of unnecessary invasive procedures, and permanent monitoring through internal audits and satisfaction evaluations. Conclusion: It is concluded that the adoption of the protocol based on the ESAMYN model will allow the Teófilo Dávila Hospital to improve the technical and human quality of maternal-neonatal care, thus strengthening health outcomes, reducing obstetric risks and increasing user satisfaction. To achieve this, continuous staff training, adequate resource allocation and constant monitoring of processes through clear and defined indicators are essential to ensure the sustainability and effectiveness of the proposed protocol."