Year: 2023
Type: conference-abstract
Abstract: The National Strategy of Maternity Homes of Nicaragua has a refuge approach for low-risk pregnant and postpartum women with a high commitment from the community network and the Ministry of Health, has been one of the main point in the improvement of access to care for the institutional labour and contribute in the reduction of maternal and perinatal morbidity and mortality. The department of Matagalpa, located in the centre of Nicaragua, has 14 municipalities, with a population of 682,949 inhabitants, 61% rural, and a census of 228,094 women over 15 years of age. In the year 2023 are expected 18,394 pregnancies and 16,571 livebirths. There is a total of 19th Maternity Homes, with 362 available beds. The strategy is led by the direction of Local System of Health Care, they work to monitor the maternity home indicators: daily occupancy rate, number of postpartum pregnant women and mothers with kangaroo neonates admitted. At the municipal level, each municipal director, with the municipal governments, are responsible for guaranteeing the operation and processes of the maternity home. The Family and Community Health team (ESAFC) with the community network, especially the midwives, carry out the processes of promotion and accompaniment to the women for their transfer to the maternity home in their municipality. The care process for a woman at the maternity home begins with a clinical assessment, updated tests, and follow through to the end of her pregnancy. The pregnant women make training sessions, daily activities, and handicrafts. There is a presence of health personnel 24 hours a day, to ensure safety, comfort and preparation for childbirth. The success of the strategy is measured by: the discharges per year, from 1,434 in the year 2000 and 13,515 in 2022, the occurrence of 36 home births in 2007 to 1 in 2022, the impact on the reduction of the neonatal mortality rate from 13 in 2013 to 4.3 in 2022 and from 33 maternal deaths in 1999 to zero maternal deaths in 2022.
DOI: 10.1002/uog.26657
Author: N. J. Pavón Gómez
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4387263172