BENEFITS AND DIFFICULTIES OF OBSTETRIC PSYCHOPROPHYLAXIS IN PREGNANT WOMEN, GUAYAS -ECUADOR

Vicky Narea Morales; Jorge Daher Nader; Katherine Rodriguez; Yesica Pazmiño Mera; Cecilia Herrera Martínez

doi:10.29121/granthaalayah.v8.i2.2020.176

Authors

Obsta Vicky Narea Morales MSc Teachers of The Career of Obstetrics of The Faculty of Medical Sciences of The University of Guayaquil-Ecuador
Dr. Jorge Daher Nader MSc Teachers of The Career of Obstetrics of The Faculty of Medical Sciences of The University of Guayaquil-Ecuador
Obsta. Katherine Rodriguez Teachers of The Career of Obstetrics of The Faculty of Medical Sciences of The University of Guayaquil-Ecuador
Obsta. Yesica Pazmiño Mera MSc Teachers of The Career of Obstetrics of The Faculty of Medical Sciences of The University of Guayaquil-Ecuador
Obsta. Cecilia Herrera Martínez MSc Teachers of The Career of Obstetrics of The Faculty of Medical Sciences of The University of Guayaquil-Ecuador

DOI:

https://doi.org/10.29121/granthaalayah.v8.i2.2020.176

Keywords:

Psychoprophylaxis-Obstetrics, Pregnant, Benefits, Difficulties

Abstract [English]

The objective of this research work was to determine the benefits and difficulties of obstetric psychoprophylaxis in pregnant women of the Cerecita Health Center, Guayas - Ecuador from January - December 2017. The study design is non-experimental, cases and controls, retrospective, in the The research methodology used the data collection form and an ad hoc form was prepared. To carry out the investigation, an application was submitted to the director of the health center. The sample consisted of 80 nulliparous and multiparous pregnant women, who met the inclusion and exclusion criteria. The following results were obtained: that if there are significant benefits with pregnant women who attended the psychoprophylaxis sessions; With an adequate assistance of pregnant women, 70% completed all the sessions of Psychoprophylaxis, with a time of less than 6 hours of the dilation period of 46.43%; With an expulsion period of less than 25 minutes in 76.79% More eutocic deliveries in 82.14% of the pregnant women who completed the PPO sessions, 78.57% of the cases did not require medication in the dilation phase; Apgar at the minute, greater than 8 in 96.43%, and at 5 minutes in 98.21%. Only 1.78% of the newborns of the mothers in the case group had apnea and in fetuses of 3500 gms or more, the 40% had an expulsive no greater than 25 minutes. The benefits observed in the present study, on labor, on the newborn, was a better Apgar at the first minute of life (p = 0.091x10-4, OR = 9).

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References

Rosales D. Effectiveness of psychoprophylaxis during pregnancy, Centro de Salud Ambato - Ecuador Thesis Baccalaureate. Technical University of Ambato Ecuador 2017. 86 pp

Gifted J. Psychoprophylaxis during pregnancy to improve the process and results of labor and conditions of the newborn. Comparative study in three health centers: Augusto Egas, Los Rosales and Concordia in the province of Santo Domingo de los Tsáchilas, during the period 2015. Thesis for second specialty. Pontifical Catholic University of Ecuador. Ecuador, 2017. 70 pp.

Játiva M. Application of Psychoprophylaxis and its importance in natural birth in the Health Center No. 3 of Ambato. High school thesis. Technical University of Ambato. Ecuador, 2015. 192 pp.

Guerrero J, Paguay C. Application of Psychoprophylaxis and its importance in natural childbirth in the Health Center No. 3 of Ambato. High school thesis. Central University of Ecuador. Ecuador, 2013. 213 pp.

Barrientos S, Chapoñan C. List of pregnant women who attend the obstetric psychoprophylaxis program and the level of anxiety at Sagaro hospital - 2017. Thesis for baccalaureate degree, National University of Tumbes. Peru, 2017. 63 pp.

Huete C. Relationship between attending the course of obstetric psychoprophylaxis and the risk of presenting postpartum depression in immediate postpartum care attended at the National Maternal Perinatal Institute in the period of March - April 2017. Thesis for baccalaureate degree. National University of San Marcos. Peru, 2017. 62 pp.

García V. Influence of obstetric psychoprophylaxis in the prevention of maternal and neonatal complications, of deliveries attended at the Regional Hospital of Loreto, from January to December 2016. Thesis for bachelor's degree. National University of the Peruvian Amazon. Peru, 2017. 61pp.

Zorrilla G. Benefits of obstetric psychoprophylaxis in pregnant women during the labor process (active phase) and the newborn in the Manuel Barreto Maternal and Child Health Center of San Juan de Miraflores June - August 2015. Thesis for Baccalaureate. San Martin de Porres University. Peru, 2016. 60 pp.

Zurita M, Benefits of Obstetric Psychoprophylaxis in pregnant women during the process of labor and the newborn, Hospital Vitarte - Lima –Perú. High school thesis. Peruvian Wings University. Peru 2015

Poma R, Rojas, F. Benefits of Obstetric Psychoprophylaxis in pregnant women during the birth process and in the newborn in the C.S of Chupaca from July to December 2015. Thesis for high school. Peruvian University of the Center. Peru, 2015. 78 pp.

Méndez M. Psychoprophylaxis and complications in labor (study conducted in women who attended the Center for Psycho-prophylactic Preparation of Aída Castillo de Mazariegos of the Head of Quetzaltenango). High school thesis. Rafael Landívar University. Guatemala 2015. 86 pp.

Aguilar M. Perinatal results at the time of delivery of women who received the prenatal stimulation program, San Cecilio-Spain Clinical Hospital. High school thesis. University of Granada, Spain 2012. 2102-2112 pp.

González J, Fernández B, Gómez J. History of labor pain relief in Spain. An Real Acad Med Cir Vall 2015; 52: 71-84.

Ruiz L, González H. The use of hypnosis in the management and relief of pain during childbirth: literature review. Rev Dig of Med Psicosom and Psicoter. Vol. 4 (2014). Pp 1-18

Fujihara S, Tsukisawa M. Introduction of the psychoprophylactic method and its influence on the prenatal care program for institutional parturition in Japan: the practice in the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, 1953-1964 . Nihon Ishigaku Zasshi. 2014 Mar; 60 (1): 49-64.

Fujihara S, Tsukisawa M. An Analysis of the Controversy on the Psychoprophylaxis Method in the Japanese Medical Journal "Obstetrics and Gynecology," 1954-1957. Nihon Ishigaku Zasshi. 2015 Jun; 61 (2): 131-44.

Hrešanová E. The Psychoprophylactic Method of Painless Childbirth in Socialist Czechoslovakia: from State Propaganda to Activism of Enthusiasts. Med Hist. 2016 Oct; 60 (4): 534-56. DOI: https://doi.org/10.1017/mdh.2016.59

Caron-Leulliez M. Childbirth without pain. Politics in France during the cold war. Can Bull Med Hist. 2006; 23 (1): 69-88. DOI: https://doi.org/10.3138/cbmh.23.1.69

Chable-Uitz G, García-Cruz K. Advantages of perinatal psychoprophylaxis. Rev Sanid Milit Mex 2013; 67 (3) May-Jun: 106-114.

Morales S, García Y, Agurto M, Benavente A. Obstetric Psychoprophylaxis and prenatal stimulation in various regions of Peru. Horiz Med Ener - Mar 2014; 14 (1): 42-48.

Ministry of Health. Technical Guide for Obstetric Psychoprophylaxis and Prenatal Stimulation. Peru. 2011. 79 pp.

Official Gazette El Peruano. Law 28124. Law for the Promotion of Prenatal and Early Stimulation. Ministry of Health. Peru, 2003. Pp 257256-57.

Official Gazette El Peruano. D.S.006-2006 approving the Regulations of the Law for the Promotion of Prenatal and Early Stimulation. Law No. 28124. Ministry of Health. Peru 2006. Pp 312370-77.

Ministry of Public Health. Technical Standard Obstetric Psychoprophylaxis and Perinatal Stimulation. National Directorate of Regulation Quito-Ecuador 2014. 1st edition.