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Copyright of RAN - Revista Academia & Negocios is the property of RAN - Revista Academia & Negocios, Universidad de Concepcion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería Neonatal is the property of Fundacion para la Salud Materno Infantil (FUNDASAMIN) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Científica de Enfermería (2071-5080) is the property of Colegio de Enfermeros del Peru and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: There are ancestral care during the puerperium that remain in force, but they are opposed to those indicated by the health personnel. Objective: Understand the cultural meaning of the body, feeling and traditional care in the puerperium from the Nahua worldview. Methods: Qualitative ethnographic research carried out in the Axtla de Terrazas indigenous community in San Luis de Potosí, Mexico, from March to July 2019. The sample was non-probabilistic for convenience, 14 postpartum women from the community participated. To collect the data, the field diary, the participant observation and the ethnographic interview with prior informed consent were used, which were then manually processed according to the thematic analysis. Results: Three cultural themes emerged: a) Affections that the "hot" body of the puerperal woman can cause, b) The feeling of the woman in the puerperium: Between pain and joy, c) Traditional care to avoid complications during the puerperium. Conclusions: There are meanings about the body, feelings and traditional care during the puerperium in the Nahua worldview. For this reason, health care must be intercultural, considering the customs of postpartum women, to avoid care that may be considered intrusive, causing a culture shock, and that they never attend their check-ups again. [ABSTRACT FROM AUTHOR]

Objective: To identify in the literature the cultural practices of postnatal care carried out by women and their families during the puerperium. Methodology: an integrative review was carried out through a search in the Gale Cengage Learning, Scielo, Redalyc, Dialnet, EBSCO, Proquest, Science Direct, PubMed and Medigraphic databases in English, Spanish and Portuguese between 2014 and 2019, using the terms: cultural care practices, puerperium care, newborn care and maternal and perinatal nursing care. The data were analyzed from the construction of a matrix in Excel. Results: A total of 70 articles were obtained, from which four thematic categories of cultural care practices emerged: self-care of the woman, care of the newborn by the mother/family, institutional care of the puerperal woman and the newborn, with breastfeeding being the common factor among them. Conclusions: the identification of different postnatal care practices in the hospital and outpatient settings varies according to social, economic and cultural aspects, but most of them favor bonding with the newborn. It is difficult to establish generalized and static cultural practices in Colombia due to the cultural diversity within each country. [ABSTRACT FROM AUTHOR]

This paper presents some theoretical and methodological reflections on hospital ethnography, based on the study of pregnancy, childbirth and postpartum healthcare for adolescents who attend public health services in a maternal-newborn facility in Mexico City. This research, framed within the anthropology of health, was based on a methodological strategy centered on dialogic and interactive observation and on the experience of accompaniment during this stage. During a long-term fieldwork of sixteen months, conducted between 2017 and 2019, this research explores the sociocultural constructions of the reproductive process in adolescence and its implications in obstetric healthcare, as well as the experiences, perspectives and interactions between health providers and teenagers, articulated by the follow-up with adolescents at five key moments: at the time of first contact with the institution, during pregnancy care at the prenatal consultation, at the onset of labor, during labor, birth and postpartum care, and in the following months, taking the interaction beyond the clinical space. The analysis highlights the experiential dimension in the clinical context, conceptualized as a physical and social space, with three possible dimensions: the hospital as a liminal space, in which transitions such as the threshold of birth and maternity are experienced through the body; the hospital as a social space, characterized by interactions, norms, languages and hierarchical practices; and the hospital as a community environment in which social relations and the life experiences of the people who participate as service providers or applicants are transformed, to show that hospital institutions are not only sites for the realization of a biomedical paradigm, but are permeated with multiple meanings. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Postnatal care is essential to identify and treat at the appropriate time adverse health events in the puerperium. In Mexico, the factors that affect postnatal care have not been documented. Objective: To identify the factors associated with the lack of postnatal care. Material and methods: Cross-sectional study of 202 women of reproductive age affiliated with six primary care clinics of the Mexican Institute for Social Security. We analyzed these factors: (1) sociodemographic: age, education, schooling, distance between home and clinic; (2) psychosocial: social support; (3) obstetric and gynecologic: number of pregnancies, type of delivery, presence of comorbidity and suspected depression, and (4) health services: deficient prenatal control and incomplete postpartum hospital care. We performed multiple Poisson regression with a robust variance. Results: 49.5% of women had postnatal control. Factors associated with a higher probability of lack of postnatal control were: distance = 5 km between home and clinic (adjusted prevalence ratio [aPR] 1.48, 95% confidence interval [95% CI] 1.16-1.88, p = 0.001), poor prenatal care (aPR 1.21, 95% CI 1.001-1.46, p = 0.049), and incomplete postpartum care (aPR 1.42, 95% CI 1.23-1.63, p < 0.001). Conclusions: The low attendance of postnatal care in primary care clinics highlights the need to seek and implement feasible healthcare alternatives, such as home care or telemedicine, to women who cannot attend to postnatal consultations. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In Chile, as in most societies, women have historically taken on most parenting responsibilities, and not much research has been conducted into how couples manage the arrival of their first baby. The present study aimed to describe the main processes involved in the construction of co-parenting during the transition to parenthood in heterosexual couples. Through a purposive sampling procedure focused on key informants, 7 couples living together in Santiago de Chile were contacted and then interviewed during their first pregnancy and postpartum. The transcripts were analyzed following thematic analysis guidelines. Most couples had not planned their pregnancies, which caused them to experience the process with a high degree of ambivalence. Roles within the couple were distributed in a traditional way from the pregnancy onward. Conflict within the couple was evaded or naturalized, being attributed to hormonal changes and the baby's demands, with little space being available for reflection and discussion. It is concluded that co-parenting is built on the basis of gender differences between men and women, with parents establishing an asymmetric relationship that is neither made explicit nor questioned. [ABSTRACT FROM AUTHOR]

he health emergency due to the coronavirus covid 19 has changed the dynamics of care. The puerperium is a stage of many changes and implies vulnerability in this group of women, who due to isolation measures do not have social support. The purpose of this study was to describe the meaning of postpartum care for women in a pandemic situation. Ethno-nursing (Leininger) was used with the unstructured interview as the data collection method. Eight puerperal women participated in the study as key informants, 2 mothers and 2 mothers-in-law as general informants. For the analysis of the information, the Spradley method was used", which includes the domains, taxonomies, component analysis and themes. The resulting domains: taking care of the woman during the puerperium today is the way to ensure her health in the future, taking care of her child is the way to prevent her from getting sick. It is concluded that puerperal women acquire different concepts of care with contact in their social group, which for reasons of isolation measures seek sources of information such as the internet, incorporating them into their daily lives spreading beliefs, customs and that are maintained over time. weather. [ABSTRACT FROM AUTHOR]

Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To describe prenatal and post-natal clinical features of neonates born from mothers with COVID-19 including 14-day follow-up post discharge. Methods: Case series of neonates attended at Hospital Guillermo Almenara born from mothers infected with COVID-19 during the lockdown implemented by the Peruvian government. Neonates were divided in two groups based on positivity of the nasopharyngeal PCR test. Results: 201 pregnant women with COVID-19 diagnosed by rapid tests who delivered 206 neonates were identified; 4 of these neonates had positive nasopharyngeal PCR tests. Pregnants infected with COVID-19 were younger than non-infected, but no differences were observed in route of delivery, sex of the newborn and body weight at birth. Two hundred and five neonates were discharged one week after birth ;181 neonates with negative nasopharyngeal negative PCR tests and 4 neonates with a positive PCR test were followed for 14 days, none presented symptoms and received mixed lactation. Conclusions: Neonates born from mother infected with COVID-19 had minimal risk of getting the infection and their pre and post-natal development will not be affected despite of having a positive PCR test. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. To assess the quality of care of women with obstetric risk factors during pregnancy, childbirth, and postpartum. Materials and methods. We use data from The National Survey of Health and Nutrition 2018-19. Women were classified by the presence of obstetric risk factors (ORF) in their last pregnancy. The quality of care provided to women was evaluated with indicators of structure and process during antenatal care (ANC) and, delivery and postpartum care (DPC). Results. Compliance with process indicators in ANC and DPC for women with ORF was 56.9%. In the face of complications during pregnancy or delivery, it decreased in ANC, and in the face of social vulnerability compliance of ANC and DPC indicators decreases. Conclusions. It is necessary to systematically improve the quality of care during pregnancy, childbirth, and postpartum, regardless the presence of ORF, with special attention to vulnerable groups. [ABSTRACT FROM AUTHOR]

Copyright of Avances en Enfermería is the property of Editorial Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Adicciones is the property of Sociedad Cientifica Espanola de Estudios sobre el Alcohol and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To explore unsuccessful cases of breastfeeding from the perspective of healthcare professionals working with mothers and babies in the breastfeeding process. Materials and Methods: Qualitative study with an exploratory-descriptive scope, approached from the perspective of grounded theory. Healthcare professionals involved in breastfeeding care in Region IX in Chile were asked to analyze their experiences with unsuccessful breastfeeding. The data were digitized and grouped by questions in order to arrive at codes and categories typically used in manifest content analysis. Group analysis with anonymity preservation was used. Results: Three categories were identified, starting with adverse factors that acted as barriers to successful breastfeeding, such as undesired pregnancy, mother's age and occupation, changes in breastfeeding routines, ineffectual support networks, physical conditions and problems with breastfeeding techniques. On the other hand, absence of protective factors such as comprehensive healthcare, positive reinforcement and job flexibility. The third category had to do with the emotional impact on the mother caused by the inability to breastfeed, which could be overcome by means of family containment and/ or psychological support to help mothers accept unsuccessful breastfeeding. Conclusions: Healthcare professionals identified factors hindering breastfeeding, some of them amenable to intervention. Emphasis is made on the importance of providing assistance and information, building empathy and giving support to the mother in order to strengthen her confidence in her ability to breastfeed the baby. [ABSTRACT FROM AUTHOR]

Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

BACKGROUND: Siamese twins are rarely in medical practice (incidence is reported as 1 in 50,000 to 1 in 100,000 live births). Twins attached can be symmetrical or asymmetric, when one twin is complete and almost normal (twin self) and the other is incomplete (twin parasite) and depends on the autoto for its growth. CLINICAL CASE: Siamese twins of two days of extrauterine life, surgically operated to separate the non-viable twin, by almost total agenesis (it was only constituted by the cephalic region and dysmorphic trunk). The rest of the structures of the healthy twin, female, were observed without alteration. The procedure was carried out by means of a left lateral incision and the separation by planes from the skin, the subcutaneous cellular tissue and the muscular paths until identifying the herniated organs of the dominant twin to the parasite; no vital organ was shared, only the herniation of a small portion of the liver and intestinal handles of the dominant twin to the parasite was observed, so the digestive system of the dominant twin was reintroduced and the complete removal of the parasite twin was performed. The wall was closed with placement of a flat mesh to avoid a possible recurrence of herniation. The trans and postoperative period passed without complications and satisfactory evolution. CONCLUSIONS: The incidence of Siamese twins is exceptional. Prenatal diagnosis is established by ultrasound; however, magnetic resonance imaging shows better anatomical definition of the anomalies and allows obstetric planning and adequate postnatal care [ABSTRACT FROM AUTHOR]

Introduction: The Mother Kangaroo Method (MKM) is a neonatal care alternative for low-weight newborn or preterm babies. It is an outpatient method based on the direct skin contact between the caregiver and the newborn baby. It includes nurturing the baby only by breastfeeding, and some essential measures to improve the baby quality of life. Objective: To determine the clinical and sociodemographic characteristics of the population included in the program Family Kangaroo at a high-complexity hospital in Medellín (Colombia) during 2015- 2016. Method: It is a retrospective descriptive study including both low-weight newborn and preterm babies treated in the program Family Kangaroo during 2015 and 2016. Patients with congenital diseases, dead mothers or mothers unable to breastfeed mothers were excluded. Results: The average mother age was 26 years and 47% of them were housewives. The most frequently found disease in the pregnancy was the preeclampsia. Most of the babies Kangaroo were males (51.1 %), with an average weight at birth of 2195 grams. Sixty percent of them were nurtured only by breastfeeding when they entered in the program and 34% received formula as a supplementary feeding. Conclusions: The population included in the program Family Kangaroo had sociodemographic characteristics similar to those reported in other researches. However they provided specific public health strategies in response to the needs in this population. [ABSTRACT FROM AUTHOR]

Introduction: Latin America and the Caribbean have reduced the maternal mortality rates. However, some of these countries still have high rates, which indicates the inequity in the access to the health services. The human resource training competent in primary health care is one of the main strategies to approach this problem. Objective: To describe the experience of planning, implementing and evaluating a training program in maternal health in countries of this region (Bolivia, Colombia, Ecuador, Guatemala, Honduras, Nicaragua, Haiti and Peru). Methodology: Between 2016 and 2019, the Department of Health Systems and Services and the Human Resource Unit of the Pan-American Health Organization, together with some collaborative centers, universities and the Latin-American Center for Perinatology and Women's Health, carried out a survey on training needs, developed a formation plan and implemented the training among both professional and non-professional staff in relation to maternal health. Results: The training needs identified were Health Leadership, Prenatal Care, Labor, Postpartum Care, Obstetric Emergencies, and Family Planning. These needs are addressed both in the online and in-person training with 71 trainers from seven countries, who reproduced them for more than 4000 people. The evaluations were very positive and the health impact in future Project is yet to be determined. Conclusions: It is crucial to identify the needs and to do collaborative work in order to carry out the pertinent training in our countries. This would allow to count on the human talent, motivated and competent, in order to increase the access and coverage of high quality maternal health care. [ABSTRACT FROM AUTHOR]

Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Agora de Enfermeria is the property of Agora de Enfermeria SRL and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: To determine the prevalence of postpartum depression in puerperal women in the city of Arequipa. Methods: A descriptive study was conducted in 113 puerperal women that attended peripheral health care centers for postpartum control. Edinburgh scale for depression was used after getting inform consent. Psychometric properties of the tool were evaluated. Results: Our results indicate that 41% of mothers are not at risk of postpartum depression; 14% are at risk and 45% have symptoms of postpartum depression; the degree of education was inversely correlated with postpartum depression and we did not find statistical association with route of delivery and marital status. Conclusions: We conclude that 45% of puerperal women evaluated had depression and that the degree of education inversely correlated with it. [ABSTRACT FROM AUTHOR]

Se presenta un editorial a la revista, en el que se analiza la depresión posparto paterna y su impacto en la salud infantil y la asociación con factores psicosociales como la ansiedad y el estrés entre los padres en España. El artículo también discute el apoyo social y la participación de los padres en el cuidado de los recién nacidos.

Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Obesity is one of the major health problems and a determining factor in the prevalence of diseases such as metabolic syndrome, asthma, sleep apnea, infertility and various types of cancer. Its origin is multifactorial, involving genetic, socioeconomic and environmental factors. These last ones contribute mostly to explain the current epidemic growth of this disease. The sedentary lifestyle, inadequate diet, lack of sleep, alterations in intestinal microbiota and stress are factors related to its development. Since Barker presented his hypothesis about the "fetal origin of adult diseases", there are increasing number of studies that show the influence of an inadequate nutritional status and maternal weight in the development of chronic diseases, as obesity in offspring. The nutritional deficiencies of the pregnant mother cause epigenetic modifications and abnormal programming of the development oforgans and devices, adapting the fetus to this situation of deficiency and being able to adapt to an obesogenic environment after birth, increasing its propensity to obesity. Also, poor maternal nutritional status is related to intrauterine growth retardation and low birth weight infants, with a higher risk of childhood and adult central obesity. Currently, deficient intake of micronutrients and overweight or maternal obesity tend to overlap, and this combination may exacerbate the increase in obesity in the offspring. It is important to identify pregnant mothers at risk of suffering nutritional alterations and establish their improvement as a primary prevention strategy for overweight and obesity. [ABSTRACT FROM AUTHOR]

Objective: To analyze the differences in birth labor care in the pandemic context according to women's diagnosis of COVID-19, specifically considering the information they received, the humanized nature of care and the degree of medicalization of their labor and delivery. People and method: It is a quantitative research where the data result from a survey conducted to women who were pregnant from January 1, 2018 to September 2021. While the larger research project includes care data during the pandemic --target group-- and previous to the pandemic --control group -- in this article we exclusively analyze data referring to the pandemic context. Using descriptive and inferential statistical analysis by cross-sectional study of cases and control, in this article we compare the experiences of women who gave birth during the pandemic being positive in COVID-19 with those of women who were negative. Results: We obtained 2,600 responses and 2,070 were considered valid (1,862 target group and 208 control group), with a confidence level of 95.5% and a margin of error of ±2.33%. Women with a positive result received less information (84.40% were informed of the procedures versus 91.30% of women with a negative result) and had less possibility to decide on procedures (51.90% versus 70.80% of women with a negative result). They also could be less accompanied (59.4% could be accompanied at all times compared to 81.3% of women with a negative result); they consider to a greater extent that the pandemic has been detrimental to a personalized care (66.7% vs. 34.7% of women with a negative result); and they grade worse both the professional care received and the atmosphere of the spaces in which they gave birth (on average, the treatment received is scored at 3.73 out of 5 for the different spaces compared to 4.11 for women with a negative result). They also had more medicalized labors and deliveries and less possibility to Conclusions: This research shows worse delivery care conditions for women with a positive result of COVID-19. The pandemic has led to a remedicalization of the birth process contrary to current sexual and reproductive health policies. [ABSTRACT FROM AUTHOR]