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Objective. To analyze, using data from Encuesta Nacional de Salud y Nutrición (Ensanut) 2018 and Ensanut Continua 2022, the quality of care provided at different stages of life in the Mexican health system. Materials and methods. The health system was classified into three subsystems, two public and one private. Weighted percentages were estimated from each survey for selected indicators of care at different stages of life. Results. In the three subsystems, deficiencies in the care process persist in prenatal care, delivery resolution, vaccination at birth, use of antibiotics for acute respiratory infections in children, and screening for risk factors and complications, and underprescribed insulin in adults with diabetes, despite the increase in the length of medical visits. The preference for care in private services was due to proximity and promptness of care. Conclusions. The low quality of care in Mexico's health care system requires innovative strategies aimed at providing comprehensive care throughout the life course. [ABSTRACT FROM AUTHOR]

Copyright of Gaceta Médica de Caracas is the property of Academia Nacional de Medicina 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.)

Introduction: Maternal mortality is a public health issue, with greater significance in rural populations. Home delivery (HD) persists at high rates in rural areas, increasing the risk of obstetric complications, hence the need to study the involved factors. Objective: To determine the factors associated with HD in the rural population of Peru. Methodology: A cross-sectional analytical study was conducted on women of childbearing age in rural areas using the 2020 Peruvian National Demographic and Family Health Survey (ENDES). Home delivery (HD) was defined as childbirth occurring within a residence with the assistance of institutional healthcare personnel or midwives. Weighted absolute and relative frequencies were obtained for complex sample calculations using Stata 16.0, along with crude and adjusted prevalence ratios. Results: A total of 5334 rural women were evaluated, with a mean age of 30.02 ± 7.35 years. Secondary education was reported by 46.84%, while 8.06% were illiterate. Additionally, 31.92% reported a language other than Spanish, and the frequency of home delivery was 16.76%. In adjusted multivariate analysis, factors associated with HD included: speaking a different language (aPR 2.27, 95% CI 1.13-4.56, p=0.021), residing in a city above 1000 meters above sea level (aPR 1.79, 95% CI 1.33-2.40, p<0.001), lower wealth index compared to the poorest (aPR 0.31, 95% CI 0.16-0.60, p=0.001), having access to electricity (aPR 0.53, 95% CI 0.37-0.76, p=0.001), and receiving prenatal care from an obstetrician (aPR 0.65, 95% CI 0.49-0.86, p<0.001). Conclusions: The frequency of HD in the rural population during the pandemic in Peru was high. Factors increasing HD included language diversity and residing at higher altitudes, while factors decreasing HD included wealth index, access to electricity, and obstetrician-led prenatal care. [ABSTRACT FROM AUTHOR]

Perinatal mortality is an indicator that reflects the impact of maternal and infant care in a country. This study presents nine cases of perinatal mortality that occurred in the municipality of Panchimalco, El Salvador. The information was obtained from audit reports. The mothers of the deceased infants were aged between 17 and 43 years, did not use contraceptive methods, had incomplete prenatal controls and averaged a gestational age of 31 weeks. Three deliveries were attended in the community. Most perinatal deaths occurred before delivery due to unknown causes, and live births were preterm. We identified factors such as deficits in comprehensive care for women. Further studies are needed to determine the main factors influencing perinatal deaths in El Salvador. [ABSTRACT FROM AUTHOR]

The guide for prenatal care is the regulatory mark of obstetrics norms for the control and care of pregnant women, with emphasis on those who have the RhD negative blood group. Alloimmunization by anti-D is the most frequent and serious cause of hemolytic disease of the newborn. For an early diagnosis of the pregnant woman with said blood group, it is necessary to determine the red blood cell antibodies involved. This communication highlights the role of the immunohematology laboratory in the follow-up of pregnant woman with RhD negative blood type. [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 Gaceta Médica de Caracas is the property of Academia Nacional de Medicina 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 de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas 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 FACSalud is the property of Revista FACSalud 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 Investiga: Investigaciin, Vinculación, Docencia y Gestiin is the property of Revista Enfermeria Investiga 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.)

Prenatal care is intended to preserve and improve maternal and child health; however, the quality of this service and the attendance rates vary, with developing countries having the lowest rates. There are cultural gaps that prevent adequate access to prenatal care, putting the maternal and child health at risk. Our objective was to carry out an updated review on cultural gaps and their impact on prenatal care. This narrative review was conducted by searching all articles published until December 17, 2022, in English databases such as PubMed and Scopus, and Spanish databases such as SciELO. There are various situations that force pregnant women not to attend prenatal appointment, including machismo, reported as a common cause of non-attendance to prenatal checkups in developing countries and especially in rural communities; poor education in families, so women do not attend prenatal checkups due to ignorance about pregnancy care and risks, as well as their beliefs and customs about pregnancy; difficulty accessing health care services due to geographic issues; mistreatment from health professionals while receiving prenatal care or lack of inclusion in the health center; immigration status and the resulting problems with access to health care. Recognizing these situations is as important as knowing their consequences since, once identified, different solution alternatives can be sought from the primary health care. Health personnel must be trained to help the population understand the importance of prenatal care by knowing and respecting the customs and traditions of each patient, and not undermining their ideologies. [ABSTRACT FROM AUTHOR]

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Copyright of Matronas Hoy is the property of Asociacion Espanola de Matronas (AEM) 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 Enfermeir@s is the property of Colegio Oficial de Enfermeria de Lugo 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 know the prevalence of access to prenatal and child health care. Materials and methods. We estimated the prevalence and 95% confidence intervals of access to prenatal care for mothers of children younger than two years and to health care for children younger than 5 years old. Results. 62.6, 82.8, and 95.8% of mothers of children younger than two years reported timely and adequate prenatal care, and birth attended from medical staff, respectively. During pregnancy, 90.2% of mothers received folic acid and 79.5% received iron and other micronutrients. 18.4% of children attended eight well-being consultations and 27.1% of children younger than five years of age had an early childhood development evaluation. Conclusion. Child health care indicators are particularly low, as some prenatal care indicators; both should be strengthened at the national level. [ABSTRACT FROM AUTHOR]

Objective. To characterize the state of sexual and reproductive health (SRH) in the adolescent (10-19) and adult (20-49) population. Materials and methods. Using the Encuesta Nacional de Salud y Nutrición 2022, we estimated prevalence and 95% confidence intervals for SRH indicators. Results. Regarding adolescents, 73.2% have heard of contraceptives, 88.1% know that the condom is used only once and 60.4% that it prevents pregnancies and sexually transmitted infections. Also, 22.8% have initiated sexual life and 73.2% used a condom in the first intercourse. Regarding adult population, 42.7 and 38.0% did not use contraception in the first and last sexual relationship and 53.4 and 40.7% used a condom in the first and last sexual relationship. We found differences in maternal health care between adolescents and adults. Conclusion. Having updated information on SRH allows us to focus attention on people's needs. [ABSTRACT FROM AUTHOR]

Copyright of Revista Peruana de Investigación Materno Perinatal is the property of Peruvian Journal of Maternal Perinatal Research / Revista Peruana de Investigacion Materno Perinatal 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.)

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas 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.)

This paper describes a methodology whose objective is to favor the preparation of specialists to offer speech therapy guidance to pregnant women for the practice of prenatal language stimulation in their baby, while they are hospitalized for long periods in maternal and child institutions. Theoretical methods are used: analysis and synthesis; modeling; empirical: interview and survey and statistical-mathematical: descriptive statistics and percentage calculation for obtaining and processing the information collected during the research process. Among the main results, the following stand out: the improvement of the dynamics and enrichment of the content in the speech therapy orientation process that is carried out in said health institution, the elevation of the preparation of the specialists for the successful management of the process, with the consequent preparation of pregnant women to carry out good practices for prenatal language stimulation. [ABSTRACT FROM AUTHOR]

Objective: To determine the factors associated with compliance with tetanus vaccination in Peruvian pregnant women according to ENDES 2021. Materials and methods: Cross-sectional and analytical study. The demographic and family health survey (ENDES) 2021 was analyzed. Women aged of 12 and 49 who were pregnant or had been pregnant in the last year were included. Results: A higher prevalence of the complete tetanus vaccination was found in the age group of 35-49 years (PRa = 1,348 [95% I.C.; 1,144 - 1,588]), 20 to 34 years (PRa = 1,337 [95% I.C. 1,146 - 1,560] ), originating from Metropolitan Lima (PRa = 1,209 [ 95% CI; 1,078 - 1,356]), the coastal region (PRa = 1,318 [95% CI; 1,190 - 1,460]), jungle (PRa = 1,440 [ 95% CI; 1,271 - 1,631]) the wealthiest income quintile (PRa = 1,110 [ 95% CI; 1,014 - 1,216]), having health insurance (RPa = 1,108 [ 95% CI; 1,029 - 1,194]), receiving care from a nurse ( PRa = 1,172 [95% CI; 1,065 - 1,289), receiving care from an obstetrician (PRa = 1,172 [95% CI; 1,065 - 1,289) and having 6 or more prenatal check-ups (PRa = 1,724 [ 95% CI; 1,567 - 1,897 ). Conclusions: The factors independently associated with compliance with tetanus vaccination in in pregnant women in Peru were age, originating from Metropolitan Lima, the coast region, the jungle, the wealthiest income quintile, having health insurance, receiving care from a nurse, receiving care from an obstetrician, and having more than six prenatal check-ups. [ABSTRACT FROM AUTHOR]

Objective: To understand the experiences of men in the transition to paternity during the prenatal period. Methodology: Qualitative, exploratory, descriptive, cross-sectional and retrospective study. Theoretical sampling, with the participation of 10 men experiencing, for the first time, the partner's pregnancy. Data collection performed using semi-structured interview. Data analysis using content analysis technique, semantic categorization and inductive approach. Results: The theme of (de)constructing bridges for transition emerges from the data and seeks to clarify the conditions that favour or otherwise inhibit the experience of a positive transition experience by men, along the path to paternity. It encompasses seven categories: support received, seeking information, previous experience with babies, feeling prepared to be a father, having a child is a life goal, meaning attributed to the transition and exclusion from the father figure. Conclusion: Men take a proactive stance during pregnancy and try to prepare for and overcome the transition experience, but encounter several obstacles in the process. What is required of modern man (greater sensitivity and exercise of a more responsible and participatory paternity) is not reflected in clinical practices, which perpetuate the exclusion of the father figure, weakening the exercise of paternity. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería Cuidándote is the property of Colegio Oficial de Enfermeria de Malaga 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.)

Undoubtedly, great advances have been made in terms of maternal and infant morbidity and mortality. However, in Mexican Social Security System, the quality of maternal care is questionable, as reflected in proportions of cesarean births three times higher than those recommended by WHO, abandonment of exclusive breastfeeding and the fact that up to one in three women is a victim of abuse during delivery. Given this, the IMSS decides to implement the model called Integral Maternal Care AMIIMSS, focused on users experience and based on friendly obstetric care, along different stages of the reproductive process. Four pillars underpin the model, women's empowerment, infrastructure adaptation, training and adaptation of processes and standards. Although there are advances, with 73 pre-labor rooms enabled and 14,103 friendly attentions granted, there are pending tasks and challenges. In terms of empowerment, the birth plan needs to be included as an institutional practice. In terms of infrastructure adequacy, a budget is required to build and adapt friendly spaces. In addition, it is necessary to update the staffing tables and include new categories, for an adequate operation of the program. On training, the adaptation of academic plans for doctors and nurses is pending. In terms of processes and regulations, there is a lack of qualitative evaluation of the impact of the program on people's experience and satisfaction and elimination of obstetric violence. [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.)

Objectives: To describe the frequency and factors associated with non-adherence to prenatal follow-up in pregnant women 35 years of age or older in the department of Cauca, Colombia, between 2016 and 2018. Material and methods: Cross-sectional, descriptive observational study of records of pregnant women between 35 and 41 years of age affiliated to the Cauca Indigenous Association Health Benefit Plan Management Organization-I (EAPB AIC-I) and registered in the prenatal care program, between 2016 and 2018. Duplicate records and records with incomplete information were excluded. Sociodemographic and clinical variables, as well as program outcomes, were analyzed using descriptive statistics. Odds ratios and their confidence intervals were calculated. Results: In 1016 patients between 35 and 41 years of age, a frequency of 61.3 % of non-adherence to at least six prenatal visits was found. History of abortion (adjusted OR: 0.46; 95 % CI 0.33-0.64) and pregnancy of five or more (adjusted OR: 3,22; IC 95 % 1,50-6,91) were the associated factors. Conclusions: Non-adherence to prenatal care by pregnant women of 35 years or more affiliated to the Cauca EAPB AIC-I is high. Further qualitative studies are needed to examine the cultural and social factors present in these communities that may affect adherence to prenatal monitoring, together with prospective studies to confirm the exploratory analysis of factors associated with non-adherence. Insurance organizations in the subsidized regime should be called upon to conduct promotion activities in these communities in order to improve adherence. [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]

Objective: in this work, the level of knowledge about toxoplasmosis and its risk factors in pregnant women who attend prenatal care was investigated because the low level of knowledge of this infection can be directly related to the increase in its incidence due to poor perception of the population regarding the risk and consequences in the future. Methodology: a random sample of 93 pregnant women who were taking their prenatal check-ups at a Clinic in Barranquilla, during the second trimester of 2021, was administered a survey with binary questions related to the understanding about toxoplasmosis and risk factors for contracting the infection. The survey was divided into two part: one part before and the other, after an informative talk about Toxoplasmosis, risk factors, health consequence and prevention methods. The clinical history, prenatal controls and socioeconomic level of the participant were taken into account. Results: it was found that 64.5 % of pregnant women did not know what Toxoplasmosis is and 66.6 % the risk factors and prevention methods. Conclusions: the level of knowledge about Toxoplasma gondii infection found in the pregnant women who attend prenatal control at the San Diego General Clinic, during the study period, is low. [ABSTRACT FROM AUTHOR]

Copyright of Cultura del Cuidado Enfermería is the property of Revista Cultura del Cuidado Enfermeria 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 effectiveness of a complex digital health intervention, in pregnant women with obesity, by means of an app for advice eating habits and a virtual midwife's support, regarding their eating habits, and also to analyze the global satisfaction with digital intervention. Methods: A parallel randomized clinical trial with two arms 1:1 with intervention group (IG) and control group (CG) was conducted. 150 pregnant women with pre-pregnancy obesity were included. Both groups received usual prenatal care. The intervention, in the IG, was delivered with smartband and an app providing advice about eating habits and with a virtual midwife to support women. The validated «Questionnaire of eating habits for patients with overweight and obesity» was administrated and measured using a 1-to-5-point Likert scale. Statistical tests were two-sided and evaluated at an a level of 0.05. Analyzes were performed with SPSS v. 25 and SAS v. 9.4. Results: 110 (73.3% of the total) women were analyzed. In the IG, the mean score for eating habits was higher than in the CG (3.49 ± 0.36 versus 3.35 ± 0.41; p=0.056), but no statistically significant differences were observed. In the IG, the mean score for the intake of the type of food was higher than in the CG (3.49 ± 0.78 versus 3.18 ± 0.71; p=0.019). The mean of global satisfaction was 4.76 ± 0.6 points. Conclusions: The use of a complex digital intervention was effective in improving the intake of the type of food compared to pregnant women who only received usual prenatal care. [ABSTRACT FROM AUTHOR]

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of 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 Antropo is the property of Antropo 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.)

Introduction: Women have health needs that vary according to their life course and intimate partner violence. Objective: To identify the contextual characteristics in which prenatal care is provided to women with intimate partner violence. Materials and Methods: A qualitative ethnographic study based on participant-focused observation was conducted throughout childbirth preparation course sessions and waiting rooms in five healthcare institutions in Cali, Colombia. Results: The following three dimensions were identified in the care context: (a) environment where care is provided, (b) power relations and (c) care dynamics. Findings suggest a traditional context in prenatal care with a predominance of a biomedical model. Results: three dimensions were identified regarding the care context: (a) The Environment where the Care is provided, (b) Power Relationships and (c) Dynamics of Care. The results show a traditional context in prenatal care with a predominance of a biomedical model. Discussion: The findings show the complexity of care in health institutions and a traditional context in prenatal care with a predominance of a biomedical model. Conclusions: During sessions held between women and healthcare personnel, intimate partner violence was not identified as the relationship was measured by a lack of knowledge of their needs, vertical relationships, power and non-assertive communication. For the adoption of support and accompaniment actions, it is necessary to recognize the importance of healthcare with a gender, differential and intersectional approach. In addition, in favor of women's autonomy and dignity, it is necessary to strengthen the culture of respect and empathy towards users. [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 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.)

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The study aims to determine the prevalence of pregnant women at high risk of depression, anxiety, and substance abuse, as well as identify the barriers that hinder access to mental health services. A prospective study will be conducted on pregnant women attending a prenatal care center in southern Armenia. Screening scales will be used to assess these risks, and strategies and programs will be sought to improve care and overcome these barriers. [Extracted from the article]

Objective: to estimate the frequency of perceived psychological stress (PPS) and identify associated factors in low obstetric risk pregnancies. Materials and methods: a cross-sectional study that is part of the "biopsychosocial health in low-risk pregnant women in prenatal control" research project. 683 pregnant women who attend prenatal control at Santa Cruz of Bocagrande clinic in Cartagena, Colombia were studied. Form of sociodemographic characteristics, obstetric history, and perceived psychological stress questionnaire of 10 items (PSS-10) was applied. Anonymous and voluntary participation, statistical analysis was performed with Epi-Info 7.2. Unadjusted bivariate logistic regression between PPS and qualitative variables was carried out. The correlation coefficient between PSS-10 and quantitative variables was estimated. P<0.05: Statistically significant. Results: age 28.3±6.3; years studied 12.5±2.7; nutritional status: normal 30.4% [IC95%:27.0-34.0], overweight 17.7% [IC95%:14.9-20.8], obesity 33.0% [IC95%:29.5-36.7]. More than 60% never/almost never faced their things or solved their problems. PPS in 350 participants (51.2%) was found. Energy drinks consumption OR:7.4 [IC95%:1.6-32.5], economic problems OR:2.9[IC95%:2.0-4.3, partner problems OR:1.9[IC95%:1.0-3.4], anxiety OR:2.0[IC95%:1.3-2.9] and fatigue OR:1.7[IC95%:1.2-2.4], were associated with PPS. Also work as an employee OR:0.5[IC95%:0.3-0.7] and be professional OR:0.5[IC95%:0.3-0.7]. Hypertension arterial, diabetes, hypothyroidism, and gestational diabetes, were not associated with PPS. The correlation between PSS-10 with maternal age was: rho: -0.11[IC95%:- 0.21to-0.06], with years studied rho: -0.12[IC95%:-0.19to-0.51]. No correlation was observed between PPE with gestational age, pregnancies, miscarriage, vaginal deliveries or cesarean sections (p>0.05). Conclusion: PPS was present in half of the pregnant population and many psychosocial factors unlike obstetric and biomedical ones explored were significantly associated. [ABSTRACT FROM AUTHOR]