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Background: In many countries, midwives and nurses play a vital role in supporting effective perinatal mental health (PMH) care, including peripartum depression (PPD) management. In our study, we aimed to evaluate the effectiveness of PMH training in increasing certified midwives (CMs) and certified nurse–midwives (CNMs)’ knowledge about PPD management in primary care settings. The training was a part of postpartum depression (PPD) prevention programme implemented by Polish Ministry of Health. Additionally, we investigated the link between the CMs and CNMs perception of systemic difficulties, attitudes toward work with patients with mental health problems, and the adherence to PPD screening procedures. Method: A total of 379 CMs and CNMs from primary health centres and hospitals who participated in a PPD management training completed the Test of Antenatal and Postpartum Depression Knowledge before and after PMH training and the REASON scale after the training. Results: Before the training, only 17% (n = 66) of CMs and CNMs considered themselves to be educated for PPD management. The participants’ knowledge about PPD significantly increased after the training, by three points on average. The effect size was very strong, d = 0.84. However, the prevalence of perinatal mental disorders and the suicide rate among persons with PPD remained misestimated. We also found that age had a substantial influence in controlling the relationship between perceived educational preparation for PPD management, job tenure, and actual knowledge about PPD management. Self-reported higher levels of perceived systemic problems in the workplace and having more negative attitudes toward working with persons experiencing emotional difficulties were associated with declared lower frequency of measuring the severity of PPD, using screening tools, counselling, and making referrals to specialists. Discussion: Even though the training turned out to be effective, a tendency to underestimate the negative consequences of PPD was observed. The participants’ perception of systemic problems and personal attitudes were associated with an adherence to PPD screening procedures. The implementation of an obligatory PPD screening may not be enough to change the everyday practice of CMs and CNMs. Further training, taking into account personal attitudes of health care professionals, and systemic changes are required to ensure an optimal management for persons with PPD. [ABSTRACT FROM AUTHOR]

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 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 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 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 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 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 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 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.)

The aim of this article is to analyse the judicial proceedings in cases of statutory rape and sexual offenses against women in rural Michoacan in the 18th century. The documentation used for the study comes from the Justice Collection of the Historical Archive of the Municipality of Morelia. We will study the information provided by the procedural records, the statements of the witnesses, the forensic tests and the judge's sentences that were dictated under the viceroyalty laws for this type of crimes. The data provided by these extraordinarily rich sources allow us to make an intersectional reading to compose a genealogy of sexual violence in New Spain, gender, and alterity. [ABSTRACT FROM AUTHOR]

La institución sanitaria, y con ella los servicios de atención primaria al embarazo y el postparto a través del Programa de Educación Maternal de la Comunidad Valenciana (Estado español), contribuyen a reproducir y actualizar los modelos culturales del cuidado. En este cometido que llevan a cabo las matronas de atención primaria se vehiculan también determinados regímenes de género. A través de una metodología cualitativa y atendiendo al instrumento de enmarcamiento de la teoría de Basil Bernstein, y concretamente la selección generizada de contenidos, perfilamos los regímenes de género que transmiten las matronas y con ellos la concepción de paternidad con la que operan estas profesionales. Nuestros resultados permiten afirmar que relaciones pedagógicas enmarcadas en enfoques científicos distintos (biomédico/fisiológico) (re)producen regímenes de género asentados igualmente en la diferenciación sexual que reservan identidades diferenciadas para madres y padres con respecto a la crianza y el cuidado de las/os hijas/os.

Conocer la experiencia de las matronas de atención primaria en el cribado sistemático de la violencia de género (VG) durante el embarazo con un cuestionario validado y su utilidad. Metodología. Estudio cualitativo con un enfoque fenomenológico interpretativo. Tras la experiencia de cribar de forma sistemática durante cuatro meses, se hicieron dos grupos focales con las doce matronas que prestan asistencia en dos centros de atención primaria de L’Hospitalet de Llobregat (Barcelona). Resultados. Aplicar de forma sistemática el cuestionario Index of Spousal Abuse, previa formación para su aplicación y para el abordaje de los casos de VG, aumenta las habilidades, los conocimientos y la seguridad de las matronas para detectar y abordar la VG durante el embarazo. A su vez, incrementa la detección de casos de VG. Conclusiones. Es necesario incorporar el cribado sistemático de la VG durante el seguimiento del embarazo.

Introduction: The COVID-19 pandemic has had effects on the health of health workers, including obstetricians, but the consequences in this occupational group are unknown. Objective: Determine the consequences of COVID-19 on the physical, psychological and social health of obstetricians in Peru. Methods: Observational, descriptive, cross-sectional study, carried out on 511 attending obstetricians, in the first line of care. An online questionnaire, previously validated and reliable, was applied to measure the variables: general characteristics and exposure to COVID-19, physical health, psychological health, and social health. Data were analyzed using descriptive statistics. Results: 468 (91.6%) obstetricians are women, 287 (56.2%) aged 40-59 years, 213 (41.7%) married, 292 (57.1%) working at the first level of care; 216 (42.3%) were infected with COVID-19, 165 (32.3%) had headache, 127 (24.9%) sore throat and 121 (23.7%) fatigue; 167 (77.3%) required outpatient treatment and 3 (1.3%) intensive care. Obesity reported by 102 (20.0%) obstetricians was the main comorbidity, followed by hypertension with 38 (7.4%) and diabetes with 14 (2.7%); 263 (51.5%) reported depressive symptoms and 464 (90.8%) stress; 238 (46.6%) felt discrimination and 118 (23.1%) carried the workload of the home alone. Conclusions: The physical, psychological and social health of obstetricians is affected by the pandemic; generates disorders of overweight/obesity, depression, stress; as well as discrimination and work overload at home.

Background: Childhood obesity has been declared the epidemic of the 21st century. Early programming is an essential element that should be used to prevent non-communicable diseases. Nurses are uniquely positioned to apply this concept, but it is not included in their education. Objectives: The development, implementation and evaluation of the use of educational pills offered to nurse students to improve their knowledge of early programming. Methodology: This is quasi-experimental research. It is a pre/post study with a longitudinal follow-up. For data collection, three self-developed questionnaires were designed to measure the level of knowledge, intention to act and satisfaction with the methodology. The level of knowledge and the intention to act were measured before and after the intervention to see the intervention's effect. Satisfaction with the methodology and resources used was measured after the intervention. The population included in this study is the first-year and second-year nursing students enrolled in two different subjects in the academic year 2019/2020. The population size is estimated to be 200 students. We have organised the process into three defined stages: the initial stage, elaboration stage and implementation stage. Results: Significant differences have been observed in all the measured parameters. Conclusions: The intervention has improved the knowledge of future nurses about early programming and has increased the intention of nurses to act. Students find this methodology suitable for their training. [ABSTRACT FROM AUTHOR]

Introducción. Los movimientos de parto humanizado se desarrollan plenamente en los años 80 como una corriente crítica hacia las praxis de la biomedicina en los procesos reproductivos. Lo natural y la naturaleza son conceptos centrales dentro del mencionado paradigma. Se exaltan las capacidades biológicas de las mujeres para dar a luz sin injerencia biomédica tomando elementos ecofeministas. Objetivo. Explorar las visiones de las matronas entrevistadas en la intersección entre parto humanizado y naturaleza. Metodología. La presente investigación se llevó a cabo con una metodología cualitativa de corte etnográfico. Se realizaron 8 entrevistas a matronas tanto de atención primaria como hospitalaria en Barcelona. Resultados. Las informantes construyen lo natural aplicado a los procesos reproductivos como un continuum de opciones fluidas con dos polos: el del intervencionismo con connotaciones negativas y el del naturalismo, vinculado con elementos positivos. Por otro lado, la dicotomía mente/cuerpo cartesiana se invierte a nivel valorativo: la mente vehicula elementos biomédicos y por tanto negativos mientras que el cuerpo debe tomar el control. Conclusiones. Siguiendo los preceptos de los movimientos de parto humanizado, las informantes consideran que la naturaleza guía los procesos reproductivos. No obstante, encontramos diferencias entre las más afines al intervencionismo biomédico y aquellas que consideran que dichos procesos no deben ser perturbados.

El objetivo del artículo es definir un marco ético donde se vertebren los elementos esenciales (no necesariamente los únicos) que las matronas deben tener en cuenta cuando atienden a mujeres embarazadas que están sufriendo violencia de género (VG). La propuesta girará en torno al concepto de acompañamiento, entendido como el proceso por el cual se da apoyo a una persona vulnerable para ayudarla a ganar cuotas de autonomía. Se sugerirá un modelo de acompañamiento biopsicosocial de las mujeres gestantes y víctimas de violencia con tres dimensiones: en primer lugar, el acompañamiento es un proceso a través del cual la matrona debe ayudar a la mujer a empoderarse a sí misma; en segundo lugar, es un proceso en el cual la matrona debe construir un entorno de confianza y respeto en la consulta; y, en tercer lugar, requiere unas adecuadas relaciones interprofesionales. El artículo se centrará en las dos primeras dimensiones, que son dos caras de la misma moneda, y se referirá solo brevemente a la tercera, puesto que va más allá del ámbito de las matronas y, por tanto, del propósito del presente trabajo. El método utilizado ha sido el análisis y la reflexión filosófico-racional.

Introducción. La existencia de mujeres españolas que optan por la subrogación transfronteriza como camino hacia la maternidad es una realidad, pues a pesar de considerarse legalmente nulo cualquier acuerdo de subrogación desarrollado en España, se contempla la inscripción en el Registro Civil de los nacidos por subrogación en países en los que la misma es legal. A pesar de ello, no existen apenas estudios españoles acerca de la experiencia vivencial de maternidad de dichas mujeres. Por ello, investigar la vivencia de las madres intencionales españolas, entendida como una forma más de maternidad, puede ser de interés para el desarrollo tanto de la matronería como de cualquier profesión relacionada con la atención maternal y perinatal. Objetivo. Realizar una aproximación comprensiva a la experiencia vivencial de las mujeres españolas no gestantes que optan por la subrogación como camino hacia la maternidad. Metodología. Se enfocó el estudio desde un punto de vista cualitativo, seleccionando como marco teórico la fenomenología interpretativa; se emplearon entrevistas en profundidad de tipo semiestructuradas, abiertas e individuales, alcanzando un tamaño muestral de 10 mujeres. Resultados: se identificaron 6 categorías emergentes, 24 temas y 2 subtemas. Discusión. Todas las participantes se mostraban satisfechas con su experiencia vivencial de maternidad. No obstante, se hace patente la carencia y necesidad de atención maternal, al demandarla las entrevistadas directa o indirectamente en los discursos. Los profesionales especialistas en Obstetricia y concretamente las matronas disfrutan de una posición única y privilegiada para ofrecer dicha atención maternal. Abstract Introduction. The existence of Spanish women who opt for cross-border surrogacy as a path to motherhood is a reality, because despite being considered legally void any surrogacy agreement developed in Spain, is contemplated the registration in the Civil Registry of those born by surrogacy in countries where it is legal. Despite this, there are hardly any Spanish studies on the life experience of motherhood of these women. For this reason, investigating the experience of Spanish intentional mothers, understood as another form of motherhood, may be of interest for the development of both midwifery and any profession related to maternal and perinatal care. Objective. To carry out a comprehensive approach to the life experience of non-pregnant Spanish women who choose surrogacy as a path to motherhood. Methodology. The study was approached from a qualitative point of view, selecting interpretive phenomenology as the theoretical framework; In-depth interviews of a semi-structured, open and individual type were used, reaching a sample size of 10 women. Results. 6 emerging categories, 24 topics and 2 subtopics were identified. Conclusions. All the participants were satisfied with their life experience of motherhood. However, the lack and need for maternal care becomes evident when the interviewees demand it directly or indirectly in the speeches. Professional specialists in Obstetrics and specifically midwives enjoy a unique and privileged position to offer such maternal care.

Introducción El objetivo del presente trabajo es realizar una revisión de la formación teórico-práctica en violencia de género (VG) que se imparte a los Enfermeros Internos Residentes (EIR) de matrona en nuestra unidad docente. Material y métodos Se hizo una revisión de los contenidos sobre VG en la normativa actual y una revisión bibliográfica sobre la formación de profesionales. Se realizó una comparativa con el material y metodología disponibles en nuestra la unidad docente. Resultados Los conocimientos teóricos y adquisición de competencias para la atención a mujeres víctimas de VG queda recogida en la normativa y códigos éticos de las matronas. Se hace necesario prestar especial atención al «currículo oculto». Se definen como metodologías efectivas para mejorar este currículo oculto las actividades autoreflexivas. Discusión La formación en VG en nuestra unidad cumple con los criterios establecidos para la formación de matronas según la normativa vigente. No obstante, los EIR siguen expresando temor y falta de destreza para abordar estas situaciones. Es por ello por lo que hemos planteado dos áreas de mejora. Conclusiones La VG es un problema de salud pública con el que los profesionales muestran inseguridad. Para la formación teórica existen metodologías de fácil implantación, pero para la adquisición de competencias hay que desarrollar el currículo oculto. En nuestra unidad docente se contempla ampliamente la formación en VG, pero parece adecuada la inclusión de informes reflexivos de incidentes críticos en VG.

Introduction: Intimate partner violence is a terrible reality that is present in all countries. When it involves a pregnant woman, the negative effects multiply affecting also the fetus. Improving the procedures for detection and treatment is one of the measures that will allow to eventually overcome intimate partner violence. Because of the functions that midwives perform during pregnancy, monitorization, and post-partum, and because of the relationship of trust they establish with the pregnant woman, midwives are in a particularly suitable position to proceed with their detection. Materials and Method: In this article we present the objectives, contents and evaluation of a training activity aimed at midwives of the municipality of Hospitalet de Llobregat that took place this year in the context of a Participatory Action Research that aims to improve the detection and approach of cases of intimate partner violence during pregnancy. Results: The results of the training activity’s assessment report favorably on its repetition and point, for its improvement, to the realization of more activities focused on the application of contents and to increase the training received on services of attention to women in contexts of intimate partner violence, circuits of referral, and emotional intelligence. Discussion and Conclusions: The assessment has focused on the activity's formative nature. The objectives and the impact of the activity have been evaluated. In accordance with the Participatory Action Research, we have chosen a horizontal and participatory approach. Promoting training actions and submitting them to evaluation is one of the ways to combat intimate partner violence.

El Hospital Universitario de La Ribera (Alzira, Valencia) fue la primera experiencia de colaboración público-privada en el Sistema Nacional de Salud español. Además de la necesidad de coordinar dos niveles de atención sanitaria (primaria/especializada) hubo que coordinar dos modelos de gestión de recursos humanos (público/privado). Para ejemplificar esta complejidad, se toma el colectivo de matronas del área de salud, analizando sus pautas relacionales mediante la aproximación metodológica del Análisis de Redes Sociales. En cuanto a resultados, de una población de 31 matronas, las del modelo público ocupan posiciones periféricas y cooperan poco, tanto interna como externamente. Las del modelo privado constituyen un subgrupo cohesivo, que supone tanto una fortaleza como una debilidad. Las matronas de Atención Primaria y modelo privado constituyen puentes entre subgrupos. Por tanto, la presencia de dos modelos de gestión condiciona la eficiencia de la atención maternal más que la división de la atención en dos niveles.

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Reseña de Tesis Doctoral Camacho, F. (2020): "Aplicaciones del Análisis de Redes Sociales en el ámbito sanitario: matronas y gestantes".

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La Organización Mundial de la Salud (OMS) ha declarado 2020 como el Año Internacional de las Enfermeras y Matronas. A esta iniciativa se han unido la Confederación Internacional de Matronas, el Consejo Internacional de Enfermeras (CIE), la campaña Nursing Now y el Fondo de Población de las Naciones Unidas (UNFPA), y durará un año entero. Para la OMS, las enfermeras y matronas desempeñan “una función crucial en la prestación de servicios de salud, ya que consagran sus vidas a cuidar a las madres y los niños, administrar vacunas que salvan vidas, proporcionar consejos de salud, cuidar de las personas mayores y, en general, satisfacer las necesidades sanitarias esenciales del día a día. Además, suelen ser el primer y el único lugar de atención disponible en sus comunidades. A fin de lograr la cobertura sanitaria universal, el mundo necesita que el personal de enfermería y partería aumente en 9 millones”1.

Nos aproximamos a la cuestión de la maternidad de la mano de dos matronas volcadas en la rehumanización de la atención al embarazo, parto y postparto desde una perspectiva feminista. En el otoño de 2019 conversamos con Helen Strivens, perteneciente a Ocean Comadronas, un colectivo pionero de matronas que asisten partos naturales en casa en Granada y con Josune Ibargoyen de Magale, un espacio que comenzó también con la asistencia de partos en casa y el año pasado ampliaba proyecto con Magale Etxea (Casa Magale) en Donostia. Hablamos con ellas de la lógica patriarcalista en la asistencia sanitaria y la violencia obstétrica; de parir en casa y de la lucha colectiva de mujeres por la rehumanización de la asistencia sanitaria desde gestación hasta el postparto. También de sororidad, información, conocimiento y empoderamiento.

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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.)

The nurse and previous auxiliary professions press, is a valuable source for the study of evolution developed and its interrelationship between different health disciplines. Knowing and studying serials publications in this sector allow us to approach reality and professional identity, educational and current which hit. In this article is proposed a methodological guide for finding this kind of source of historiographical information and a model for the historical study of the nurse professional press based on the latest developments in the historiographical methodology; supported on separate analysis of the structure of the press by the precepts of Jaques Kayser and its contents by themes through heuristic, hermeneutic and historical methods in the interpretation of texts.

En la OSID, se está trabajando desde hace varios años, en la integración del trabajo extra e intrahospitalario, tanto de matronas como ginecólogos, para conseguir una sanidad de calidad, con el máximo propósito de ofrecer a la mujer toda la atención sanitaria necesaria, individualizando cada caso y obtener un buen resultado perinatal. En los centros de salud existen equipos multidisciplinares de matronas y ginecólogos que asesoran prenatalmente y realizan un seguimiento conjunto de los embarazos. Las matronas, tanto desde la consulta como en las sesiones de preparación maternal, realizan un trabajo fundamental para la evolución del embarazo normal, donde la educación y promoción de la salud son muy importantes para la salud materna y neonatal. Desde hace varios años los ginecólogos (FEAs) trabajan en los centros de salud y en el hospital pasando por el área de partos, plantas y quirófanos facilitando la integración, el buen funcionamiento del servicio, la formación continuada y el desarrollo profesional. Incorporación de matronas en planta de maternidad: Pensando en la calidad asistencial en el proceso “Embarazo, parto y puerperio” como una continuidad asistencial, valoramos la posibilidad de que existiendo matronas en el área de partos, debíamos intentar incorporar progresivamente este personal en la planta de puerperio, realizar un seguimiento de partos de bajo riesgo, facilitar el alta precoz puerperal, así como promoción de la lactancia materna y contacto piel con piel. Con el apoyo de Gerencia y dirección en 2 años hemos trasformado la plantilla en un 80% . Consideramos un gran avance y mejora el hecho de que ante una paciente de “bajo riesgo”, las matronas puedan dirigir el ingreso, tanto en el parto como en el puerperio, hecho que además tiene una gran aceptación entre las pacientes y profesionales. En esta planta también se encuentra un ginecólogo que, además de controlar a las pacientes de “alto riesgo”, también colabora con las matronas ante cualquier evolución anómala del puerperio. Trabajo en partos o en planta indistintamente: Desde hace unos meses las matronas del área de partos y planta pueden trabajar en caso de necesidad y carteleras en cualquiera de las 2 áreas, de manera que se favorece el continuo asistencial. Área ambulatoria a partos o viceversa: Tras el alta hospitalaria, las pacientes disponen de la posibilidad de una rápida atención por parte de la matrona de ambulatorio, orientada a la ayuda de la mujer con sus cuidados y con la lactancia. Estas profesionales, las mismas que les han atendido durante el embarazo, cierran el proceso de embarazo, parto y puerperio, que a pesar de ser algo totalmente fisiológico, conlleva grandes cambios físicos y emocionales, para ofrecer ayuda y apoyo, respetando e individualizando cada situación. Estas profesionales no deben perder el contacto con el trabajo que se realiza en el hospital, por lo que desde nuestra OSI existe la propuesta de promover que de manera periódica, tengan jornadas laborales hospitalarias. Así, ellas estarán en continua formación en los ámbitos que menos tratan, y podrán proponer las mejores que pueden detectar desde el ambulatorio.

The midwives profession arose as an answer to the national urgency to control the infantile mortality, being established the pregnancy, childbearing and puerperium like processes in which the surveillance and accompaniment acquired different qualities as the scientific knowledge developed, having implications in the historical place that women have had in the assistance of childbirth and in the role of accompaniment towards pregnant women. In the following work we think about this double place of midwives, of surveillance and accompaniment, as an institutional device that marks the relations with the parturients, and opens a space for questioning about the figure of midwives as the main public figure responsible for obstetric violence. [ABSTRACT FROM AUTHOR]

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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.)

The aim of this study was focused on knowing professional development characteristics and Clinical Practice of Midwives in the Municipal Charity of Malaga in 1900-1956. Method and Materials: This was descriptive and historic study. The collection of information has been made through primary and secondary sources. Results: The process to install the relief houses in the City of Malaga, started in 1862 by Order of the Civil Governor. Conclusions: The incorporation of the healthcare scenario allowed Midwives coverage during the reproductive process of poor women of Malaga through the Municipal Welfare.

¿El Perú necesita más obstetras? El 05 de mayo se conmemoró a nivel global el Día Internacional de las Obstetras (Internacional Day Of The Midwife); sin embargo en nuestro País, esta fecha paso desapercibido, muy a pesar que el COP se encuentra afiliado a la International Confederation Of Midwives (ICM). A continuación algunos enfoques sobre el asunto.

Objective: To explore the experiences of primary healthcare (PHC) midwives with the implementation of telemedicine in pregnancy and puerperium care during the Covid-19 pandemic., Method: Exploratory qualitative study based on an inductive content analysis of 15 semi-structured interviews with intentionally selected PHC midwives in four Spanish Autonomous Regions, during 2021-22., Results: Five categories were identified: (1) changes in the modality of care in pregnancy and puerperium: prioritization of pregnant women, unprotected puerperium, an increase of home visits and decline of parental education groups, (2) implementation of telemedicine in a changing scenario: the positive and negative side of telemedicine (3) reaction of women to telemedicine (4) strategies implemented by midwives for a humanized care, (5) learning for the future., Conclusions: The use of telemedicine by primary healthcare midwives enabled the care of pregnant and postpartum women during the pandemic in Spain. The positive aspects of the implementation of this type of care raise possibilities for change towards a hybrid format of healthcare., (Copyright © 2023 The Authors. Published by Elsevier España, S.L.U. All rights reserved.)

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Objective: Change of healthcare model in normal childbirth, health authorities interest in exploring childbirth expectations of pregnant women and their cultural and social specificity make relevant the study of these expectations at this moment. The aim is to know what are the childbirth expectations from a sample of Spanish pregnant women and to study the differences between primiparous and multiparous pregnant women expectations. Methodology: Qualitative study based on an open-ended question about childbirth expectations. Data were collected during 2014-2015 to third trimester pregnant women in La Ribera health area (Alzira, Valencia). Data were analyzed using content analysis. Results: Sample of 213 pregnant women whose main expectations were to have a fast delivery, with good obstetric outcome, painlessly and with professional support. Expectations regarding normal childbirth protocols accounted for 5.2% of total responses. No statistically significant differences between primiparous and multiparous pregnant women were found. Conclusions: Knowledge about childbirth expectations is highly relevant because pregnant women measure their satisfaction with childbirth through the fulfillment of these expectations. Helping them to develop realistic expectations will increase their satisfaction. Midwives play an important role through the training they give (maternal education) and through the support during delivery (this is essential for the pregnant women in order to feel themselves protagonist of their delivery). [ABSTRACT FROM AUTHOR]

Copyright of Llull: Revista de la Sociedad Espanola de Historia de las Ciencias y de las Tecnicas is the property of Sociedad Espanola de Historia de las Ciencias y de las Tecnicas 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.)