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  1. Article ; Online: Factores que influyen en la adherencia a la vacuna contra la tosferina en mujeres embarazadas en Uruguay.

    Inthamoussu, Maite / Viroga, Stephanie / Speranza, Noelia

    Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia

    2021  Volume 38, Issue 3, Page(s) 362–369

    Abstract: Background: Since 2015, pertussis vaccine has been offered universally and free of charge to pregnant women in Uruguay. Although it is mandatory, vaccination coverage is not yet complete.: Aim: To study the pertussis vaccination coverage in 2017 in ... ...

    Title translation Factors that influence the uptake of pertussis vaccine in pregnant women in Uruguay.
    Abstract Background: Since 2015, pertussis vaccine has been offered universally and free of charge to pregnant women in Uruguay. Although it is mandatory, vaccination coverage is not yet complete.
    Aim: To study the pertussis vaccination coverage in 2017 in pregnant women in two state hospitals and to search for barriere for uptaking the vaccine.
    Methods: We conducted an observational, descriptive and transversal study, using a survey in patients undergoing immediate postpartum period.
    Results: 884 surveys were analyzed (mean age 25.2 years; 16% teenagers, most of them in a relationship and incomplete high school). 317 women (36%) were vaccinated. Main barriere for uptaking Tdap vaccine were: teenage and being single were associated with a greater risk for the uptake. Not being aware of the vaccine mandatoriness and not being informed about its benefits were associated with 9,44 and 4 higher risks for not uptaking the vaccine (IC 95% 6.63-13.45 and IC 95% 2.43-6.41, respectively). Not believing in the benefits of pertussis vaccine during pregnancy was associated with 6.37 higher risk (OR 6.37; IC 95% 4.61-8.78).
    Discussion: Most pregnant women in this study during 2017 did not uptake pertussis vaccine and did not have medical indication for it. The lack of information about the obligation and benefits, and also patients' beliefs about the vaccination were identified as barriere. Health professionals who treat pregnant women should recommend and inform about the benefits of pertussis vaccine for women and the infant, and create the necessary perception of risk, in order to improve the vaccination coverage.
    MeSH term(s) Adolescent ; Adult ; Cross-Sectional Studies ; Diphtheria-Tetanus-acellular Pertussis Vaccines ; Female ; Humans ; Infant ; Pertussis Vaccine ; Pregnancy ; Pregnant Women ; Uruguay ; Vaccination ; Whooping Cough/prevention & control
    Chemical Substances Diphtheria-Tetanus-acellular Pertussis Vaccines ; Pertussis Vaccine
    Language Spanish
    Publishing date 2021-08-31
    Publishing country Chile
    Document type Journal Article ; Observational Study
    ZDB-ID 2048815-4
    ISSN 0717-6341 ; 0716-1018
    ISSN (online) 0717-6341
    ISSN 0716-1018
    DOI 10.4067/S0716-10182021000300362
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 mitigation measures increase preterm birth and low birth weight in the public healthcare system in Uruguay.

    Briozzo, Leonel / Tomasso, Gisselle / Trujillo, Janet / Viroga, Stephanie / Pintos, Javier / Nozar, Fernanda / Aleman, Alicia / Buekens, Pierre

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 162, Issue 2, Page(s) 718–724

    MeSH term(s) Infant, Newborn ; Female ; Pregnancy ; Humans ; Premature Birth/epidemiology ; Premature Birth/etiology ; Pandemics ; Uruguay/epidemiology ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/complications ; Infant, Low Birth Weight ; Delivery of Health Care ; Birth Weight
    Language English
    Publishing date 2023-04-13
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.14778
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Tertiary-level study of the implementation of a technique checklist for cesarean deliveries at a university hospital in Uruguay.

    Viroga, Stephanie / Vitureira, Gerardo / Artucio, Santiago / Lauría, Washington

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2017  Volume 136, Issue 2, Page(s) 242–246

    Abstract: Objective: To assess the adherence of healthcare providers to cesarean-delivery techniques before and after the introduction of a technique checklist at a university hospital.: Methods: A retrospective cross-sectional cohort study included data from ... ...

    Abstract Objective: To assess the adherence of healthcare providers to cesarean-delivery techniques before and after the introduction of a technique checklist at a university hospital.
    Methods: A retrospective cross-sectional cohort study included data from all cesarean deliveries at Gynecology Clinic B of the University of the Republic, Montevideo, Uruguay, between January 1 and December 31, 2011. The data were grouped based on whether delivery occurred before or after the implementation of the checklist and were compared across a range of cesarean-delivery techniques.
    Results: Data from 296 cesarean deliveries were included; 130 from before implementation and 166 from after. After the implementation of the checklist, complete adherence to all techniques was observed in 28 (16.9%) deliveries. Following the introduction of the checklist, the odds of prophylactic cefazolin (OR 8.35, 95% CI 3.74-20.9), chlorhexidine (OR 8.98, 95% CI 3.72-23.7), cord traction for the third stage of labor (OR 2.26, 95% CI 1.33-3.85), and double-layer hysterorrhaphy (OR 3.65, 95% CI 2.09-6.55) being properly applied increased compared with before the implementation of the checklist.
    Conclusions: Overall adherence to the prescribed techniques was low. The implementation of this checklist improved the odds of several techniques being applied by between two- and eight-fold.
    MeSH term(s) Cesarean Section/standards ; Checklist/methods ; Cross-Sectional Studies ; Female ; Guideline Adherence ; Hospitals, University ; Humans ; Labor Stage, Third ; Pregnancy ; Retrospective Studies ; Uruguay
    Language English
    Publishing date 2017-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.12039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effect of the unfavorable maternal-fetal environment cause by mitigation measures of the covid-19 pandemic in the public maternity of reference of Uruguay.

    Briozzo, Leonel / Tomasso, Giselle / Viroga, Stephanie / Selma, Hugo / Cardozo, Virginia / Niz, Clara / Nozar, Fernanda / Bianchi, Ana

    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

    2021  Volume 35, Issue 25, Page(s) 7312–7315

    Abstract: Introduction: The mitigation measures to face the health emergency due to the COVID 19 pandemic generated a deep economic, social, and psychological crisis at the community level. This effect is greater in the people, who are the most violated in their ... ...

    Abstract Introduction: The mitigation measures to face the health emergency due to the COVID 19 pandemic generated a deep economic, social, and psychological crisis at the community level. This effect is greater in the people, who are the most violated in their rights. In relation to the social crisis and gender perspective, women are particularly affected by the pandemic. Given the disadvantaged situation of women socially, economically, and politically, their self-care is diminished.
    Objective: To identify whether there is an association between the classic risk factors for prematurity and fetal growth restriction and the increase in these pathologies in the period March-September 2020, in a maternity hospital that assists women from low resources.
    Materials and methods: A retrospective study, with a comparative analysis of the periods between 15 March and 30 September 2019 and the same period in 2020. The data were obtained from an electronic clinical database. The prevalence of preterm birth and small-for-gestational age newborn was analyzed. Indicators available in the database that reflect maternal conditions that lead to an unfavorable maternal environment were selected and they were classified into categories.
    Results: In the period of 2019, 3225 births were registered and in the period of 2020, 3036 births. In the 2019 period, 12.2% of prematurity was evidenced, while in the 2020 period, 14.5% (RR = 1.19, IC 95% = 1.05-1.35,
    Conclusion: The economic, psychological and social crises, in the 1st semester of the health emergency, seriously affected the social determinants of the health of pregnant women who use the Public Maternity of reference in Uruguay. This situation is at the base of the poor perinatal results in the period of the maximum mediated mitigation of the pandemic.
    MeSH term(s) Female ; Infant, Newborn ; Pregnancy ; Humans ; COVID-19/epidemiology ; Pandemics/prevention & control ; Premature Birth/epidemiology ; Retrospective Studies ; Uruguay/epidemiology ; Infant, Newborn, Diseases/epidemiology ; Fetal Growth Retardation/epidemiology
    Language English
    Publishing date 2021-07-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2077261-0
    ISSN 1476-4954 ; 1057-0802 ; 1476-7058
    ISSN (online) 1476-4954
    ISSN 1057-0802 ; 1476-7058
    DOI 10.1080/14767058.2021.1946791
    Database MEDical Literature Analysis and Retrieval System OnLINE

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