PRACTICAS INTEGRALES DEL PARTO MSP.pdf

7/25/2019 PRACTICAS INTEGRALES DEL PARTO MSP.pdf

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NORMAS, PROTOCOLOS Y CONSEJERA

para programas de atencinnutricional durante el

embarazo y parto

MINISTERIO DE SALUD PBLICA DEL ECUADORCOORDINACIN NACIONAL DE NUTRICION


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NORMAS,PROTOCOLOS

Y CONSEJERApara prog ram as

de atencinnutricionaldurante elembarazo y part o


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Presentacin

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a& e + (e "'d' e+ ac"'&a$.

L'+ a& ecede& e+ de+c " '+ a& e "' %e& e e e$a& $a "%(' a&c"a de $a & "c" &(a a $a +a$ d de $a ('b$ac" & $a e+('&+ab"$"dad de$ +ec ' +a$ d, e& $a "%($e-%e& ac" & de ( ' a%a+ d" " "d'+ a e e " e+ '+ ( 'b$e%a+.

* R' ' B' d'&ada, M.N "c" & e& Sa$ d P b$"ca. M"&"+ e "' de Sa&"dad C'&+ %'. I&+ " ' de Sa$ d Ca $'+III. Mad "d, 2007.


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ea+ de +a$ d & "c" & ) e !a& (a "c"(ad' e& e "+a $'+ d'c %e& '+ ( e$"%"&a e e& + e " & e '+ c'& e&"d'+ (a a a$ca&1a $a ( 'd cc" & de$ ( e+e& e e& e+(ec"a$

a $'+ a ' e+ de a$$ad'+ a c'& "& ac" &, C'&+e#e 4a (a a e%ba a1ada+: N "c" & E%ba a1' a $a D a. Pa "c"a M' ' e#', N' %a+ P ' 'c'$'+ N "c"'&a$e+ (a a $a a e&c" &de $a % #e e%ba a1ada a $a D a. Pa "c"a M' ' e#' a$ L"c. Ra% & Me ' N' %a+ P ' 'c'$'+ (a a $a I%($e%e& ac" & de P c "ca+ "& e a$e+ de$ Pa ' a $a D a. I+abe$D "$a A ea a, E+(e a%'+ ) e c'& "b a& a$ aba#' d"a "' de a e&c" & e& $'+ +ec"'+ de +a$ d.

D a. R'c"' Ca"ced'

C'' d"&ad' a Nac"'&a$ de N "c" &

MINISTERIO DE SALUD PBLICA

PRESENTACI8N


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PROTOCOLO para laimplementacin de prcticas

integrales del parto

MINISTERIO DE SALUD PBLICADEL ECUADOR

COORDINACIN NACIONALDE NUTRICIN

Se permite la reproduccin total o par-

cial de la informacin aqu publicada,siempre que no sea alterada y citen loscrditos correspondientes.

Diseado e Impreso en Quito- Ecuador

Revisn Tcnica

Hospital Gineco Obsttrico Isidro Ayora

Organizacin Mundial de la Salud

Sociedad Ecuatoriana de Pediata

Hospital Carlos Andrade Marn

Hospital Enrique Garcs

Hospital Metropolitano

2010

RECONOCIMIENTO:

La Coordinacin Nacional de Nutricinagradece el apoyo financiero delMinisterio de Coordinacin deDesarrollo Social para el diseogrfico del documento .


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- Efec&"% del #i!+a ie!&" "#"$&'!" del c"$d ! ' bilical e! $eci,!!acid"% #$e a&'$"% 17- Efec&"% del #i!+a ie!&" "#"$&'!" del c"$d ! ' bilical e! la% ad$e% 17

0 A#eg" #$ec"+ 19- Ve!&aja%/be!efici"% del a#eg" #$ec"+ 22- Be!efici"% del a#eg" #$ec"+ #a$a la lac&a!cia a&e$!a *el ( !c'l" afec&i(" 22- O&$"% be!efici"% del a#eg" #$ec"+ #a$a el !i " " la !i a 22- Be!efici"% del a#eg" #$ec"+ #a$a la ad$e 23- De%(e!&aja% de la %e#a$aci ! &e #$a!a 23

0 Lac&a!cia #$ec"+ 24-Ve!&aja%/be!efici"% de la lac&a!cia #$ec"+ 25- Ve!&aja% i! '!"l gica% 26- Ve!&aja% a la$g" #la+" 27- Ve!&aja% i!&elec&'ale% 27- Ve!&aja% #a$a la ad$e 28- Ve!&aja% ec"l gica% * ec"! ica% 28- Alg'!a% de%(e!&aja% del c"!%' " de f $ 'la i!fa!&il 29

Anexos 32

- A!e)" N. " 1 - Die+ #a%"% e! h"%#i&ale% 32

Bibliografa 33


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14/45


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Tabla N. 1

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N . C $" T # P !c n# j

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T !+ $ -!#)$ ) 215 906

F - : inec. A- ! ) $ !$; )#! ) !+ , -!#) ) - $ & -#) - , !< , 2009

117 3,6%

81 2,5%

45 1,4%

37 1,1%


17/45

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24/45

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25/45

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26/45

' * +3' + 5 ' +39' 4, + + 5 4* + 43 + 4 9+454 9 34 *+ 4 * 3 ' (M+ + , 2001) .

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TABLA N.o 3RESUMEN DE LOS BENEFICIOS INMEDIATOS Y A LARGO PLAZODEL PINZAMIENTO OPORTUNO DEL CORDN UMBILICAL PARA

LOS RECIN NACIDOS Y SUS MADRES

+ 3 3' *4 + 3 M'* + + 3 + 3

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'9 4 + +*+ +*'*.

M+ 4 ' ++ 9'*4 *+

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*+ +*'*.


27/45

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28/45

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29/45

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30/45

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31/45

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32/45

5 Lac-a(c%a *+!c)1E% a '7&e+ 35 de% c & 'e' e N +&a #/ Ne 'a a%(MsP, 2008) #'d# a * e e debe &e' a+ %a %a a' #a &a-

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TABLA N.) 4RESUMEN DE LOS BENEFICIOS INMEDIATOS Y A LARGO PLAZO

DEL CONTACTO PRECOZ, PIEL A PIEL, ENTRE LA MADREY RECI N NACIDO

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de a e a e! e' +e %a&ad+e "#$a "#$


33/45

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34/45

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35/45

A + E % C a % % + E G

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@? (D J . =., 1995; "2003).

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36/45

= K > >O J = = @= -= ('AH , 2008).

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37/45

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38/45

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39/45

A + E % C a % % + E G

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NormAs y mANuAl De coNsejer'A pa a p g a a d a! n i&n n"! i i na d" an! ba a% $

Ane#o N. o 1Die% pa o en ho pi!ale

1.Te"e& )"a $# (ica de ac(a"cia !a(e&"a e'c&i(a %)e 'eac#!)"icada $e&i dica!e"(e a $e&'#"a .

2. E"(&e"a& a (#d# e $e&'#"a $a&a e*a& a ( &!i"# e'(a$# (ica.

3. I"f#&!a& a (#da' a' !)je&e' e!ba&a-ada' '#b&e #'be"efici#' a $& c(ica de a ac(a"cia !a(e&"a.

4. A )da& a a' !ad&e' a i"icia& a ac(a"cia d)&a"(e a$&i!e&a h#&a de'$) ' de $a&(#.

5. E"'e a& a a' !ad&e' c !# a!a!a"(a& c !# !a"(e"e& a ac(a"cia a " 'i 'e 'e$a&a" de ')' beb '.

6. N# da& a &eci " "acid#'/a' "i"g " a i!e"(# "i bebida %)e"# 'ea eche !a(e&"a; hace& # ' # $#& i"dicaci "! dica.

7. P&ac(ica& e a #ja!ie"(# c#"j)"(#; deja& %)e a' !ad&e' ')' beb ' e'( " j)"(#' a' 24 h#&a' de d a.

8. F#!e"(a& %)e a ac(a"cia !a(e&"a 'e d cada *e- %)e

e / a beb # $ida.

9. N# da& (e(i"a', ch)$e(e' ) #(' #bje(#' a&(ificia e' $a&a a')cci " de #' beb ' a!a!a"(ad#'/a'.

10. P!#*e& a c&eaci " de #' g&)$#' de a$# # a aac(a"cia !a(e&"a &e!i(i& a a' !ad&e' a #' !i'!#'.

A"e+#'


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B * * M , ! *= => $ * < * =*= , ! *= < ? .119, 2007,. 165-170.

- A + < C * I ., 1990.

- B < > < E!, B * J!, A < DD =. * .: C = > >< < * * =< * * ? < >+*= * * = = * ? > < , ! *= " < * , 1988.- C * C * * J < M, C* G> , ! L * *, =* L> * * = **= * = , + = * * < /* : '*< = D.C., D + , 2007.@@@. * . /< * < /.../ *) *< > * = + < *< : * > *= -+*< * .

F 8 . 7 .

5 6 8 6 . 7

= 8 - . 5 9 * ; = 8B + * *


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> M >@ < >@ > L> . & >, E >@:C$#ADE/" , 1988.

-F ., C ., H ., F G , E B@ G@> > I @ 4 C , C @ >@ H I >@< > , C A < >

@ " , 29, #.> 5, B , 2000, 275-8.

- G @ HC., C> Q < > @ 1 < , A @ $ @ > C ! @ @ , D C @ , 1994, 17:13P19.

- H "., H> > @ >@ , E > @@ > , @ C #>@ A< @ , 2001, 48:105-123.

- H>@ '., @ > ., F @ D., A., A < > ., C>< @ > > E > A@> @ >@< , A@ > D C >> , B@ "

J> @ , 2004, 89(1):22P25.- H @ A @ "., A > " > > J., C>< ! " @ AE , ! < @ , CM @> @ > @ < @

@ @ , ' >< > C>< ! " @ AE .A @K , B @ > , 2005, 63: 340-356.

- I @ > F @ > > G > > $ @ (FIG$), ' >< >> @ < $ @ G > > K , 2006 > > >@ N <

> @ , 2010 :// . < > .>@ .< / > / >. .

- I > # > E K C > , E K # < > D >G @ , > > >@ N < < @ , 2010.

:// . . > . / / / /@ A * @I= 9#E +!*%25253D,

- J EF, J DB, I< @> # @ > @ D @ B >>@ > @ : ! A @ C> @ > , J> @ > @> @ ,

1990, 36:210-211.

- "., ., > @ < >@ , D C > @ . C < @ 1998.- @ < @ "., G > ., '., > ., D > I., C> J., @> ., C < @

B., H> E., + > I., " I., D @ ., > G., B> > #.,I

@> > >< > @ , A< @ J> @ >C # @ > , 2003, 78:291P295.

- ! @ '., ! @ '., ! " @ : * G K @ @> M " ,6 M , 2007.

- ! A., C> ., B@ < > @> @> > , ! (* ) 336,#. > 8730, D 22-29, 1990, 1519-23.

- " @ @ J . C @@ : @ > @ @ > < >@< . J> @ > " @ >< O H 2001; 46 (6):402-414.

-" @ @ J ., +> @ B ', " G@ " @ @ , @ , J < F., " ,$ @ C < + @ @ @< , C> @> @ ,* @ > ' > I , > , ' > I ; B@> " >> , @> ,' > I , EDIA 'IC +> < 117, # < @ 4, A @ 2006.

- " @ > N E >@, < # > , C>< >

Normas y maNual de coNsejer#a p p g t n i"n n t i i n nt b !


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"< < ("< @ $ < < <


44/45

- > !., + E @?@> B ? @ B F ? : A ? A? =J , F@@A ? ? @? @ .@ 13. ? @?, DC: F@@ ? =E @?@> D @?, E @?@> * , * D > ? @ A = ;

- = @? A., * !., G ? *., ? #., H C., H@ '., = @? @ ? ? = @@ = : ? J @==@ @ @ @ @ = ? ? D ? ? ?

J, B $ = !@ ? =, * @ = ? , 316, .@7124, ! ? 1998, 21-5.- > F A., = +., " ? !. .; ! @ , *., '@== < D. E =J I ? ? >

@ ? ? ? @ = @ = ? @ = ' A*, 2005.

- @ = A @ @? @ ' ? = $ ? , @ = C@? @ ' ? = $D = @? @ B =@? @? @ $@ ? @ ?, * > 23-272001.

- @ = H = ? K @?, $ ? = H = ? * ' @ >> . C ? ?@ > =: = . @ @ ? = @ < ? @ . G ? . $ ? =

@ ? H = /* $@ @@ ? , F > =J ? @ H = , @ = H =? K @?. 1997.

%&)$A* / $A%,A# DE C&%*E!E)`A 2 2 @8 2>2 56 2 6?4:S? ?F :4:@?2= 5F 2? 6 6= 6>32 2K@ J 6= 2


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NORMAS, PRTOCOLOS Y CONSEJERA

para programasde atencin

nutricional duranteel embarazo

y el parto

NORMAS Y PROTOCOLOSNUTRICIONALESpara la atencinde la mujerembarazada

MANUAL DECONSEJERANUTRICIONALpara la atencinde la mujerembarazada

PROTOCOLOpara laimplementacinde prcticasintegrales delparto

Documents

PRACTICAS INTEGRALES DEL PARTO MSP.pdf