Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Objective To evaluate the experience of patients who were in the process of pregnancy interruption due to serious or incurable fetal malformations above 22 weeks’ gestation. Materials and Methods. A descriptive, cross-sectional pilot study was carried out using an ad-Hoc questionnaire that included 15 questions related to the quality of care and the gestational loss process developed by a multidisciplinary team of nurses and specialists in Maternal Fetal Medicine from the Hospital Clínic de Barcelona. The quality of the «care» was evaluated using a score from 0-10 points. Results/Findings. The global «Care» score was 9.45. The environmental noise score was 5.98 in the different hospital facilities and the perception of time from delivery to hospital discharge had a score of 6.22. All our patients were offered contact with their babies after the interruption, but 58 % of the families would have liked to receive other regards in addition to the fingerprints they receive and 47% would have liked to have taken photographs of their babies. Additionally, 37 % of families said they would have spent more time with them. Finally, 53 % of the families reported the need to require psychological or emotional support, both during hospital admission and in the puerperium. Conclusions. The general assessment of the care provided was appropriate, although some aspects could be improved. Conducting a survey of families undergoing a late pregnancy interruption is a useful method to assess the quality of care provided and to design future actions.

The lockdown, during the first wave of the pandemic of SARS-CoV-2 virus, caused the closure of educational centers, complicating the situation for families with dependent minors. The challenge was even greater among the so-called key workers, such as the personnel of the Spanish Armed Forces (SAF). Given the imbalanced distribution of care tasks in Spain and the minority position of females in the SAF, the situation of military women was potentially critical.  Objective. To analyze the use of extraordinary family-work balancing policies, implemented by the Ministry of Defense during the state of emergency, by servicewomen within the SAF. Material and method. A quantitative, cross-sectional, and retrospective study was carried out through an electronic, anonymous and self-administered questionnaire to a sample of 473 military women. Results. During the analyzed period, the percentage of military women using measures to reconcile work and family life slightly increased. However, in cases of couples/ex-partners where both parents are military, the number of fathers benefiting from them doubled. On the other hand, single-mother families opted for the mother to stay at home. Conclusions. The mandatory lockdown changed the usage profile of measures to reconcile work and family within the SAF. Even though there was a greater presence of mothers in single-mother homes, there was also a greater co-responsibility in homes with both military parents. New analyses of the factors that have led to this greater co-responsibility could provide valuable information to reduce the professional consequences of motherhood for women in the SAF.

Objectives. The aim of this bibliographic review is to provide information on the origin and consequences of gender bias, analyzing the limitations that it produces in clinical practice and proposing multiple points that must be addressed in the future so that the current panorama can be modified. Material and methods. A bibliographic search is performed on the Pubmed, Google Scholar and Dialnet databases, where 241 non-duplicate records are obtained. Following the application of the exclusion criteria, they are reduced to 37 articles, from which other 21 relevant items are identified by snowball sampling. Results. The content of the 33 articles that have been relevant to the research is briefly commented. Discussion. The gender bias in health care is caused by its presence in the production and dissemination of knowledge, leading to a bias in the diagnostic and therapeutic effort. This has consequences related to medical knowledge, clinical management and the provision of health care that have an impact on the health of women, but also of men. The highlighting study limitation is that the impact of gender bias in health professionals, both in their training and in their work practice, and in specific pathologies is not addressed. Conclusions. Currently, there are limitations related to gender bias in the field of research, dissemination of knowledge and clinical practice. Therefore, this will continue to be an important search field in the coming years, since the integration of gender medicine is a key item consider within personalized medicine and patient-centered care to achieve a holistic approach of patients and diseases.

Introduction. Induced lactation is a method by which a non-pregnant mother can breastfeed her baby. New family models such as homosexual couples, surrogate gestation and adoption are the typical cases in which you can choose to carry out this process. The existing methods for induction are pharmacological and non-pharmacological, both included in specific protocols. Objectives. To delve into the mechanism that allows lactation induction, the types of existing protocols, detailing what techniques were used and determining what are the success factors for successful induction. Material and methods. Bibliographic research in the following databases: Pubmed, Web of Science, Cinahl. The search is expanded in the Journal of Human Lactation and Musas. Sixteen case articles related to lactation induction were selected. Results. Most mothers manage to establish lactation thanks to personal motivation, emotional support, breast stimulation and sucking. Conclusions. There is a need to inform health professionals and consultants so that they can promote and advise on induced lactation when needed. More studies are necessary to be able to standardize inductive methods and to be able to individualize them according to the case, objectives, and expectations, since, based on these, the success of the induction will be determined.

Objectiu. Aquest estudi identifica i analitza l’impacte de la reparació de la fístula en el restabliment de la dignitat de les dones i les seves estratègies d’afrontament o mètodes d’adaptació a la societat. L’estudi és fonamental donats els efectes negatius de la fístula en la identitat de les dones i els seus éssers estimats. Materials i mètodes. L’estudi es va basar en un estudi de casos qualitatiu que va utilitzar un mostreig intencional per a seleccionar a les participants de les entrevistes en profunditat amb 7 dones (d’entre 17 i 42 anys). Les dades es van agrupar en temes i es van analitzar. L’anàlisi temàtica va identificar com a temes principals: l’experiència negativa, l’estigma i les estratègies d’afrontament positives que faciliten l’adaptació adequada. Discussió i conclusions. L’estigma social continua fins i tot després de la intervenció quirúrgica i és el principal repte amb el qual els participants han de lidiar diàriament, afectant el nivell d’integració en la comunitat. També afecta el grau en què les supervivents de la fístula poden ser percebudes i es perceben a si mateixes com a «dignes». Les participants es van enfrontar a problemes de salut mental com la ira, la tristesa, la depressió, l’ansietat, l’estrès i la vergonya. No obstant això, les participants van reconèixer que, gràcies al suport de la família, els programes d’empoderament i el suport de la comunitat, estaven tornant a poc a poc a la seva vida normal.

Objectiu. Identificar les accions i experiències de salut sexual i reproductiva (SSR) de dones migrants llatinoamericanes en l’atenció primària de salut. Mètode. Es du a terme una revisió narrativa tot cercant en les bases de dades Dialnet, Pubmed, CUIDIN, Redalyc, Scielo i BVS. Les paraules claus utilitzades van ser «Dones», «Migrants», «Atenció Primària de Salut», «Salut Reproductiva» i «Salut Sexual», amb els operadors booleans «AND» i «OR». S’inclouen estudis que refereixen l'atenció de dones migrants llatinoamericanes en el context de Salut Sexual i Reproductiva, excloent estudis enfocats a la població pediàtrica, adulta gran i masculina. Resultats. Es van incloure un total de 16 articles. De l’anàlisi se’n van derivar quatre categories: accés a l’Atenció de Salut; estratègies de Salut Pública en Salut Sexual i Reproductiva; experiències en salut sexual i reproductiva; percepcions de salut. Conclusions. La salut sexual i reproductiva de les dones migrants es troba influenciada per diverses variables, entre les quals destaquen factors socioculturals i factors associats a l’accés a l’atenció sanitària. S’observa un dèficit d’informació sobre la salut sexual i reproductiva, per la qual cosa existeix el desafiament d’augmentar les recerques en aquest àmbit per tal de generar polítiques i protocols de cura que permetin millorar i adaptar l’atenció en Salut Sexual i Reproductiva.  

Editorial del número 2, volum 7, de la revista Musas.

Número complet Musas_7.2_Procreació i Cura: Avenços i reptes de futur

Portada_7_2_2022

Resumen: El objetivo del artículo es determinar las principales variables independientes que pueden explicar los ingresos públicos del Estado de México para 2020, presentándose bajo el método deductivo, con paradigma hermenéutico, con enfoque cualitativo y con análisis econométrico de tipo transversal. Los ejercicios de regresión lineal múltiple arrojaron los siguientes resultados para los 125 municipios mexiquenses: 1) La variable independiente valor catastral de los inmuebles resultó determinante para las figuras de ingresos totales, ingresos propios e impuestos; 2) La variable de control población influye en los ingresos totales, participaciones federales, aportaciones federales, ubicándose con sentido inverso en ingresos propios e impuestos; 3) La variable independiente Producto Interno Bruto (PIB) tiene influencia en las participaciones federales y en los derechos (tasas); 4) Las variables de control población mayor de 15 años que no cuenta con educación básica, vivienda sin drenaje, vivienda sin electricidad y porcentaje de población que usa computadora tienen mayor influencia en la determinación del Índice de Rezago Social de los municipios mexiquenses. No se presenta pereza fiscal, ya que los recursos obtenidos por participaciones federales no desincentivan el cobro de las contribuciones locales (ingresos propios e impuestos).   Palabras clave: gobierno municipal; hacienda local; impuesto local; gobierno local.   Abstract: The aim of this paper is to determine the main independent variables that can explain the public revenues of the State of Mexico for 2020, to develop this work the deductive method was used, with a hermeneutic paradigm, qualitative approach and cross-sectional econometric analysis. The multiple linear regression exercises revealed the following results for the 125 municipalities of the State of Mexico: 1) The independent variable cadastral value of real estate resulted determinant for the figures of total income, own income and taxes; 2) The control variable population influences total income, federal participations, federal aportments, being located with inverse sense in own income and taxes; 3) The independent variable Gross Domestic Product (GDP) has an influence on federal contributions and duties (taxes); 4) The control variables population over 15 years of age without basic education, housing without sewage, housing without electricity and percentage of population using a computer have a greater influence in determining the Social Gap Index of the municipalities of the State of Mexico. There is no fiscal laziness, since the resources obtained from federal participations don´t discourage the collection of local contributions (own income and taxes).   Key words: municipal government; local finance; local taxation; local government.