Evidence-based maternal and perinatal healthcare practices in public hospitals in Argentina

Int J Gynaecol Obstet. 2009 May;105(2):118-22. doi: 10.1016/j.ijgo.2009.01.003. Epub 2009 Feb 20.


Objective: To investigate the use of beneficial maternal and perinatal healthcare practices in a network of public maternity hospitals in Argentina.

Method: A multicenter, prospective, descriptive study of 6661 deliveries in 9 hospitals. The use of 5 obstetric care practices that reduce maternal and perinatal morbidity and mortality was evaluated.

Results: Median use rates for the selected practices were: continuous support for women during childbirth (17.9%); corticosteroids for preterm birth (35.3%); avoidance of episiotomy in primiparous women (41.2%); iron and folate supplementation (52.5%); active management of third stage of labor (93.5%).

Conclusion: There is limited use of the selected evidence-based maternal and perinatal practices in public hospitals in Argentina and a large variation in their use among and within hospitals. Efforts should be made to increase the use of these evidence-based practices.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Argentina
  • Dietary Supplements / statistics & numerical data
  • Episiotomy / statistics & numerical data
  • Evidence-Based Medicine / statistics & numerical data*
  • Female
  • Folic Acid / administration & dosage
  • Hospitals, Maternity / statistics & numerical data*
  • Hospitals, Public / statistics & numerical data*
  • Humans
  • Iron / administration & dosage
  • Labor Stage, Third
  • Pregnancy
  • Premature Birth / drug therapy
  • Prospective Studies
  • Quality of Health Care / statistics & numerical data*


  • Adrenal Cortex Hormones
  • Folic Acid
  • Iron