Effect of a community-based intervention to improve the knowledge on the warning signs of maternal complications among Mayan women from Yucatan randomized controlled trial

Autores: Rodríguez Angulo Elsa María, Andueza Pech Guadalupe, Rosado Alcocer Ligia, Ortiz Panozo Eduardo, Hernández Prado Bernardo

Resumen

Objective: To evaluate a community-based intervention aimed to improve women’s knowledge on alarm signs for preeclampsia-eclampsia, obstetrical hemorrhage, and puerperal sepsis, in Mayan pregnant women in the state of Yucatan, Mexico, in 2008, using participatory methodology. Material and methods: Community-based randomized controlled trial, with experimental (n = 28) and control (n = 28) groups. Participatory strategies with translators of Mayan language were used. Analysis of differences in differences was carried out to evaluate the effect of intervention. Results: The intervention increased knowledge on alarm signs for preeclampsia-eclampsia in 42.9% (p = 0.012), obstetrical hemorrhage in 32.1% (p = 0.071) and puerperal sepsis in 25.0% (p = 0.659). Control group increased 32.1% (p = 0.033) knowledge on alarm signs for puerperal sepsis. Overall effect of intervention was 33.3% (p = 0.007). Conclusions: The community-based intervention improved overall knowledge of women on alarm signs and specific knowledge on alarm signs for preeclampsia-eclampsia. It is necessary to spread this methodology, so that a greater number of women of the community will also be benefitted with the intervention.

Palabras clave: Intervention alarm obstetric complications Mexico.

2014-11-06   |   266 visitas   |   Evalua este artículo 0 valoraciones

Vol. 64 Núm.2. Marzo-Abril 2012 Pags. 154-163 Rev Invest Clin 2012; 64(2-ENGLISH)