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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1
2
3 protocolo ! n# 'n !& # "n# g! " !#
maNual de coNsejer(a NutricioNal ! # n 'n $ ! b ! %
Normas y protocolos NutricioNales ! # n 'n $ ! b ! %
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a t e N c i A N i N t e G r a l "
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A T E N C I N I N T E G R A L a
l a m a
d r e y a
l a n
i a o n
i o p e q u e
o e n e
l m o m e n
t o d e l p a r t o
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PROTOCOLOpara laimplementacinde prcticasintegrales delparto
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Presentacin
La & "c" & # e a & '$ f &da%e& a$ e& e$ de+a '$$' de$ +e ! %a&' de+de e$%'%e& ' %"+%' de $a c'&ce(c" &. De+de e$ ( & ' de "+ a de $a Sa$ d P b$"ca,e& 'd'+ $'+ e+ ad"'+ de$ c"c$' de "da +e ( ede 'b+e a ) e d3f"c" + ' e/ce+'+de & "e& e+ "&f$ e& &e a " a%e& e e& e$ de+a '$$' ( "%' de$ +e ! %a&', ( '-
'ca&d' c'&+ec e&c"a+ "&de+eab$e+ e& + +a$ d , (' e&de, e& + & "c" & e& e$c' ' $a ' ($a1', P' e+ a+ c'&+"de ac"'&e+ $a O a&"1ac" & M &d"a$ de $a Sa$ d
"& " a 'd'+ $'+ e+ ad'+ %"e%b '+ a "%($e%e& a acc"'&e+ e& e$ ca%(' de $a& "c" & a "&c$ " $a+ e& $'+ Ob#e " '+ de$ M"$e&"'.
La N "c" & e& Sa$ d P b$"ca ( ede +e def"&"da c'%' $a c"e&c"a ) e e+ d"a $ae$ac" & e& e d"e a +a$ d e& e$ &" e$ ('b$ac"'&a$, a+4 c'%' e$ de+a '$$' de "& e -e&c"'&e+ & "c"'&a$e+ e& e$ &" e$ c'% &" a "', c'& e$ 'b#e ' de %e#' a e$ e+ ad'
de +a$ d de $a+ ('b$ac"'&e+.*
A $a $ 1 de e+ e c'&ce( ', +e e "de&c"a &a ( 'b$e% "ca & "c"'&a$ e& & e+ '(a4+, ) e +e de% e+ a e& $a+ e+ ad4+ "ca+ " a$e+: c a ' de $a+ d"e1 ( "%e a+ ca -+a+ de % e e c' e+('&de& a (a '$' 4a+ e$ac"'&ada+ c'& $a & "c" &; e& ee+ a+, d"abe e+ %e$$" +, e&fe %edade+ ce eb ' a+c $a e+, !"(e e&+" a+ e "+) 3-%"ca+ de$ c' a1 &; +"& ) e +e !a a& + (e ad' $a+ (a '$' 4a+ ( 'd c ' de d3f"c" +& "c"'&a$e+, c'%' $a de+& "c" & $a a&e%"a. E+ a+ $ "%a+ afec a& a & a$ ' (' -ce& a#e de $a ('b$ac" & de &"5'+ &"5a+ %e&' e+ de c"&c' a5'+ a % #e e+ d -
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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afec ada+ (' $'+ d"fe e& e+ ( 'b$e%a+ & "c"'&a$e+.E+ e d'c %e& ' ) e !' ( e+e& a%'+, !a +"d' e$ab' ad', c'& e$ + + e& ' de $a e "-de&c"a c"e& 4f"ca +'b e $a ba+e de $a+ ec'%e&dac"'&e+ ) e !ace $a O a&"1ac" &M &d"a$ de $a Sa$ d. Ad"c"'&a$%e& e, !a +"d' e "+ad' (' ( 'fe+"'&a$e+ de $a +a$ d de$'+ +ec ' e+ ( b$"c' ( " ad', c'$e a+ de "&+ " c"'&e+ "& e &ac"'&a$e+, ( 'fe+' e+ &"
e +" a "'+ (e +'&a$ 3c&"c' ( ' "&c"a$ ) e !a& + %ad' + + e+f e 1'+ (' e$ "& e 3c'% & de d"+('&e de &a &' %a de a e&c" & c$4&"ca ( e e& " a, ) e e+ ab$e1ca $'+( 'ced"%"e& '+ de a e&c" &, a (a " de (a %e '+ e+ a&da "1ad'+.
E$ ( '( +" ' de$ %a e "a$ e+ ) e +" a c'%' f e& e de c'&+ $ a (e %a&e& e (a a e$ (e -+'&a$ de +a$ d ) e aba#a e& $a+ &"dade+ de a e&c" & ( b$"ca+ ( " ada+, a+4 c'%'de ( 'fe+"'&a$e+ ) e aba#a& e& +ec ' e+ c'%( '%e "d'+ c'& $a +'$ c" & de ( 'b$e-%a+ & "c"'&a$e+, a$e+ c'%' e$ M"&"+ e "' de Ed cac" &, M"&"+ e "' de I&c$ +" & E%"ca S'c"a$, e& e ' '+. De$ %"+%' %'d', e+ $ a "$ (a a %3d"c'+, e&fe %e a+,& "c"'&"+ a+, ed cad' e+ ) "e&e+ e+ 3& "& e e+ad'+ e& e$ e%a.
La+ a ' "dade+ de$ M"&"+ e "' de Sa$ d, $'+ 3c&"c'+ e+('&+ab$e+ de $a C'' d"&ac" &Nac"'&a$ de N "c" &, a adece%'+ a cada &' de $'+ e+(ec"a$"+ a+ e& $a+ d"fe e& e+
ea+ de +a$ 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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nOrMAS MAnuAL De cOnSejer>A /!1! /1.'1!,!2 $% !3%-#)=- -431)#).-!+ $41!-3% %+ %,"!1!8. 7 %+ /!13.
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N . C $" T # P !c n# j
T !+ $ $ & -#) - - - $ - !< 3 279
1 T ! - +!#) -!$ # - $ !#)=- # ! $ +!' !#)=- # - "!* / !+ -!# , - #+! )&)#!$ 572 17,4%
- ! /!
2 n -;!, '!-) - / #)&)#!$ 265 8,1%3 S / ) "!# )!-! $ + #) - -!#)$ 218 6,6%
4 O ! !+& !#) - # -' -) ! $ + # ! =- 156 4,8%
5 O ! !+& !#) - # -' -) ! - #+! )&)#!$!- ! /!
6 n -;! # -' -) ! 92 2,8%
7 D)&)# + !$ /) ! )! - + #) - -!#)$ 83 2,5%
8 D)! ! '! - ) ) $ / - )' -
)-& ##)9 H)/ )! )- ! )-! 76 2,3%
10 S;-$ $ ! /) !#)=- - -! !+ 75 2,3%
11 A &) )! $ -!#) ) - 54 1,6%
12 B - ) ) !' $! 46 1,4%
13 M!+& !#) - # -' -) ! $ + ) !# +! , - #+! )&)#!$! - ! /!
14 H)$ # &!+ # -' -) 40 1,2%
15 T ! - #! $) ! # +! )')-!$ -/ ; $ - -! !+
S;- ! , )'- (!++! ' !- !+ ,#+;-)# $ +!" ! ) , - #+! )&)#!$ - 269 8,2%
! /!
L! $ #! ! $ !+)$!$ )-&!- )+ 1 053 32,1%
T !+ $ -!#)$ ) 215 906
F - : inec. A- ! ) $ !$; )#! ) !+ , -!#) ) - $ & -#) - , !< , 2009
117 3,6%
81 2,5%
45 1,4%
37 1,1%
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E f @ A< E E $> @ L @@ > (1995)A>@. 1.-%La lactancia materna es un derecho natural delos ni"os y ni"as y constituye el medio m!s id#neo paraasegurarles una adecuada nutrici#n y favorecer su nor-mal crecimiento y desarrollo& .
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@> ? @ = > ( = @? =), @? @ @? ? K J = ? . ' =
? ? S? = ? S > , = P? ? @ ? = ?@ > J@ ? > ?@ K ? Q>
@ = ? = = = ? .3. ? = P? ? @.4. E= >@> ? @ S >@ = = @ S? =@
@ , ? ? ? > ? @? =,
? @ = = S? @ @ @> == ? @ J ? = @ ( @ > ? @ P > ? @). A= = = @? , ?K J @
> = = @ P ? ? J = >5. E? =@ P? ? @ > @ I >@ , =
? =@ > ? @ @ = ?K > 45 ? @ .
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EI ? @? ? = ? = = ? SK > ? @ @K = @ = = ?K@ @ ?@. E= @? = = , P = @
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> ? @ . ($@ = J, 1998).
e @ ? < F @ < >@ > L ? > ? J E ? ? >>
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> = = , @ =@ ? @, = >@> ? @ > ? @ = @ S? > = = ? O > @ ?
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= @= > ? ? Q? @ = P? ?@? J ? ? @ > ? ? = @? = = ? R@ @ = ? R . (gr!fico N. o 1) .
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= K = ?K > ? @ = @ S? > = = ? @ = , @ @ = > @ ? =
? S? = ? , @ = P? ? @ ? 30% @? = @= > ? ? Q? @ J ? 60% >O @ @ . E @ T= >@ , = -
@ >S= , = ? 50 > @ = = ? R@ @ = ? R , ? @ @ = @?@ I @ ( @ = H = ? K @?, 1997); ,
?@ J ? ? > ? @ @ @-= > @ = ? > ($ , 2001). E= ?K -> ? @ @ @ ?@ = @ S? > = = >
= 21% = @= > ? ? = ? ? = P? ? @.
# @ ? = ? > ? @ @? ? @ = @ = @ J ? > ? = ?-
? . E= E @ ?@ S ? = ? ? @? = 83,9% ? =@ ? R@ J ? R @ > , J 76% ? ==@ @ ? @
> . B ? @ $ ? =, 2004 ( = .@2).
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+AB#A .@2$&e*A e"CIA De A"e!IA e" e eC AD#&
f @ : f> > @. ., 1988; !'$, 1995; C ? B !@ F @ ? A> , 2005
E? DA * DE* BDHF 1986 1993 2004
@? = G @ G @= @ @ = @ @
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6 12 69,0% ?/ 83,9%
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+@ = 22,0% ?/ ?/
A= > = > ? = ?K > ? @ @ @ ?@ >@> ? @ =@ ? @ @ = Q . EI
? ? Q ? = S? O> ? = > , ? @ ? @ @=S @ ?@
= > @ @ ?@ @ ? ? @? @ P > ?@ (C=., 2006, $ , 2006). A Q > >@ > @ = S?
Q? , = @I ? S? = J = = @ =S =@
e @ ? < F @ < >@ > L > ? @ > ?
D = > > > ? , = ?K > ? @ @ @ ?@ ? ? @ > @ @ @? ? > ?@ ?
? S? ? Q? J ? > ?@ ? ? >@ ? ? = , J ? @ @=K ? ( . =., 2006; C @ & # , 2007).
e @ ? < F @ < >@ > L
? > ?E? = S? @? =@ ? @ = > , ? => ?@ ? J @? > ?@ ? ?
I = >O O => ? = ?> ?@ ? ? ? = = ? =@
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' * +3' + 5 ' +39' 4, + + 5 4* + 43 + 4 9+454 9 34 *+ 4 * 3 ' (M+ + , 2001) .
B' 4 3 3 3 43 +594, >/4 ' 5 +9+=94 *+ +' ?' ' +-
4 + 3 *+ '3 + *+ 4 * 3 ' , + 459' @ 54 5 3?' > 4 9' + 4 * 3 9+ 5 '3' +39+. "4*' + 4-+ 3 + + ' @ ' ' 4 3' +? + + 4 * 3 ' *+-
'*4 *+ '9 > ' 5' '*4 +39+ '3 + ' + 33' *4 (!4 +*'* A +39 3' *+ P+* '9 ', 2008; A + -
'3 A '*+ > 4 P+* '9 , 2007; I39+ 3'9 43' F+*+ '-9 43 4 G>3+ 4 4 > '3* O 9+9 FIGO, 2006).
NO MA! % MAN#AL De CON!eje GA 5'7' 574-7'2'8 *+ '9+3)/ 3 3:97/)/43'1 *:7'39+ +1 +2('7'?4 > +1 5'794
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
5 +9 34/ ' 4 3' *4 3' *4 5 +- 3' *45+ 4 ' 3' + ' 9 34 9 34/ ' 4 ' 9 34
5+ 4 ' 3' +
B+3+ 4 3 +* '94 B+3+ 4 ' ' 4 5 '?4
"4 '*4 *+: OP! C '5' 4 & L 99+ , M'3 ' EM@ ' @ *+ ' 5+ +3 ' , 2007 + '94 94)+39 + 4 *4 '
'9 4 + +*+ +*'*.
M+ 4 ' ++ 9'*4 *+
+ 4 ' 9'4 + + +
*+ +*'*.
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N A< F* @?@ @>@ @? @ > ?@ @ @ @
> ? @ = = ?> > ? P => ? @, ? = P? ? @ J > . E @
= P? ? @ = I@ ?T> @ 35 = C@> @? ? @ > @ @? =,
@ @ @=@ == > @ $ ? @ = S? = @ ($*', 2008) ? @> ? = Y= ?
> ? @K J = =@ > ? @ @? ? @Z. E > J ? = , =@ ? ? @ I @ @? , @> ? = @ > ?@ @ @?
?> @ = =. #@ @ > ? @ ?
1. C@=@ = P? ? @ ? @, > J ? @
@ J @, ? @ S? @? , @ = @ = > , = =.
2. @ = > ?@ = P? ? @ =@ = ?@ > ?@.
3. ? K = K @ = ?K > ? @ J = @ = @= ? @ J @ @ @> = @, P
? @ J ? = @ ( @I > > ? @ > ?P = ? > ? @) @=@ = ? R@ @ ? R
@ ? @ > .
4. C = = = ? R@ @ ? R J = @ = @? ? R@ @ J = ? J = K = P?
@ @? ? @ ( ? = ? = @ ) = P =@ . #
> @? J = = > = @.
5. $@ = > J = .
A + E % C a % % + E G
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= 2 > 2
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= 2 ?
: R 2 @ ? : R @ 6 B F 6
R @ 6 ? 6
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6. $ ? ? = P? ? @ @? > ? @ -S?, @ =@ > ?@ , ? = > @ .
7. '@ =@ @ > ? @ ? ( ? @ @> Q ,@ = I @ = J > ? ") J ? @ =
> @>@ = P? ? @ ? @ @ @ ? = @> = S?.
8. F@> ? = =@ > ? @ @? ? @ > ? ? => = P? ? @, @>@ = = ?
? J @ = = Q? =@ ? = > J = -P? ? @.
9. = @ > ? @ ? = H @ C=Q? ' ? =J ? = @ > = @ * A .
%&)$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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A G#&I !# $A&A e A$eG# $&eC# + A AC A"CIA !A e&"A I"!eDIA A
A + E % C a % % + E G
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* @ ?/ ? < FE= @ @K ? ? ? @ ? @ =? R@ @ ? R @>@ > J @
@ = = K S? I ? = ? = @ @= @. '@ =@ ? @, = ? = ? @ > -
?@ @? = @ = = @ @ > > ? > ? @= = K ? = ? = @.
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> @ ; ? > ? = ? = @, = P? ? @ ?@ > ? K @? >
= ? = ? = ('@ , 2004) J = Q = > O? -
@?@ = > . A >O , @? @ ? >-@? ? = @? = = ? R@ @ ? R > ? O @ .
B ? < F < > @ @ > E J @
E= @=@ > ?@ = > ? == > @ =@ PP? ? @ J @?@ > ? @ > ?@ = -
= Q? =@ @ @? = > J S? = >-? @ ? = ('@ , 2004). D = > > > ? , = ? R@
@ ? R @=@ @ @K> ? @ > , ? @?-@ = =, ? O @? > J@ = , = = ?($ K ?@ . =., 2004), J , > = ? =@ = @ -
S? J T . E= ? R@ @ ? R = @= , @?@ @ @=@ @ @ J @ @=@ . E= @=@ = =Q @
>? S @, ? ? > ? @ ? = > ?@ ? = P? ? @, Q = ? R@ @ ? R = @= > -
? ( & A= , 1990; "= & "= , 1998; '@ ,2004). + @ ? ? @ , @> ?K @? = KS?.
#@ ? R@ J ? R ? ? @ @? O? ? > J@ PI @ ? = ? > ?
($@@ . =., 2007; C @ & # , 2007), @ ?@ @-= > ? @ ? ? @ I @ @ ?@ , >O , ? -> ? = S? = = ? J > @ = @ S?
= . '@ @ K@? , = @? @ = =@ > =@ K @ = Y ? H@ = A> @
=@ R@/ Z ( ? I@ .@1).
#@> ? ? < F < > E= @? @ = = @ @ > ?@ ? > J@ -
= = ? Q J @ = -P? ? @ J ? >@ = S?.
E O ? =@ > >@ @ @ = ?@ J = S? @IQ ?@ ? ? @ ,
@ =@ > = K @ (B@ . =., 1988).
%&)$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 @
f @ : H ?< @ G -# ?@ @> I? > AE > ,% @ -e >.
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B ? < F < > ># > ? ? > ?@ P J > J@ ? >
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J S? > ? ? = 48 @ @ @ @ = @? ? @? = = => ? ?> , ? > ? =@ ? =
@ = S? = @ J > @ = @=@=@ ( . =., 2007). A @? => ? , =
= P? ? @, ? = @> ? = > , @? = @? S? ? J > ? J ? = ? @
D ? @ ? ? < > L @ # = ? = @?@ > ? @ = @=@
I = =@ P @ @K>? ? >O @ = > = > ? = @
> , @ > ? ? = >> ? > ? @ ? @ = ? K = P O >O ? @
@ @? = @=@ > ('@ , 2004).
# S? @K ? > P? ? = = Q? =@ > - @ @ ($@@ . =., 2007
>O , @ @ ? @ @ = = ?= @ @ S? = ; = ? @>
> ? = P @? = = @ , ? > ? ,
?@ == ? ; = S? ?-; K@? -
@ J @=@ @ @ ; =S? =
? R@ @ ? R Y?@ = == > ? Z, ? @ @
A + E % C a % % + E G
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= 2 > 2
5 6 J 2
= 2 ?
: R 2 @ ? : R @ 6 B F 6
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= > @ > 6 ?
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f @ : H ?< @ G -# ?@ @> I? > AE > ,
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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-
e+'a +e e% a% $ae' '$ ' . Pa+a % !+a+% de 'a&a'e+a e # a, e debe' e! #+ % a de +# a ' #-' a #6', /#' %ad 4' #&a&e' e a% #' ae' + 'de% +d6' a% a e! +e :
1. c % a+ a% '# '# a b+e e% e " de ' d de &ad+e.
2. c b+#+ a% '# '# a ' 'a e%a e a #b#a.
3. c % a+ a% +e # ' 'a #d 'a ! ++a a+a e/# a+ %a +d#dade a% +.
NoRMas y MaNual DE coNsEjER8a ) + )+(!+ & , de -e' #6' '.-+# #(' % d.+ '-e e% e&b + 2( 1 e% ) +-(
TABLA N.) 4RESUMEN DE LOS BENEFICIOS INMEDIATOS Y A LARGO PLAZO
DEL CONTACTO PRECOZ, PIEL A PIEL, ENTRE LA MADREY RECI N NACIDO
B!(!"%c%) %('! %a-) B!(!"%c%) a a+#) * a1)
R!c% ( (ac% ) Ma +! R!c% ( (ac% ) Ma +!
T)'a ) !: OPS C$a*a++) & L --!+, Ma( a 6M3 a 3 ! a *!+ % %!(c%a ,2007 .*a$).)+#/ *a(% $/.../ca_'a _a a_ !_ a_ *!+ % !(c%a.* "
Me$ +a %ae e #/#dad de %a
+#&e+a &a&ada +ed e e% #e&a+a % !+a+ 'a
#6' e e #/a.
Re! %a &a' #e'e%a e& e+a +a#' a' #%.
Me$ +a %ae ab#%#dad
a+d# +e #+a +#a e'e% +e # ' 'a #d
+e +' .
Me$ +a %& + ae'
de a e e%/4' % e' +e e%'# %a '# a &ad+e.
D# ' e e%d % + de %a&ad+e deb#d a%a #'! +!# a #6'&a&a+#a.
E # e 'aa #a #6'
# #/a e' +e e%e ad de %a%a a' #a a% &e a % a + &e e
a+ 'a&a + d +a #6'de %a %a a' #a&a e+'a.
Me$ +a %& + ae'
de a e a e! e' +e %a&ad+e "#$a "#$
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4. $ ? ? = @? @ = = ? = > J = ? @ ? J P = @. E O J @>@ @? = ? @ = = ? > ? ? => @ .
5. D P = @, @ ? = > @ @ @ > ? @ ? @ ? S?
? @ = > P ( ? @ @>Q , @ = I @ = , > ? S? > ?
6. B ? @? Q J @J@ = @ = >@ @? = ?@ > J > ? = @? Q
$ ? @ * = 'T = , @ K @? = P? ? @ > > ?
> ? . E= @J@ O= @ J = ? @ .
7. = @ = ? > = > .
8. A= ? = > ? = > > ? > ? @ ? > = > ? = =@ > ? @ @? ? @ ? =
> ? .
9. ' @ = O ? >@ @ = = = ? > ? :
. # S? = > J P? ? @.
. # > ? S? @ @ =Q @ @>@ @ O? @ = = > ? ( S > = ).
. E= @ @? J @? .
10. B ? ? @ @? Q > ? ? > , = J > = ? @ @ =@ > ? @ @? = = ? > ? .
11. =@ @ > ? @ ? = H @ C=Q?J ? = @ > = @ * A .
? / ? @ = = ? @KD = ? > ? @ J ? =@ > @ >
, = = > ? = T? @ = > ? @ ?? ? R @ ? R@ > ? @ J @==@>@ @? = (! == & ! == , 1990). * @?
=@ @ @>@ Y@ @ = ? @Z, ?@ @=@ @ ?@ S? ?@ > P? @ = Q? =@ @ ? = > J @ @ , P = I
=, ? = ? ? = = ? @ K.
A + E % C a % % + E G
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= 2 > 2
5 6 J 2
= 2 ?
: R 2 @ ? : R @ 6 B F 6
R @ 6 ? 6
= > @ > 6 ?
@ 5 6 = 2 @
*6 4@?D:56C2 2=42=@DEC@ 4@>@
Y@C@ 3=2?4@Z, ?@D@=@ A@C DF
:?DFDE:EF:3=64@>A@D:4:S?,
D:?@ E2>3:P? A@C
6= GQ?4F=@2764E:G@ BF6=@8C2 6DE23=646C 6?EC6 =2 >25C6 J
DF 9:;@ @ 9:;2.
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L$ $ $/ $ $ /$ 4 $ / / @/ $ 6 464 / $ 46 '$'' $4 + 4 ' / 4 $ $ + $ /$.
L$ + $ /$ /'$ / 4 64 4 $ $ 4/ ? 4 9 / ?$4, 464 $' 4, 464 $ $4 9 $ 4 '$'. E4 4
/ 69 / / 4 /6 /$ 4, / 6/ @* 4, *$4-/ 4 /$ 4, ' ' 4$ , 4 @* 4, 4 $ 4, -
/@ 4, $ / $ 4 / 6$ 4 (AAP, 2005).
Ventajas inmunolgicasL$ + $ /$, / 4 $ $ 4 , 4 /4 ' $'$6/ $* / $ 4 < , $ '$, $/ $ , $/ /-* 9 $/ $ $4 $ . c6 6/$ 6/ @/ ' @/
/ 6/ @* $, $ $ =4 ' 4 4 *6 / 4 4: / -/ $ $4 $ $4 4$ $4 $ $ ' $ $ @/
' $ $4 $ @* /$4, ' 6 $4 $ $4 4 $ -/ / ' + ( ), ' 4 /69 4 /6 / 4 ' $4
$ $4, ' 4 69 $ $ ' $ $/$, * $ $-$ 4 $ 9 ' * 4 (I*A $ 6/ B $ / / 6/ @-
* C) / = 6 $4 $4 ' ' /4$ 6 4 ' 4 /69 / $$4 $ $4.
L$ + $ /$ * $ 4 / ? 4 9 / ?$4 ' $4 / -$ 4 / '$' 4 / 4$4, @/ $4, / 6/ @* $4,/ $4 (H / *, 2001). L$4 / '$' 4 / 4$4
4 / $ $ $64$ ' 6 / $/ / 4 $>4 4 /' 4$ ("HO, 2007). ;4 $4 6 ' / 4 < / -
/ '$4 / 4@ / $ $ $ $/ $ 9 /-46 ' + $ /$ 64 $ +$4 $ 4 4 4 4 4 '
'$' 9 /*$'$ +$4 $ 4 ' 4 $? 4 9
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A + E % C a % % + E G
) A # 2
= 2 > 2
5 6 J 2
= 2 ?
: R 2 @ ? : R @ 6 B F 6
R @ 6 ? 6
= > @ > 6 ?
@ 5 6 = 2 @
A= ? = @=@ Q ? @ , ? P = @? >@ = > ? ,
J ?: , ? @ @= ? @ K ? , > ? ?? @? @ , (C@ . =
@? (D J . =., 1995; "2003).
E? = E @ , = ? > @ > ? ? R@ J ? R > ?@
R@ ( ? @ @? = E Q J C ? @E= @ @? = > J@ ? R @> ? S > = ( H , 2000).
A > >@, ? ? @ Q , = ? >@?Q = > ? ? R@ J ? R > ?@ ? R@.
? @ =@ > ?@ @ >O , = @?@=@ Q ? @ =>@? , ? ? = K > > ? ? =. (@
1 ? @ @? = E Q J C ? @ /@? >@ S > = > P? O = @? @ @?
? ? @? = @ @2002).
'@ @ @ = @ = = ? > ? @ = @> > T = = ? (H@ ? . =.
? > ? # ?@ >P J E= C( H , 2007).
* @ ? > < F# = ? > ? ? ? >
@>@ = > == @ 1 J @ 2 (G?@ >@ = ? ? @>@ = = ? @> , =
H@ < ? J = = > (D , 1998). + > P? @ ? = @ , = @ @ J
@= @= > (A > @? & ==J, 2002), = ?C @ ? @ @= = @ , = @ = @> @ @ ? = = .
E= @ = = > ? > = = S? P? ? @ . # > > @?
> ? = ? R@ @ ? R ? = = @= > @. E Q > ? , = = > @, > ?@
= > J@ @? ? S? ? = = > ? , > = @ = ? @ = @, = =
S?. # = > >@ > P? = = = > ? , =@ > ? ? > @
S? =@ = > ? @ ? ? > .
* @ ? @ @ ?# = ? @=@? @ = @==@
@? ? ? > ? @ @? ? J Q > ?@ = @ ? ? = =, = @> ? S
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= K > >O J = = @= -= ('AH , 2008).
* @ ? < > >#@ ? @ = = ? > ? I ? ? => . # > > > ? ? ? = @ ? @? = > K@ J ? >O O > ? .
* @> @ @ = @I @ ? @ > K = ? ? ? Q = =O? = > > (# ? & # -
? , 2007) J > ? J = ? ? ? > =@ @ > = = @? S? ? , > >@, - = @ ? S? J S? @ @. # @ -
@ @ @ J =@ O? > > J @ @ @? > ?@? ? == > > > ? @? @ @
(A> ? A >J @ ' , 2005).E= @ >O = @ @I @ ? @? ? -> ?@, =@ @ ? = > ? = @ ? = @ (? -
=), @ ? @? = >@> ? @ ? >@ > ? @ @? P. C K = ? R@ @ ? R = > ? , @ @?
? @I @ ? , K, @ = = Q? =@>@ @ @ @? > ( > , 2005).
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= ? = ? I = =@ > > ? Q ? ? 75% ( > , 2001; B == & ,
1999).
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@? @ = ? >@ = @ = =@ .
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2007).< . > /?< ? /.../ ? ? < > .
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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 .
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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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"< < ("< @ $ < < <
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- > !., + 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.
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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
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