Social Dynamics in Maternal Health with Emphasis on Extreme Maternal Morbidity and Contributions of Bioethics in its Understanding: a Narrative Review of the Literature

Dinámicas sociales en salud materna con énfasis en la Morbilidad Materna Extrema y aportes de la bioética en su comprensión: una revisión narrativa de la literatura;
Dinâmica social na saúde materna com ênfase na Morbidade Materna Extrema e contribuições da bioética em sua compreensão: uma revisão narrativa da literatura

dc.creatorQuemba-Mesa, Mónica Paola
dc.date2022-06-21
dc.date2023-03-22T19:06:46Z
dc.date2023-03-22T19:06:46Z
dc.date.accessioned2023-09-06T17:46:51Z
dc.date.available2023-09-06T17:46:51Z
dc.identifierhttps://revistas.unimilitar.edu.co/index.php/rlbi/article/view/5823
dc.identifier10.18359/rlbi.5823
dc.identifierhttp://hdl.handle.net/10654/43465
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8692779
dc.descriptionThe purpose of this article is to analyze the social dynamics in maternal health and the con- tributions of bioethics in its understanding, emphasizing Extreme Maternal Morbidity. In this vein, a narrative review was carried out in the Scopus, Pubmed, Web of Science, Lilacs, Scielo and Google Scholar databases with the "Maternal Health" AND "Bioethics" OR "Social Justice" strategy; including articles in Spanish, English and Portuguese, published in the last 25 years. The results included 79 orig- inal manuscripts and 21 reflection and review manuscripts, which provided the descriptive analysis by generating the following thematic categories: 1. Health care and care needs; 2. Social determinants, risk and protective factors; 3. Quality of care, treatment experiences, and barriers to access; and 4. Ethical and bioethical perspectives of maternal health. In conclusion, it was possible to affirm that the bioethical approach to maternal health proposes categories of analysis such as justice, equity, autonomy and access; in addition to the living conditions based on cultural plurality and considerations regarding communication and language. The foregoing implies that health systems must redesign maternal health care approaches to address vulnerabilities and enhance the capacities of women.
dc.descriptionEl propósito del presente artículo es analizar las dinámicas sociales en salud materna y los aportes de la bioética en su comprensión, haciendo énfasis en la Morbilidad Materna Extrema. Para ello, se llevó a cabo una revisión narrativa realizada en las bases de datos Scopus, Pubmed, Web of Science, Lilacs, Scielo y Google Scholar con la estrategia “Maternal Health” AND “Bioethics” OR “Social Justice”; incluyendo artículos en español, inglés y portugués, publicados en los últimos 25 años. En los resultados se incluyeron 79 manuscritos originales y 21 manuscritos de reflexión y revisión, que surtieron el análisis descriptivo al generar las siguientes categorías temáticas: 1. Necesidades de atención en salud y de cuidado; 2. Determinantes sociales, factores de riesgo y protectores; 3. Calidad de la atención, experiencias en el tratamiento y barreras de acceso; y 4. Perspectivas éticas y bioéticas de la salud materna. Como conclusión, se pudo afirmar que el abordaje bioético de la salud materna propone categorías de análisis como la justicia, la equidad, la autonomía y el acceso. Además de las condiciones de vida desde la pluralidad cultural y las consideraciones en cuanto a la comunicación y el lenguaje. Lo anterior, implica que desde los sistemas de salud se deben rediseñar los enfoques de atención en salud materna para abordar las vulnerabilidades y potenciar las capacidades de las mujeres.
dc.descriptionO objetivo deste artigo é analisar a dinâmica social na saúde materna e as contribuições da bioética em sua compreensão, com ênfase na Morbidade Materna Extrema.Para isso, umrevisão narrativa realizada nas bases de dados Scopus, Pubmed, Web of Science, Lilacs, Scielo e Google Acadêmico com a estratégia “Saúde Materna” E “Bioética” OR “Justiça Social”; incluindo artigos em espanhol, inglês e português,publicados nos últimos 25 anos. Os resultados incluíram 79 manuscritos originais e 21 manuscritos de reflexão e revisão, que proporcionaram a análise descritiva gerando as seguintes categorias temáticas: 1. Cuidados em saúde e necessidades de cuidado; 2. Determinantes sociais, fatores de risco e proteção; 3. Qualidade do atendimento, experiências de tratamento e barreiras ao acesso; e 4. Perspectivas éticas e bioéticas da saúde materna. Em conclusão, foi possível afirmar que a abordagem bioética da saúde materna propõe categorias de análise como justiça, equidade, autonomia e acesso. Além das condições de vida a partir da pluralidade cultural e considerações sobre comunicação e linguagem. O que precede implica que os sistemas de saúde devem redesenhar as abordagens de atenção à saúde materna para abordar as vulnerabilidades e melhorar as capacidades das mulheres.
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dc.languagespa
dc.publisherUniversidad Militar Nueva Granada
dc.relationhttps://revistas.unimilitar.edu.co/index.php/rlbi/article/view/5823/5129
dc.relationhttps://revistas.unimilitar.edu.co/index.php/rlbi/article/view/5823/5312
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dc.rightsDerechos de autor 2022 Revista Latinoamericana de Bioética
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0
dc.sourceRevista Latinoamericana de Bioética; Vol. 22 Núm. 1 (2022); 113-130
dc.source2462-859X
dc.source1657-4702
dc.subjectbioethics
dc.subjectsocial justice
dc.subjectmorbidity
dc.subjectmaternal health
dc.subjectbioética;
dc.subjectjusticia social
dc.subjectmorbilidad;
dc.subjectsalud materna
dc.subjectbioética
dc.subjectJustiça social
dc.subjectmorbidade
dc.subjectSaúde materna
dc.titleSocial Dynamics in Maternal Health with Emphasis on Extreme Maternal Morbidity and Contributions of Bioethics in its Understanding: a Narrative Review of the Literature
dc.titleDinámicas sociales en salud materna con énfasis en la Morbilidad Materna Extrema y aportes de la bioética en su comprensión: una revisión narrativa de la literatura
dc.titleDinâmica social na saúde materna com ênfase na Morbidade Materna Extrema e contribuições da bioética em sua compreensão: uma revisão narrativa da literatura
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion


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