<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0301-696X</journal-id>
<journal-title><![CDATA[Revista de sanidad militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. sanid. mil.]]></abbrev-journal-title>
<issn>0301-696X</issn>
<publisher>
<publisher-name><![CDATA[Secretaría de la Defensa Nacional, Dirección General de Sanidad]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0301-696X2018000200125</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trauma perineal: parto acuático versus parto convencional en Centro Hospitalario Nuevo Sanatorio Durango en la Ciudad de México]]></article-title>
<article-title xml:lang="en"><![CDATA[Perineal trauma: water birth versus conventional vaginal deliveries in Hospital Center Nuevo Sanatorio Durango in Mexico City]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tejeda-Romero]]></surname>
<given-names><![CDATA[Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Déctor-Palma]]></surname>
<given-names><![CDATA[Claudia Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Aldeco]]></surname>
<given-names><![CDATA[Pablo Mariano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Ayala]]></surname>
<given-names><![CDATA[Cecilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad La Salle Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad La Salle Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>72</volume>
<numero>2</numero>
<fpage>125</fpage>
<lpage>132</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0301-696X2018000200125&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0301-696X2018000200125&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0301-696X2018000200125&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción  La atención de parto acuático ha incrementado en popularidad en la Ciudad de México. El Centro Hospitalario Nuevo Sanatorio Durango ha sido pionero en ofrecer la atención de parto bajo el agua. Hasta la fecha, no se han realizado estudios sobre la conducta de los partos acuáticos en México.  Objetivo  Este estudio intenta evaluar si el parto bajo el agua está asociado a mayor incremento en las tasas de trauma perineal comparándolo con un grupo control de pacientes atendidas por parto convencional.  Material y métodos  Archivos clínicos de mujeres que se atendieron de parto acuático en el Centro Hospitalario Sanatorio Durango en la Ciudad de México en el periodo comprendido entre 2016 y 2017, revisados retrospectivamente. Los resultados de interés fueron estimar el trauma perineal (desgarros de tercer y cuarto grado) comparándolo con un grupo control de parto convencional.  Resultados  Se registraron 120 pacientes que se atendieron de parto acuático. Hubo diferencia significativa en los resultados en trauma perineal en el grupo de parto acuático: mayores tasas de periné intacto en mujeres atendidas bajo el agua, por lo que se propone que el parto acuático es protector del trauma perineal.  Conclusiones  El parto en agua en nuestro centro no parece estar asociado a incremento en los resultados adversos maternos (trauma perineal). Los resultados de este estudio establecen que el parto acuático es una alternativa aceptable para el nacimiento en mujeres de bajo riesgo obstétrico, siempre y cuando cuente con adecuada vigilancia y profesional capacitado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction  Waterbirth has been increasing in popularity in Mexico City. Hospital Center Nuevo Sanatorio Durango in Mexico City is the pioneer hospital offering water births to women. To date, no studies have been done on the conduct of waterbirths in Mexico.  Objective  This study aims to evaluate if water immersion during delivery is associated with increased rates of perineal trauma as compared with conventional vaginal deliveries.  Material and methods  Clinical records of women who birthed underwater at Hospital Center Sanatorio Durango in Mexico City between 2016 and 2017 were retrospectively reviewed. The outcomes of interest were estimated perineal trauma, third or fourth degree. Outcomes were compared against a matched control group of women who had conventional vaginal deliveries.  Results  Records of 120 women who birthed underwater were accrued. There was a significant difference in maternal outcomes in perineal trauma in water birth: higher rates of intact perineums in women who birth underwater, proposing that water birth is protective against perineal trauma.  Conclusions  Water birth at our center does not appear to be associated with an increased incidence of adverse maternal outcomes (perineal trauma). The results of this study supported water birth as a birthing option for groups of low-risk women in an obstetrician led setting with good midwifery support.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Parto acuático]]></kwd>
<kwd lng="es"><![CDATA[parto convencional]]></kwd>
<kwd lng="es"><![CDATA[desgarros perineales]]></kwd>
<kwd lng="es"><![CDATA[trauma perineal]]></kwd>
<kwd lng="en"><![CDATA[Water birth]]></kwd>
<kwd lng="en"><![CDATA[conventional birth]]></kwd>
<kwd lng="en"><![CDATA[perineal tears]]></kwd>
<kwd lng="en"><![CDATA[perineal trauma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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