<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021000600453</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i6.5445</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pinzamiento temprano vs tardío del cordón umbilical y contacto piel a piel inmediato en nacimientos por cesárea]]></article-title>
<article-title xml:lang="en"><![CDATA[Early vs delayed cord clamping and early skin-to-skin contact in cesarean section]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco-Y Orozco]]></surname>
<given-names><![CDATA[Farid Adán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lezama-Villamil]]></surname>
<given-names><![CDATA[Fabiola Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrillo-Colorado]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amaro-García]]></surname>
<given-names><![CDATA[Esdrain Jonathan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dueñas-Arau]]></surname>
<given-names><![CDATA[María de los Ángeles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Médica servicio de de Pediatría ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Médica servicio de Ginecoobstetricia ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Militar de Villahermosa servcio de Anestesiología ]]></institution>
<addr-line><![CDATA[ Tabasco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 46 ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>6</numero>
<fpage>453</fpage>
<lpage>463</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000600453&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000600453&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000600453&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  OBJETIVO: Comparar la morbilidad y la mortalidad materna y neonatal de nacimientos quirúrgicos con pinzamiento tardío del cordón umbilical y contacto inmediato piel a piel versus el pinzamiento temprano y la atención neonatal en calor radiante.  MATERIALES Y MÉTODOS: Ensayo clínico, comparativo, con un grupo control histórico, sin asignación al azar, efectuado entre los meses de enero de 2015 a junio de 2017 de los nacimientos registrados en un hospital privado de Villahermosa, Tabasco. En todos los casos se efectuó el pinzamiento tardío del cordón umbilical y el contacto piel a piel inmediato.  RESULTADOS: En el grupo de intervención se incluyeron 24 madres y sus recién nacidos (pinzamiento tardío y contacto piel a piel inmediato) que se compararon con un grupo histórico semejante y seguimiento mínimo de 6 meses. No hubo diferencias en morbilidad y mortalidad obstétrica y neonatal entre los grupos. Del grupo de intervención 11 madres e hijos se alimentaron exclusivamente al seno materno durante 6 meses versus 1 madre e hijo del grupo control (p &lt; 0.05). En contraste, 22 madres e hijos del grupo control recurrieron a la alimentación con fórmula 6 meses o más versus 10 del grupo de intervención (p &lt; 0.05). La alimentación mixta o de fórmula exclusiva fue mayor en el grupo control (p &lt; 0.05).  CONCLUSIONES: El pinzamiento tardío y el contacto piel a piel inmediato en cesáreas son intervenciones factibles y seguras que podrían fomentar la lactancia materna exclusiva durante los primeros seis meses.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: To compare maternal and neonatal morbidity and mortality of surgical births with delayed umbilical cord clamping and immediate skin-to-skin contact vs early clamping and neonatal care in radiant heat.  MATERIALS AND METHODS: Clinical trial, comparative, with a historical control group, without randomization, performed between the months of January 2015 to June 2017 of births registered in a private hospital in Villahermosa, Tabasco. Late umbilical cord clamping, and immediate skin-to-skin contact were performed in all cases.  RESULTS: The intervention group included 24 mothers and their newborns (delayed clamping and immediate skin-to-skin contact) who were compared with a similar historical group and a minimum follow-up of 6 months. There were no differences in obstetric and neonatal morbidity and mortality between the groups. Of the intervention group 11 mothers and infants were exclusively breastfed for 6 months versus 1 mother and infant in the control group (p &lt; 0.05). In contrast, 22 mothers and infants in the control group resorted to formula feeding 6 months or more vs 10 in the intervention group (p &lt; 0.05). Mixed or exclusive formula feeding was higher in the control group (p &lt; 0.05).  CONCLUSIONS: Delayed clamping and immediate skin-to-skin contact at cesarean section are feasible and safe interventions that could encourage exclusive breastfeeding for the first 6 months.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Nacimiento]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="es"><![CDATA[cordón umbilical]]></kwd>
<kwd lng="es"><![CDATA[relación madre-hijo]]></kwd>
<kwd lng="es"><![CDATA[lactancia materna]]></kwd>
<kwd lng="es"><![CDATA[contacto piel a piel]]></kwd>
<kwd lng="en"><![CDATA[Birth]]></kwd>
<kwd lng="en"><![CDATA[Cesarean Section]]></kwd>
<kwd lng="en"><![CDATA[Skin-to-skin contact]]></kwd>
<kwd lng="en"><![CDATA[Umbilical cord]]></kwd>
<kwd lng="en"><![CDATA[Mother-Child Relations]]></kwd>
<kwd lng="en"><![CDATA[Breastfeeding]]></kwd>
</kwd-group>
</article-meta>
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