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Complejo Hospitalario Universitario Insular Materno-infantil. Servicio Canario de Salud. Gran Canaria. España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Matrón. Tutor Unidad Docente de Matronas de Las Palmas. Complejo Hospitalario Universitario Insular Materno-infantil. Servicio Canario de Salud. Gran Canaria. España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Parto humanizado ¿para cuándo?" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Care during birth in the world 200 years ago was humanised. The woman was the central figure and her nature and culture were respected. After the Second World War and with the start of the technological age, we could not imagine not having a perfect birth. If we were able to send expeditions to the moon, how could we not control our own births? It was in the 1980s and 1990s that women started to demand a humanised birth. Now we describe a birth as humanised when it places the woman at the centre of attention and in control of the process. It is she and not the midwives or obstetricians who take the decisions about what is going to happen during a birth. For this it is necessary that maternity services be provided with evidence-based practices and a rational use of technology and medication.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Over recent decades in Spain we have experienced a struggle between medicalised births and humanised ones, and there are now three types of maternity units in the country: ones that are highly medicalised, ones that use a humanised approach with lower levels of intervention, and units that mix both systems. In maternity units the midwives and obstetricians follow different paradigms; while obstetricians <span class="elsevierStyleItalic">“do births</span>” and think that <span class="elsevierStyleItalic">having a baby</span> is something that <span class="elsevierStyleItalic">happens</span> to women, midwives “help with births” and believe that <span class="elsevierStyleItalic">giving birth</span> is something that women <span class="elsevierStyleItalic">do</span>.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The work of all of the categories involved in obstetric care has a single aim, even though they play different roles. The result should be a type of care during births that respects the mother and her new baby, with a welcoming atmosphere and soft lighting. There should be a space for relaxation, with the active participation of the partner and the possibility of moving during the birth, guaranteeing the independence of the woman and the security of the couple.</p><p id="par0020" class="elsevierStylePara elsevierViewall">How we are born affects who we become. We know that the genetic legacy we transmit to our children is not innate. Genes or susceptibility to a disease may be activated or deactivated by factors such as lifestyle and experiences such as diet, stress, exposure to toxins and birth. This new field of studies is known as epigenetics. Before it emerged we believed that genetic modifications in cells would not survive beyond the lifetime of the person experiencing them. We know now that these changes may be recorded, and that the most sensitive time of life is before and after being born. Although the expectations raised by this field of study for our knowledge have yet to be sufficiently assessed, they promise to bring about many changes in our current view of many of the processes in our life.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The majority of studies on the effect of interventions during the process of giving birth centre on short-term results for the mother and her newborn baby. However, what if we were changing society without knowing it, through the way in which our children are born?</p><p id="par0030" class="elsevierStylePara elsevierViewall">We need to understand the impact of our professional practice while attending births, as well as how this may improve the quality of life of the mother and the new baby. The care which midwives have given to mothers, their babies and families has always been highly important in societies, and they are the key professionals to ensure a safe and satisfactory experience during pregnancy, birth and the puerperium.</p><p id="par0035" class="elsevierStylePara elsevierViewall">But we should never forget what the majority of women really care about. They want the birth process to be a positive experience that fulfils and even surpasses their expectations. Giving birth to a healthy baby in a psychologically and clinically safe place, accompanied and emotionally supported by their partner and skilled medical staff is calming and kindly.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> If an intervention is necessary, the majority of women would like to maintain the feeling of achievement and personal control by playing an active role in the process.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">The twenty first century brings us challenges and opportunities for midwives to position ourselves as leaders in maternity units, with the recognition of nurses and doctors as well as society as a whole. We have to develop a viewpoint that is able to satisfy the needs and expectations of women, without forgetting the importance of our training and professional development, as well as future lines of action.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Gutiérrez JJ, Torre HGdl. Parto humanizado ¿para cuándo? Enferm Clin. 2019;29:205–206.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "What matters to women during childbirth: A systematic qualitative review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Downe" 1 => "K. Finlayson" 2 => "O. Oladapo" 3 => "M. Bonet" 4 => "A.M. Gulmezoglu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1371/journal.pone.0194906" "Revista" => array:5 [ "tituloSerie" => "PLoS ONE" "fecha" => "2018" "volumen" => "13" "paginaInicial" => "e0194906" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29664907" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/24451479/0000002900000004/v1_201907200831/S2445147919300669/v1_201907200831/en/main.assets" "Apartado" => array:4 [ "identificador" => "63166" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Editorial" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24451479/0000002900000004/v1_201907200831/S2445147919300669/v1_201907200831/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2445147919300669?idApp=UINPBA00004N" ]
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Editorial
It's high time for Humanized birth
Parto humanizado ¿para cuándo?
a Matrona adscrita a la Unidad Docente de Matronas de Las Palmas. Complejo Hospitalario Universitario Insular Materno-infantil. Servicio Canario de Salud. Gran Canaria. España
b Matrón. Tutor Unidad Docente de Matronas de Las Palmas. Complejo Hospitalario Universitario Insular Materno-infantil. Servicio Canario de Salud. Gran Canaria. España