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
Resumen
El 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.
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Referencias bibliográficas
Ministerio de Salud y Protección Social, Fondo de Población de las Naciones Unidas (unfpa). Introducción. En: Modelo de vigilancia de la morbilidad materna extrema. 1ra edición. Bogotá: Ministerio de Salud y Protección Social [Internet]; 2014 [citado 1 oct. de 2020]; p. 11. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/SM-Evaluacion-Modelo-vigilancia-morbilidad-materna-extrema.pdf
Organización Mundial de la Salud (oms). Mortalidad materna [Internet]. 2020 [citado 1 oct. 2020]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/maternal-mortality
Organización de las Naciones Unidas (onu). Objetivos de desarrollo sostenible: salud y bienestar integral [Internet]. 2020 [citado 9 abr. 2021] Disponible en: https://www.un.org/sustainabledevelopment/es/health/
Narváez-Díaz NS. Informe del evento morbilidad materna extrema, Colombia [Internet]. 2016-2017 [citado 1 oct. de 2020]. Disponible en: https://www.ins.gov.co/buscador-eventos/Informesdeevento/Morbilidad%20materna%20extrema%202016.pdf
Instituto Nacional de Salud. Boletín epidemiológico semanal: semana epidemiológica 23 [Internet]. 2019 [citado 3 mar. de 2021] Disponible en: https://www.ins.gov.co/buscador-eventos/BoletinEpidemiologico/2019%20Bolet%C3%ADn%20epidemiol%C3%B3gico%20semana%2023.pdf
Jurado-Ocampo, N. Factores de riesgo para morbilidad materna extrema en gestantes [tesis para optar por el título de Especialización en Ginecología y Obstetricia]. [Bogotá]: Universidad del Rosario; 2014.
Osorio-García SN. El desafío bioético de la era planetaria: la convivialidad. Rev Latinoam Bioet. 2009; 9(2): 42-61.
Organización de las Naciones Unidas para la Educación, la Ciencia y la Cultura (Unesco). Declaración universal sobre bioética y derechos humanos [Internet]. 2005 [citado 9 abr. de 2021]. Disponible en: http://portal.unesco.org/es/ev.php-URL_ID=31058&URL_DO=DO_TOPIC&URL_SECTION=201.html>
Wikler, D. Presidential address: bioethics and social responsibility. Bioethics. [Internet]. 1997; 11(3-4): 185-192. doi: https://doi.org/10.1111/1467-8519.00057
Rivas-Muñoz F, Garrafa V, Feitosa S, Nascimento WF. Bioética de intervención, interculturalidad y no-colonialidad. Saúde e Sociedade. [Internet]. 2015; 24(Suppl. 1): 141-151. doi: https://doi.org/10.1590/s0104-12902015s01012
Zillmer JG, Díaz-Medina BA. Revisión narrativa: elementos que la constituyen y sus potencialidades. J Nurs Health. [Internet]. 2018; 8(1): 1-2. doi: https://doi.org/10.15210/jonah.v8i1.13654
Pedrosa-Lima S, dos Santos E, Lorenzini-Erdmann A, Jatobá-de Souza AI. Unveiling the lived experience meaning of being a woman breastfeeding with puerperal complications. Texto Contexto-Enferm. [Internet]. 2018; 27(1): e0880016. doi: https://dx.doi.org/10.1590/0104-07072018000880016
Franck LS, McLemore MR, Williams S, Millar K, Gordon AY, Williams S,et al. Research priorities of women at risk for preterm birth: findings and a call to action. bmc Pregnancy Childbirth. [Internet]. 2020; 20(1): 10. doi: https://doi.org/10.1186/s12884-019-2664-1
Parra DC, Gomez LF, Iannotti L, Haire-Joshu D, Sebert-Kuhlmann AK, Brownson RC. Maternal and familial correlates of anthropometric typologies in the nutrition transition of Colombia, 2000-2010. Public Health Nutr.. [Internet]. 2018; 21(14): 2584-2594. doi: https://doi.org/10.1017/S1368980018001337
Collier A, Abraham EC, Armstrong J, Godwin J, Monteath K, Lindsay R. Reported prevalence of gestational diabetes in Scotland: the relationship with obesity, age, socioeconomic status, smoking and macrosomia, and how many are we missing?. J Diabetes Investig. [Internet]. 2017; 8(2): 161-167. doi: https://doi.org/10.1111/jdi.12552
Woodruff TJ, Parker JD, Kyle AD,Schoendorf KC. Disparities in exposure to air pollution during pregnancy. Environ Health Perspect. [Internet]. 2003; 111(7): 942-946. doi: https://doi.org/10.1289/ehp.5317
Verbiest S, Tully K, Simpson M, Stuebe A. Elevating mothers voices: recommendations for improved patient-centered postpartum. J Behav Med. [Internet]. 2018; 41(5): 577-590. doi: https://doi.org/10.1007/s10865-018-9961-4
Fredland N, McFarlane J, Symes L, Maddoux J. Exploring the association of maternal adverse childhood experiences with maternal health and child behavior following intimate partner violence. J Women's Health, [Internet]. 2018; 27(1): 64-71. doi: https://doi.org/10.1089/jwh.2016.5969
Howard H. Experiences of opioid-dependent women in their prenatal and postpartum care: implications for social workers in health care. Soc Work Health Care. [Internet]. 2016; 55(1): 61-85. doi: https://doi.org/10.1080/00981389.2015.1078427
Guendelman S, Thornton D, Gould J, Hosang N. Social disparities in maternal morbidity during labor and delivery between mexican-born and ous-born white californians, 1996-1998. Am J Public Health. [Internet]. 2005; 95(12): 2218-2224. doi: https://doi.org/10.2105/AJPH.2004.051441
Contractor SQ, Das A, Dasgupta J, Van Belle S. Beyond the template: the needs of tribal women and their experiences with maternity services in Odisha, India. Inter J Equity Health. [Internet]. 2018; 17(1): 134. doi: https://doi.org/10.1186/s12939-018-0850-9
Plaza SH, Padilla B, Ortiz A, Rodrigues E. The value of grounded theory for disentangling inequalities in maternal-child healthcare in contexts of diversity: a psycho-socio political approach. Psychosoc Interv. [Internet]. 2014; 23(2): 125-133. doi: https://doi.org/10.1016/j.psi.2014.07.006
Matijasevich A, Santos IS, Silveira MF, Domingues MR, Barros AJ, Marco, PL, et al. Inequities in maternal postnatal visits among public and private patients: 2004 pelotas cohort study. bmc Public health. [Internet]. 2009; 9: 335. doi: https://doi.org/10.1186/1471-2458-9-335
Schaaf M, Dasgupta J. “Our fear is finished”, but nothing changes: efforts of marginalized women to foment state accountability for maternal health care in a context of low state capacity. bmc Public Health. [Internet]. 2019; 19(1): 732. doi: https://doi.org/10.1186/s12889-019-7028-2
D'Ambruoso L, Byass P, Nurul-Qomariyah S. Can the right to health inform public health planning in developing countries? A case study for maternal healthcare from Indonesia. Glob Health Action. [Internet]. 2008; 1. doi: https://doi.org/10.3402/gha.v1i0.1828
Díez E, Villalbí JR, Benaque A, Nebot M. Desigualdades en salud materno-infantil: impacto de una intervención [inequalities in maternal-child health: impact of an intervention]. Gac Sanit. [Internet]. 1995; 9(49): 224-231. https://doi.org/10.1016/s0213-9111(95)71241-9
Adams EK, Gavin NI, Benedict MB. Access for pregnant women on medicaid: variation by race and ethnicity. jhcpu. [Internet]. 2005; 16(1): 74-95. doi: https://doi.org/10.1353/hpu.2005.0001
Barnert ES, Godoy SM, Hammond I, Kelly MA, Thompson LR, Mondal S, et al. Pregnancy outcomes among girls impacted by commercial sexual exploitation. Acad Pediatr. [Internet]. 2020; 20(4): 455-459. doi: https://doi.org/10.1016/j.acap.2019.12.005
Marsh CA, Browne J, Taylor J, Davis D. Making the hidden seen: a narrative analysis of the experiences of assumption of care at birth. Women Birth. [Internet]. 2019; 32(1): e1-e11. doi: https://doi.org/10.1016/j.wombi.2018.04.009
Ooms G, Mulumba M, Hammonds R, Latif-Laila A, Waris A, Forman L. A global social contract to reduce maternal mortality: the human rights arguments and the case of Uganda. rhm. [Internet]. 2013; 21(42): 129-138. doi: https://doi.org/10.1016/S0968-8080(13)42736-2
Koch AR, Geller SE. Addressing maternal deaths due to violence: the Illinois experience. Am J Obstet Gynecol. [Internet]. 2017; 217(5): 556.e1-556.e6. doi: https://doi.org/10.1016/j.ajog.2017.08.005
Valencia-Flórez Belibeth, Gaviria-Londoño MB. Vida vivida: experiencias de morbilidad materna extrema. Relatos de mujeres sobrevivientes y cuidadoras. Subregión del Urabá antioqueño, 2016. Revista Facultad Nacional de Salud Pública, [Internet]. 2018; 36(3): 121-132. doi: https://doi.org/10.17533/udea.rfnsp.v36n3a12
Silveira MS, Gurgel RQ, Barreto-de Carvalho ÍD, Paes-Leme L, Vargas-Maldonado M. Severe maternal morbidity: post-traumatic suffering and social support. Rev Bras Enferm. [Internet]. 2018; 71(Suppl. 5): 2139-2145. doi https://doi.org/10.1590/0034-7167-2017-0271
Caro J, Muñoz S, Caro J, Araneda M, Yánez P, Diedrich M, et al. Parto prematuro y asociación con percepción materna de apoyo social insuficiente. Rev Chil Obstet Ginecol. [Internet]. 2017; 82(4), 373-385. doi: https://dx.doi.org/10.4067/s0717-75262017000400373
Carter S, Williams M, Paterson J, Iusitini L. Do perceptions of neighborhood problems contribute to maternal health? Findings from the pacific islands families study. Health Place. [Internet]. 2009; 15(2): 622-630. doi: https://doi.org/10.1016/j.healthplace.2008.10.005
Tabet M, Flick LH, Cook C. A, Xian H, Chang JJ. Age at first birth and psychiatric disorders in low-income pregnant women. J Women's Health. [Internet]. 2016; 25(8): 810-817. doi: https://doi.org/10.1089/jwh.2015.5236
Fortuna LR, Noroña CR, Porche MV, Tillman C, Patil PA, Wang Y, et al. Trauma, immigration, and sexual health among latina women: implications for maternal-child well-being and reproductive justice. Infant Mental Health J. [Internet]. 2019; 40(5): 640-658. doi: https://doi.org/10.1002/imhj.21805
Yang S, Zhang B, Zhao J, Wang J, Flick L, Qian Z, et al. Progress on the maternal mortality ratio reduction in Wuhan, China in 2001-2012. PloS one. 2014; 9(2), e89510. doi: https://doi.org/10.1371/journal.pone.0089510
Keefe RH, Brownstein-Evans C, Polmanteer RSR. The challenges of idealized mothering. Affilia. [Internet]. 2017; 33(2): 221-235. doi: https://doi.org/10.1177/0886109917747634
Baker L, Cross S, Greaver L, Wei G, Lewis R, Healthy Start corps. Prevalence of postpartum depression in a native american population. Matern Child Health J. [Internet]. 2005; 9(1): 21-25. doi: https://doi.org/10.1007/s10995-005-2448-2
Oh S, Salas-Wright CP, Vaughn MG. Trends in depression among low-income mothers in the United States, 2005-2015. J Affect Disord. [Internet]. 2018; 235: 72-75. doi: https://doi.org/10.1016/j.jad.2018.04.028
Perdue TR, Williamson C, Ventura LA, Hairston TR, Osborne LTC, Laux JM, et al. Offenders who are mothers with and without experience in prostitution: differences in historical trauma, current stressors, and physical and mental health differences. whi. [Internet]. 2012; 22(2): e195-e200. doi: https://doi.org/10.1016/j.whi.2011.08.010
Kohrt BA, Bourey C. Culture and comorbidity: intimate partner violence as a common risk factor for maternal mental illness and reproductive health problems among former child soldiers in Nepal. Med Anthropol Q. [Internet]. 2016; 30(4): 515-535. doi: https://doi.org/10.1111/maq.12336
Currie J. Inequalities at birth: some causes and consequences. Perspekt Der Wirtschaftspolitik. 2011; 12(Suppl. 1): 42-65. doi: 10.1111/j.1468-2516.2011.00356.x
Cruz SA, Vieira-da Silva LM, Costa M CN, Paim JS. Evolution of inequalities in mortality in Salvador, Bahia State, Brazil, 1991/2006. Cad Saúde Pública. 2011; 27(Suppl. 2): s176-s184. doi: https://doi.org/10.1590/S0102-311X2011001400006
Lian M, Madden PA, Lynskey MT, Colditz GA, Lessov-Schlaggar CN, Schootman M, et al. Geographic variation in maternal smoking during pregnancy in the Missouri adolescent female twin study (moafs). PloS one. 2016; 11(4): e0153930. doi: https://doi.org/10.1371/journal.pone.0153930
Washio YE, Martin C, Goldstein ND, Terplan M. Characteristics of pregnant women who reported alcohol use at admission to substance use treatment. J Subst Abuse Treat. 2017; 82: 82-86. doi: https://doi.org/10.1016/j.jsat.2017.09.010
Puccini RF, Pedroso GC, da Silva EM, de Araújo NS, da Silva NN. Prenatal and childbirth care equity in an area in greater metropolitan São Paulo, 1996. Cad Saúde Pública. 2003; 19(1): 35-45. doi: https://doi.org/10.1590/S0102-311X2003000100005
Huang H, Woodruff TJ, Baer RJ, Bangia K, August LM, Jellife-Palowski L, et al. Investigation of association between environmental and socioeconomic factors and preterm birth in California. Environ Int. 2018; 121(Pt 2): 1066-1078. doi: https://doi.org/10.1016/j.envint.2018.07.027
Zhou A, Xiong C, Hu R, Zhang Y, Bassig BA, Triche E, et al. Pre-pregnancy bmi, gestational weight gain, and the risk of hypertensive disorders of pregnancy: a cohort study in Wuhan, China. PloS one. 2015; 10(8): e0136291. doi: https://doi.org/10.1371/journal.pone.0136291
Freitas PF, de Lourdes-Drachler M, de Carvalho-Leite JC, Grassi PR. Desigualdade social nas taxas de cesariana em primíparas no Rio Grande do Sul. Rev Saude Publica. 2005; 39(5): 761-767. doi: https://doi.org/10.1590/S0034-89102005000500010
Green MJ, Kariuki M, Dean K, Laurens KR, Tzoumakis S, Harris F, et al. Childhood developmental vulnerabilities associated with early life exposure to infectious and noninfectious diseases and maternal mental illness. J Child Psychol Psychiatry Allied Discip. [Internet]. 2018; 59(7): 801-810. doi: https://doi.org/10.1111/jcpp.12856
Kramer A, Nosbusch JM, Rice J. Safe mom, safe baby: a collaborative model of care for pregnant women experiencing intimate partner violence. J Perin Neonat Nurs. [Internet]. 2012; 26(4): 307-318. doi: https://doi.org/10.1097/JPN.0b013e31824356dd
McFarlane J, Nava A, Gilroy H, Maddoux J. Child brides, forced marriage, and partner violence in america. Obstet Gynecol. [Internet]. 2016; 127(4): 706-713. doi: https://doi.org/10.1097/AOG.0000000000001336
November L, Sandall J. “Just because she”s young, it doesn’t mean she has to die’: exploring the contributing factors to high maternal mortality in adolescents in Eastern Freetown; a qualitative study. Reprod Health. [Internet]. 2018; 15(1). doi: https://doi.org/10.1186/s12978-018-0475-x
Chambers BD, Arabia SE, Arega HA, Altman M, Berkowitz R, Feuer SK, et al. Exposures to structural racism and racial discrimination among pregnant and early post-partum black women living in Oakland, California. Stress Health. [Internet]. 2020; 36(2): 213-219. doi: https://doi.org/10.1002/smi.2922
Dyer L, Hardeman R, Vilda D, Theall K, Wallace M. Mass incarceration and public health: the association between black jail incarceration and adverse birth outcomes among black women in Louisiana. bmc Pregnancy Childbirth. [Internet]. 2019; 19: 525. doi: https://doi.org/10.1186/s12884-019-2690-z
Xaverius P, Salas J, Kiel D, Woolfolk C. Very low birth weight and perinatal periods of risk: disparities in St. Louis. BioMed Res Int. 2014; 547234. doi: https://doi.org/10.1155/2014/547234
da Silva-Vitti Ribeiro D, de Araújo-Silveira M F, Gomes-Sponholz FA. Experiences with severe maternal morbidity: a qualitative study on the perception of women. Rev Bras Enferm. [Internet]. 2016; 69(4): 662-668. doi: https://doi.org/10.1590/0034-7167.2016690407i
Silva LM, Silva RA, Silva AA, Bettiol H, Barbieri MA. Racial inequalities and perinatal health in the southeast region of Brazil. Braz J Med Biol Res. [Internet]. 2007; 40(9): 1187-1194. doi: https://doi.org/10.1590/s0100-879x2006005000144
Woolfolk CL, Harper LM, Flick L, Mathews K, Chang JJ. Gestational weight gain and preterm birth: disparities in adolescent pregnancies. jopeei. [Internet]. 2016; 36(12): 1055-1060. doi: https://doi.org/10.1038/jp.2016.149
Sims M, Sims TL, Bruce MA. Race, ethnicity, concentrated poverty, and low birth weight disparities. jnbna. [Internet]. 2008; 19(1): 12-18.
Tutlam, N. T., Liu, Y., Nelson, E. J., Flick, L. H., & Chang, J. J. The Effects of Race and Ethnicity on the Risk of Large-for-Gestational-Age Newborns in Women Without Gestational Diabetes by Prepregnancy Body Mass Index Categories. Matern Child Health J. [Internet]. 2017; 21(8): 1643-1654. doi: https://doi.org/10.1007/s10995-016-2256-x
Salmon A. Aboriginal mothering, fasd prevention and the contestations of neoliberal citizenship. Crit Public Health. [Internet]. 2011; 21(2): 165-178. doi: https://doi.org/10.1080/09581596.2010.530643
Chang JJ, Strauss JF, Deshazo JP, Rigby FB, Chelmow DP, Macones GA. Reassessing the impact of smoking on preeclampsia/eclampsia: are there age and racial differences? PloS one. [Internet]. 2014; 9(10), e106446. doi: https://doi.org/10.1371/journal.pone.0106446
Barnes JC, Boutwell BB, Miller JM, DeShay RA, Beaver KM, White N. Exposure to pre and perinatal risk factors partially explains mean differences in self-regulation between races. PloS one. [Internet]. 2016; 11(2): e0141954. doi: https://doi.org/10.1371/journal.pone.0141954
Leal M, da Gama SG, da Cunha CB. Desigualdades raciais, sociodemográficas e na assistência ao pré-natal e ao parto, 1999-2001. Rev Saude Publica. [Internet]. 2005; 39(1), 100-107. doi: https://doi.org/10.1590/S0034-89102005000100013
Burgard S. Race and pregnancy-related care in Brazil and South africa. Soc Sci Med. [Internet]. 2004; 59(6): 1127-1146. doi: https://doi.org/10.1016/j.socscimed.2004.01.006
Thayer Z, Bécares L, Atatoa-Carr P. Maternal experiences of ethnic discrimination and subsequent birth outcomes in Aotearoa, New Zealand. bmc Public Health. [Internet]. 2019; 19(1): 1271. doi: https://doi.org/10.1186/s12889-019-7598-z
Arnold LD, Luong L, Rebmann T, Chang JJ. Racial disparities in us maternal influenza vaccine uptake: results from analysis of Pregnancy Risk Assessment Monitoring System (prams) data, 2012-2015. Vaccine. [Internet]. 2019: 37(18): 2520-2526. doi: https://doi.org/10.1016/j.vaccine.2019.02.014
Faye SL. Devenir mère au Sénégal : des expériences de maternité entre inégalités sociales et défaillances des services de santé. Santé (Montrouge, France). [Internet]. 2008; 18(3): 175-183. doi: https://doi.org/10.1684/san.2008.0111
Coimbra LC, Silva AA, Mochel EG, Alves MT, Ribeiro VS, Aragão V M, et al. Fatores associados à inadequação do uso da assistência pré-natal. Rev Saude Publica. [Internet]. 2003; 37(4): 456-462. doi: https://doi.org/10.1590/S0034-89102003000400010
Berlanga-Fernández S, Pérez-Cañaveras RM., Vizcaya-Moreno MF, & Berlanga-Fernández F. Satisfacción en la provisión de redes de apoyo social en grupos de acompañamiento a la maternidad. Enferm Glob. [Internet]. 2014; 13(33): 18-32. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412014000100002&lng=es&tlng=es doi: https://doi.org/10.6018/eglobal.13.1.171441
Rangel-Flores YY, Hernández-Ibarra, LE, Martínez-Ledezma AG, García-Rangel M. Experiencias de mujeres sobrevivientes a morbilidad materna extrema en México, un estudio cualitativo desde el modelo de las tres demoras. Cad Saúde Pública. [Internet]. 2019; 35(9): e00035418. doi: https://doi.org/10.1590/0102-311x00035418
Tully KP, Stuebe AM, Verbiest SB. The fourth trimester: a critical transition period with unmet maternal health needs. Am J Obstet Gynecol. [Internet]. 2017; 217(1): 37-41. doi: https://doi.org/10.1016/j.ajog.2017.03.032
Jackson DB, Vaughn MG. Maternal medical risks during pregnancy and childhood externalizing behavior. Soc Sci Med (1982). [Internet]. 2018; 207: 19-24. doi: https://doi.org/10.1016/j.socscimed.2018.04.032
Kolahi AA, Abbasi-Kangevari M, Abdollahi M, Ehdaeivand F, Arshi S. Pattern of prenatal care utilization in Tehran: a population based longitudinal study. Women Birth: J Australian College Midwives. [Internet]. 2018; 31(3): e147-e151. doi: https://doi.org/10.1016/j.wombi.2017.09.013
Rudrum S, Brown H, Oliffe JL. Understanding the meaning and role of gifts given to Ugandan mothers in maternity care settings: “The help they give when they've seen how different you are”. Sociol Health Illn. [Internet]. 2016; 38(8): 1318-1335. doi: https://doi.org/10.1111/1467-9566.12456
Pestronk RM, Franks ML. A partnership to reduce african american infant mortality in genesee county, Michigan. Public Health Rep. [Internet]. 2003; 118(4): 324-335. doi: https://doi.org/10.1016/S0033-3549(04)50256-X
Romero DE, Cunha CB. Avaliação da qualidade das variáveis sócio-econômicas e demográficas dos óbitos de crianças menores de um ano registrados no sistema de informações sobre mortalidade do Brasil (1996/2001). Cad Saude Publica. [Internet]. 2006; 22(3): 673-684. doi: https://doi.org/10.1590/S0102-311X2006000300022
Cricco-Lizza R. Voices from the battlefield: reports of the daily experiences of urban black mothers. Health Care for Women Int. [Internet]. 2008; 29(2): 115-134. doi: https://doi.org/10.1080/07399330701738119
Conlon CM, Serbanescu F, Marum L, Healey J, LaBrecque J, Hobson R, et al. Saving mothers, giving life: it takes a system to save a mother (republication). ghsp. [Internet]. 2008; 7(1): 20–40. doi: https://doi.org/10.9745/GHSP-D-19-00092
Smith E, Sundstrom B, Delay C. Listening to women: understanding and challenging systems of power to achieve reproductive justice in South Carolina. J Soc Issues. [Internet]. 2020; 76(2): 363-390. doi: https://doi.org/10.1111/josi.12378
Pathak PK, Singh A, Subramanian SV. Economic inequalities in maternal health care: prenatal care and skilled birth attendance in India, 1992-2006. PloS one. [Internet]. 2010; 5(10): e13593. doi: https://doi.org/10.1371/journal.pone.0013593
Cabañas-Duarte F, Molinas-Fernández CE, Cabral-de-Bejarano MS, Mancuello-de Alum JN. Valoración de la calidad de la atención en los servicios de salud materno según la percepción de las usuarias en Asunción y departamento central en el periodo 2007-2008. Rep Cient facen. [Internet]. 2010; 1(2): 31-53. Disponible en: http://scielo.iics.una.py/scielo.php?script=sci_arttext&pid=S2222-145X2010000200004&lng=en&tlng=es.
Miranda-Mellado C, Castillo-Ávila IY. Factores de necesidad asociados al uso adecuado del control prenatal. Rev Cuidarte. [Internet]. 2016; 7(2): 1345-1351. doi: https://doi.org/10.15649/cuidarte.v7i2.340
Shaokang Z, Zhenwei S, Blas E. Economic transition and maternal health care for internal migrants in Shanghai, China. Health Policy Plan. [Internet]. 2002; 17(Suppl. 1): 47-55. doi: https://doi.org/10.1093/heapol/17.suppl_1.47
Clark GA, Humphries ML, Perez J, Udoetuk S, Bhatt K, Domingo JP, et al. Urinalysis and prenatal health: evaluation of a simple experiment that connects organic functional groups to health equity. J Chem Educ. [Internet]. 2020; 97(1): 48-55. doi: https://doi.org/10.1021/acs.jchemed.9b00408
García-Balaguera C. Barreras de acceso y calidad en el control prenatal. Rev Fac Med. 2017; 65: 305-10. doi: https://doi.org/10.15446/revfacmed.v65n2.59704
Pratt B, Hyder AA. Linking participatory action research on health systems to justice in global health: a case study of the maternal and neonatal implementation for equitable health systems project in rural Uganda. J Empir Res Hum Res Ethics. [Internet]. 2018; 13(1): 74-87. doi: 10.1177/1556264617741022
de Vries R. Obstetric ethics and the invisible mother. Narrat Inq Bioeth. 2017; 7(3): 215-220. doi: https://doi.org/10.1353/nib.2017.0068
Souza-Junior EV, Barbosa-da Silva VS, Lozado YA, dos Santos-Bomfim E, Pereira-Alves J, Nagib-Boery E, et al. Dilemas bioéticos en la asistencia médica a adolescentes embarazadas. Rev Bioet. [Internet]. 2018; 26(1): 87-94. doi: https://doi.org/10.1590/1983-80422018261229
Freedman LP. Using human rights in maternal mortality programs: from analysis to strategy. Intl J Gynecol Obstet. [Internet]. 2001; 75(1): 51-60. doi: https://doi.org/10.1016/S0020-7292(01)00473-8
Cook RJ, Dickens BM. The injustice of unsafe motherhood. Dev World Bioeth. [Internet]. 2002; 2(1): 64-81. doi: https://doi.org/10.1111/1471-8847.00036
Cook RJ, Dickens BM. Ethical and legal issues in reproductive health: ethics, justice and women’s health. Int J Gynecol Obstet. 1999; 64: 81-85. doi: https://doi.org/10.1016/S0020-7292(98)00205-7
Khosla R, Zampas C, Vogel JP, Bohren MA, Roseman M, Erdman JN. International human rights and the mistreatment of women during childbirth. Health Hum Rights. 2016; 18(2): 131-143.
Amzat J. The question of autonomy in maternal health in Africa: a rights-based consideration. J Bioethical Inq. [Internet]. 2015; 12(2): 283-293. doi: https://doi.org/10.1007/s11673-015-9607-y
Cook RJ, Dickens BM. Human rights to safe motherhood. Int J Gynaecol Obstet. [Internet]. 2002; 76(2): 225-231. doi: https://doi.org/10.1016/s0020-7292(01)00568-9
Urrea-Mora F. Respeto a la autonomía de mujeres gestantes en salud: diálogo bioética-género. Rev Colomb Bioet.2014; 9: 193-236. doi: https://doi.org/10.18270/rcb.v9i3.747
Urrea-Mora F. El cuerpo de las mujeres gestantes: un diálogo entre la bioética y el género. Rev Colomb Bioet. [Internet]. 2012; 7(1): 97-110. doi: https://doi.org/10.18270/rcb.v7i1.804
Urrea-Mora, F, Pinilla-Alfonso M. Bioética, género y justicia social: experiencia de un seminario. Rev Colomb Bioet. [Internet]. 2018; 13(3): 67-73. doi: https://doi.org/10.18270/rcb.v13i3.2483
Urrea-Mora F. Matices de la autonomía en mujeres gestantes durante la atención en salud: un diálogo bioética-género. Rev Colomb Bioet. [Internet]. 2015; 7(2): 89-106. doi: https://doi.org/10.18270/rcb.v7i2.812
Ali N, Coonrod DV, McCormick TR. Ethical issues in maternal-fetal care emergencies. Crit Care Clin. [Internet]. 2016; 32(1): 137-143. doi: https://doi.org/10.1016/j.ccc.2015.08.007
Cabrera-Lozada C, Uzcátegui O. Aspectos bioéticos de la conducta expectante en la gestante con preeclampsia grave. Revi Obstet Ginecol Venez. [Internet]. 2014; 74(2): 87-102. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0048-77322014000200003&lng=es&tlng=es
Premkumar A, Gates E. Rethinking the bioethics of pregnancy: time for a new perspective? Obstet Gynecol. [Internet]. 2016; 128(2): 396-399. doi: https://doi.org/10.1097/AOG.0000000000001509
Hunt A, Banner N Littler K. The global forum on bioethics in research meeting, “ethics of research in pregnancy”: emerging consensus themes and outputs. Reprod Health. [Internet]. 2017; 14: 158. doi: https://doi.org/10.1186/s12978-017-0431-1
Ralston S J, Farrell RM. The ethics of access: who is offered a cesarean delivery, and why? Hastings Cent Rep. [Internet]. 2015; 45(6): 15-19. doi: https://doi.org/10.1002/hast.476
Mendieta-Izquierdo G, Joya-Ramírez NS, Cuevas-Silva JM. Salud, justicia social y equidad: alternativas bioéticas para América Latina. Rev Redbioética/Unesco. Fecha de aprobación: 9 sept. 2019 (pendiente publicación); 18.
Garrafa V, Osório-de Azambuja L. Epistemología de la bioética-enfoque latinoamericano. Rev Colomb Bioet. 2009; 4(1): 73-92
Oguntunde O, Surajo I, Dauda D, Salihu A, Anas-Kolo S, Sinai I. Overcoming barriers to access and utilization of maternal, newborn and child health services in northern Nigeria: an evaluation of facility health committees. bmc Health Serv Res. [Internet]. 2018; 18(1): 104. doi: https://doi.org/10.1186/s12913-018-2902-7
Paina L, Namazzi G, Tetui M, Mayora C, Kananura RM, Kiwanuka SN, et al. Applying the model of diffusion of innovations to understand facilitators for the implementation of maternal and neonatal health programmes in rural Uganda. Global Health. [Internet]. 2019; 15(1): 38. doi: https://doi.org/10.1186/s12992-019-0483-9
Martinez B, Ixen E, Hall-Clifford R, Juarez M, Miller A, Francis A, et al. Health intervention to improve the continuum of maternal and perinatal care in rural Guatemala: a pragmatic, randomized controlled feasibility trial. Reprod Health. [Internet]. 2018; 15(1): 120. doi: https://doi.org/10.1186/s12978-018-0554-z
Yasuoka J, Nanishi K., Kikuchi K, Suzuki S, Po L, Thavrin B, et al. Barriers for pregnant women living in rural, agricultural villages to accessing antenatal care in Cambodia: a community-based cross-sectional study combined with a geographic information system. PLoS one. [Internet]. 2018; 13(3): e0194103. doi: https://doi.org/10.1371/journal.pone.0194103
Badiou A. La ética. Ensayo sobre la conciencia del mal [Internet]. 1993 [citado 1 oct. de 2020]. Disponible en: http://www.reflexionesmarginales.com/pdf/19/Documentos/3.pdf
Nussbaum M. Crear capacidades. Barcelona: Paidós; 2012.
Aguiar-González F. Justicia distributiva. Eunomía. [Internet]. 2019; 17: 207-219. doi: https://doi.org/10.20318/eunomia.2019.5025
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