Objective: To show that single layer repair of the low transverse uterine incision in similar to the two layer repair. Design: Fifty patients without infectious pathology attended at Maria Auxiliadora Hospital in one year from July 1, 1993 to june 30, 1994 had primary cesarean section. Patients were randomly assigned to either group, with single -layer or two- layer repair of transverse uterine incision. Results: Follow-up of patients did no show differences between the two groups, but for less operative time and longer hospitalization. Conclusion: The single-layer repair of the low transverse uterine incision is a good alternative in cesarean section.

OBJECTIVE: To update rate and causes of maternal death at Peruvian hospitals. DESIGN: A Self Evaluation Manual was elaborated and 31 hospitals were selected 7 in Lima and Callao and 24 in the different regions of Peru. The Self Evaluation Manual was previously sent to the hospitals and a report was requested. A technical team had scheduled visits to each hospital and met with the board of directors. Registry information of the three previous years was obtained and processed with the V2, 6 Fox Pro Program. RESULTS: Seventeen hospitals to the coast, 10 to the mountains and 4 to the jungles; 25 were from the Ministry of Health, 3 from the Peruvian Institute of Social Security, 2 were integrated hospitals with origin in both institutions and 1 was aprivate hospítal. Previous year total deliveries were 100 063; 66,6% wíth 1 or moreprenatal controls; only 43,6% had had 4 or more controls; th...

OBJETIVE: To examine the results of a strategy to improve quality of services in the reduction of maternal and perinatal mortality. DESIGN: Operational research whose baseline a set of indicators taken into selected health facilities in 1996 and after a series of interventions were again measured in 1999. The selected establishments were 13 hospitals and 24 heads of service network in the regions of Lima -Callao, Cajamarca, Loreto and Apurimac. In each of the Ten Steps for Safe Childbirth Initiative was introduced in order to help improve the quality and warmth of institutional delivery and thus help reduce maternal and perinatal mortality. RESULTS: Up to September 1999 the initiative was adequately developed in 12 hospitals and 16 headends. 100% of establishments adopted an explicit policy for safe motherhood, allowing train 4,497 health workers. All establishments have managed to form...

OBJECTIVE: To update rate and causes of maternal death at Peruvian hospitals. DESIGN: A Self Evaluation Manual was elaborated and 31 hospitals were selected 7 in Lima and Callao and 24 in the different regions of Peru. The Self Evaluation Manual was previously sent to the hospitals and a report was requested. A technical team had scheduled visits to each hospital and met with the board of directors. Registry information of the three previous years was obtained and processed with the V2, 6 Fox Pro Program. RESULTS: Seventeen hospitals to the coast, 10 to the mountains and 4 to the jungles; 25 were from the Ministry of Health, 3 from the Peruvian Institute of Social Security, 2 were integrated hospitals with origin in both institutions and 1 was aprivate hospítal. Previous year total deliveries were 100 063; 66,6% wíth 1 or moreprenatal controls; only 43,6% had had 4 or more controls; th...