Objective. To describe schemes and effectiveness of post-operative pain management at the National Maternal Perinatal Institute. Materials and Methods.  Descriptive, retrospective cross-sectional study, in which 305 medical histories of patients treated between January and March 2021 were reviewed and analyzed, data such as treatment schedules, pain frequency, analgesic management, rescues, opioid use, and adverse effects were collected. Results.  Of 303 medical records included, the most commonly used treatment regimen was intrathecal morphine in combination with an intravenous analgesic (93.1%) which was initiated in the operating room, the most frequent adverse effects were nausea and vomiting (4.3%), pruritus (1.3%), urinary retention (0.3%). Respiratory depression and the presence of severe pain were not reported; but there was a need for analgesic rescue use in 20% of patients in...

Objective. To describe schemes and effectiveness of post-operative pain management at the National Maternal Perinatal Institute. Materials and Methods.  Descriptive, retrospective cross-sectional study, in which 305 medical histories of patients treated between January and March 2021 were reviewed and analyzed, data such as treatment schedules, pain frequency, analgesic management, rescues, opioid use, and adverse effects were collected. Results.  Of 303 medical records included, the most commonly used treatment regimen was intrathecal morphine in combination with an intravenous analgesic (93.1%) which was initiated in the operating room, the most frequent adverse effects were nausea and vomiting (4.3%), pruritus (1.3%), urinary retention (0.3%). Respiratory depression and the presence of severe pain were not reported; but there was a need for analgesic rescue use in 20% of patients in...

Este trabajo analiza cómo la gestión pública influyo en la incorporación de la telemedicina en el Instituto Nacional Materno Perinatal (INMP) entre 2020 y 2023. Se adoptó un enfoque mixto. En la fase cualitativa se revisaron las disposiciones normativas emitidas antes, durante y después de la emergencia sanitaria, interpretándolas con modelos de ciclo y análisis de políticas públicas aceptados internacionalmente. En la fase cuantitativa se aplicó un cuestionario a 290 profesionales del INMP para medir su satisfacción y las barreras percibidas al usar la telemedicina. Los hallazgos muestran que la etapa pandémica estuvo acompañada de una producción normativa que facilitó la rápida puesta en marcha de la atención remota; sin embargo, tras el levantamiento de la emergencia, las consultas virtuales cayeron 97,8 %, evidenciando debilidades en institucionalización, financiam...