{"id":413566,"date":"2026-09-04T20:37:47","date_gmt":"2026-09-04T20:37:47","guid":{"rendered":"https:\/\/diariodigitalrd.com\/?p=717630"},"modified":"2026-09-04T20:37:47","modified_gmt":"2026-09-04T20:37:47","slug":"exministra-alerta-por-cesareas-y-fallas-que-elevan-muertes-maternas","status":"publish","type":"post","link":"https:\/\/sarmiento24h.com\/?p=413566","title":{"rendered":"Exministra alerta por ces\u00e1reas y fallas que elevan muertes maternas"},"content":{"rendered":"
<\/div>\n

Altagracia Guzm\u00e1n Marcelino cuestiona vigilancia epidemiol\u00f3gica y se\u00f1ala deficiencias en hospitales p\u00fablicos<\/h3>\n

Santo Domingo.<\/strong>\u2014 La exministra de Salud P\u00fablica Altagracia Guzm\u00e1n Marcelino advirti\u00f3 sobre el deterioro de los indicadores de mortalidad materna y neonatal en Rep\u00fablica Dominicana y atribuy\u00f3 parte de la problem\u00e1tica a fallas en la atenci\u00f3n sanitaria, vigilancia epidemiol\u00f3gica, higiene hospitalaria y al elevado uso de ces\u00e1reas.<\/p>\n

Guzm\u00e1n Marcelino, miembro del Comit\u00e9 Central del Partido de la Liberaci\u00f3n Dominicana (PLD), calific\u00f3 la situaci\u00f3n de \u201cgrave\u201d y expres\u00f3 su preocupaci\u00f3n por la p\u00e9rdida de vidas de gestantes y reci\u00e9n nacidos por causas que, seg\u00fan sostuvo, pueden ser evitables.<\/p>\n

Durante una entrevista en el programa Despierta con CDN<\/strong>, la exfuncionaria cuestion\u00f3 la efectividad y el rigor de los actuales mecanismos de vigilancia epidemiol\u00f3gica, pese a que las muertes maternas e infantiles son de notificaci\u00f3n obligatoria en el sistema nacional desde 1997.<\/p>\n

La tambi\u00e9n doctora se\u00f1al\u00f3 que existe escepticismo entre especialistas respecto de los reportes y boletines oficiales, debido a cuestionamientos sobre la periodicidad de las informaciones y la transparencia en la notificaci\u00f3n de casos desde los centros de salud.<\/p>\n

Ces\u00e1reas alcanzan niveles elevados<\/h3>\n

Uno de los principales aspectos se\u00f1alados por Guzm\u00e1n Marcelino fue el elevado porcentaje de ces\u00e1reas que se practica en el pa\u00eds.<\/p>\n

Indic\u00f3 que las ces\u00e1reas representan cerca del 90 % de los partos en el sector privado<\/strong>, mientras que en el sector p\u00fablico superan el 50 %<\/strong>, niveles que consider\u00f3 alarmantes.<\/p>\n

Seg\u00fan explic\u00f3, esta pr\u00e1ctica puede incrementar las complicaciones respiratorias en los reci\u00e9n nacidos frente al parto vaginal. Tambi\u00e9n vincul\u00f3 parte de las ces\u00e1reas a dificultades existentes en los hospitales p\u00fablicos, entre ellas la falta de insumos para inducir el parto y la carencia de equipos de diagn\u00f3stico, como son\u00f3grafos fetales.<\/p>\n

Fallas de higiene aumentan riesgos<\/h3>\n

La exministra tambi\u00e9n identific\u00f3 deficiencias en las normas b\u00e1sicas de higiene y desinfecci\u00f3n en \u00e1reas cr\u00edticas como un factor que puede contribuir al deterioro de la salud neonatal.<\/p>\n

Mencion\u00f3 problemas relacionados con la manipulaci\u00f3n de instrumental, aspiradores y otros equipos utilizados en la atenci\u00f3n de reci\u00e9n nacidos, condiciones que, afirm\u00f3, favorecen la proliferaci\u00f3n de bacterias como la Klebsiella<\/strong> y pueden provocar brotes infecciosos con consecuencias mortales.<\/p>\n

Cuestiona atenci\u00f3n prenatal<\/h3>\n

Guzm\u00e1n Marcelino tambi\u00e9n se\u00f1al\u00f3 debilidades en el primer nivel de atenci\u00f3n, particularmente en el seguimiento de las embarazadas durante el per\u00edodo prenatal.<\/p>\n

Entre las deficiencias mencion\u00f3 el seguimiento irregular de las gestantes, el control de la hipertensi\u00f3n arterial y las acciones dirigidas a prevenir partos prematuros y nacimientos con bajo peso.<\/p>\n

A su juicio, estas fallas afectan directamente la capacidad del sistema sanitario para detectar y atender oportunamente situaciones de riesgo durante el embarazo.<\/p>\n

Mujeres extranjeras enfrentan barreras para recibir atenci\u00f3n<\/h3>\n

La exministra agreg\u00f3 otro elemento que, seg\u00fan dijo, incide en las estad\u00edsticas de mortalidad: el temor de algunas parturientas de nacionalidad extranjera a ser deportadas y la falta de apoyo familiar.<\/p>\n

Sostuvo que esas circunstancias pueden provocar que algunas mujeres se alejen de los servicios hospitalarios y terminen dando a luz sin asistencia m\u00e9dica y en condiciones desfavorables.<\/p>\n

Pide que Salud P\u00fablica investigue las muertes<\/h3>\n

Ante este escenario, Guzm\u00e1n Marcelino plante\u00f3 que la fiscalizaci\u00f3n e investigaci\u00f3n de las muertes maternas y neonatales debe estar bajo la responsabilidad directa del Ministerio de Salud P\u00fablica<\/strong>, por ser el organismo rector, regulador y fiscalizador del sistema sanitario.<\/p>\n

Consider\u00f3 que las investigaciones no deber\u00edan quedar exclusivamente en manos de las entidades que operan la red p\u00fablica de servicios de salud, debido al riesgo de que se produzcan situaciones en las que el organismo evaluador termine siendo, al mismo tiempo, responsable de la operaci\u00f3n evaluada.<\/p>\n

La exministra insisti\u00f3 en la necesidad de fortalecer los mecanismos de vigilancia y fiscalizaci\u00f3n para determinar las causas de las muertes y corregir las deficiencias que puedan estar afectando la calidad de la atenci\u00f3n materna y neonatal en el pa\u00eds.<\/p>\n","protected":false},"excerpt":{"rendered":"

Altagracia Guzm\u00e1n Marcelino cuestiona vigilancia epidemiol\u00f3gica y...<\/p>\n","protected":false},"author":1,"featured_media":413567,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[59,61],"tags":[],"class_list":["post-413566","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualidad","category-politica"],"yoast_head":"\nExministra alerta por ces\u00e1reas y fallas que elevan muertes maternas - 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