<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2022000300402</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desgarro perineal posparto y variables obstétricas y sociodemográficas en mujeres peruanas altoandinas]]></article-title>
<article-title xml:lang="en"><![CDATA[Postpartum perineal tear and obstetric and sociodemographic variables in high Andean Peruvian women]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz de la Torre]]></surname>
<given-names><![CDATA[Rossibel Juana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Vilcahuaman]]></surname>
<given-names><![CDATA[Jenny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jauregui Sueldo]]></surname>
<given-names><![CDATA[Jacqueline Charo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toral Santillán]]></surname>
<given-names><![CDATA[Edwin Jony]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villanueva Navarro]]></surname>
<given-names><![CDATA[Katherin Yurfa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quispe Aroni]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Huancavelica.  ]]></institution>
<addr-line><![CDATA[Huancavelica ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Salud San Juan Bautista  ]]></institution>
<addr-line><![CDATA[Ayacucho ]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<fpage>402</fpage>
<lpage>408</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2022000300402&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2022000300402&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2022000300402&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: Un conjunto amplio de factores pueden verse asociados al desgarro perineal posparto. Su estudio y mejor conocimiento contribuyen al abordaje preciso y oportuno de las pacientes.  Objetivo determinar el grado de asociación entre el desgarro perineal posparto y variables obstétricas y sociodemográficas en mujeres peruanas altoandinas.  Métodos  estudio descriptivo, con diseño de casos y controles, que incluyó a 171 madres con diagnóstico de desgarro perineal posparto (grupo de casos) y 200 sin esa patología (grupo control), atendidas en un centro de Salud altoandino, en Ayacucho, Perú. Se analizaron variables sociodemográficas y obstétricas. La asociación entre estas y el desgarro perineal fue estimada a través de la prueba Chi cuadrado de Pearson (IC 95 % y significancia estadística menor a 0,05).  Resultados  la frecuencia de desgarros perineales posparto eutócico representó el 46,1 %. Las infecciones del tracto urinario afectaron a mayor número de mujeres (37,7 %). Las variables asociadas al desgarro perineal fueron varias, con destaque del parto precipitado (OR=10,85; p=0,000) y el período intergenésico corto (OR=5,41; p=0,000).  Conclusión  el parto precipitado, el periodo intergenésico corto y las infecciones vaginales fueron las variables que más se asociaron al desgarro perineal posparto en mujeres altoandinas de la Región Ayacucho, Perú. Estos y otros de los factores que expresaron determinado riesgo pueden ser modificados mediante un acercamiento a la mujer desde la etapa preconcepcional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background  A wide set of factors can be associated with postpartum perineal tear. Their study and better knowledge contribute to the precise and timely approach of patients.  Objective to determine the association degree between postpartum perineal obstetric tear and sociodemographic variables in high Andean Peruvian women.  Methods  a descriptive study, with a case-control design, which included 171 mothers with a diagnosis of postpartum perineal tear (case group) and 200 without this pathology (control group), treated at a high Andean health center in Ayacucho, Peru. Sociodemographic and obstetric variables were analyzed. The association between these and perineal tears was estimated using Pearson's Chi-square test (95% CI and statistical significance less than 0.05).  Results  the frequency of eutocic postpartum perineal tears represented 46.1%. Urinary tract infections affected a greater number of women (37.7%). The variables associated with perineal tear were several, with highlights being precipitous labor (OR=10.85; p=0.000) and short intergenic period (OR=5.41; p=0.000).  Conclusion rapid labor, short intergenesic period and vaginal infections were the variables that were most associated with postpartum perineal tear in high Andean women from the Ayacucho Region, Peru. These and other factors that expressed certain risk can be modified by approaching women from the preconception stage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[parto]]></kwd>
<kwd lng="es"><![CDATA[perineo]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[parturition]]></kwd>
<kwd lng="en"><![CDATA[perineum]]></kwd>
</kwd-group>
</article-meta>
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