<?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>0138-600X</journal-id>
<journal-title><![CDATA[Revista Cubana de Obstetricia y Ginecología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Obstet Ginecol]]></abbrev-journal-title>
<issn>0138-600X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-600X2019000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Maniobra Kristeller, consecuencias físicas y éticas según sus protagonistas]]></article-title>
<article-title xml:lang="en"><![CDATA[Kristeller Maneuver, physical and ethical consequences according to its central characters]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Becerra-Chauca]]></surname>
<given-names><![CDATA[Naysha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Failoc-Rojas]]></surname>
<given-names><![CDATA[Virgilio E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de San Martín de Porres Facultad de Obstetricia y Enfermería ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad San Ignacio de Loyola Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>45</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-600X2019000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-600X2019000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-600X2019000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La maniobra Kristeller consiste en hacer presión del fondo uterino en el período expulsivo, la segunda etapa del trabajo de parto.  Objetivo:  Determinar la prevalencia, características de la aplicación de la maniobra Kristeller y consecuencias físicas y éticas en puérperas de un hospital de alta complejidad en Lima, Perú.  Métodos: Diseño descriptivo transversal y prospectivo. Se incluyeron 250 puérperas de parto vaginal, con gestación única a término, atendidas en el Hospital Nacional &#8220;Hipólito Unanue&#8221;, entre agosto y diciembre de 2016. Se usó cuestionario -Stop Kristeller- realizado por la Asociación Española &#8220;El parto es nuestro&#8221;. Se les aplicó un cuestionario validado por expertos a las puérperas durante su estancia. Se realizó análisis descriptivo mostrando los resultados en frecuencias y porcentajes.  Resultados: Se evidenció que a 116 de ellas (46,4 %) se les realizó la maniobra Kristeller. Con respecto a las características de la realización de la maniobra 77,6 % refirió que se realizó con las palmas de las manos, más del 70 % refirió que fue entre una y tres veces y 75,9 % señaló que solo una persona la realizó. El 32,8 % reportó haber sufrido desgarro vaginal y 51,7 % refirió que no solicitaron su consentimiento para realizar la maniobra.  Conclusiones:  Existe elevada prevalencia de la utilización de la maniobra, las características de su aplicación siguen pautas descritas por Samuel Kristeller, entre las consecuencias físicas encontradas están los desgarros perineales superficiales y profundos y en muchos casos las condiciones bioéticas no se cumplieron.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The Kristeller maneuver consists in making fundal pressure during the second stage of labor.  Objective:  To determine the prevalence, characteristics of the application of Kristeller maneuver and the physical and ethical consequences in puerperal women of a highly complex hospital in Lima, Peru.  Methods:  A cross-sectional and prospective descriptive study was carried out in 250 puerperal women of vaginal delivery, with single gestation at term, assisted at Hipólito Unanue National Hospital, from August to December 2016. This research used the Stop Kristeller questionnaire - prepared by the Spanish Association &#8220;El parto es nuestro&#8221;. A questionnaire validated by experts was applied to the puerperal women during their stay. A descriptive analysis was made and the results in frequencies and percentages are shown.  Results:  It was showed that 116 of them (46.4 %) underwent Kristeller maneuver. Regarding the characteristics of the maneuver performance, 77.6 % reported that it was performed with hand palms, more than 70 % reported that this maneuver was done between one and three times and 75.9 % indicated that only one person performed it. Vaginal tear was reported in 32.8 % and 51.7 % reported their consent to perform the maneuver was not requested.  Conclusions:  There is high prevalence of the use of this maneuver. The characteristics of its application follow the guidelines described by Samuel Kristeller. Superficial and deep perineal tears are among the physical consequences and in many cases, bioethical conditions were not fulfilled.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trabajo de parto]]></kwd>
<kwd lng="es"><![CDATA[maniobra Kristeller]]></kwd>
<kwd lng="es"><![CDATA[perineo]]></kwd>
<kwd lng="es"><![CDATA[salud materna]]></kwd>
<kwd lng="en"><![CDATA[labor]]></kwd>
<kwd lng="en"><![CDATA[Kristeller maneuver]]></kwd>
<kwd lng="en"><![CDATA[perineum]]></kwd>
<kwd lng="en"><![CDATA[maternal health]]></kwd>
</kwd-group>
</article-meta>
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