ObjectivesTo describe the differences in obstetrical results and women's childbirth satisfaction across 2 different models of maternity care (biomedical model and humanised birth).Setting2 university hospitals in south-eastern Spain from April to October 2013.DesignA correlational descriptive study.ParticipantsA convenience sample of 406 women participated in the study, 204 of the biomedical model and 202 of the humanised model.ResultsThe differences in obstetrical results were (biomedical model/humanised model): onset of labour (spontaneous 66/137, augmentation 70/1, p=0.0005), pain relief (epidural 172/132, no pain relief 9/40, p=0.0005), mode of delivery (normal vaginal 140/165, instrumental 48/23, p=0.004), length of labour (0–4 hours 69/93, >4 hours 133/108, p=0.011), condition of perineum (intact perineum or tear 94/178, episiotomy 100/24, p=0.0005). The total questionnaire score (100) gave a mean (M) of 78.33 and SD of 8.46 in the biomedical model of care and an M of 82.01 and SD of 7.97 in the humanised model of care (p=0.0005). In the analysis of the results per items, statistical differences were found in 8 of the 9 subscales. The highest scores were reached in the humanised model of maternity care.ConclusionsThe humanised model of maternity care offers better obstetrical outcomes and women's satisfaction scores during the labour, birth and immediate postnatal period than does the biomedical model.

The practice of female genital mutilation is maintained due to social and family pressure, transmitted from generation to generation and silenced by women themselves. This practice affects their sexual and reproductive health, as demonstrated by anorgasmia and dyspareunia. The women were satisfied with the healthcare received during pregnancy and childbirth. Nevertheless, most of them were not satisfied with family planning.

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ResumenObjetivo: Conocer las creencias, actitudes y prácticas de los adolescentes en sus relaciones de noviazgo y caracterizar el perfil de los adolescentes que reproducen y que son más susceptibles de sufrir violencia de género. Método: Diseño observacional, descriptivo, transversal y analítico a través de 3 cuestionarios a 131 hombres y 139 mujeres adolescentes de Educación Secundaria de la Región de Murcia (España). Resultados: Los adolescentes con padres de bajo nivel educativo y los hombres reconocen en menor medida las formas de violencia y justifican en mayor proporción los comportamientos violentos de control y poder sobre las mujeres. Tanto hombres como mujeres perpetúan la violencia, pero ellos ejercen más la violencia sexual mientras que ellas la verbal, que al mismo tiempo es más sufrida por las adolescentes. Conclusiones: Las adolescentes son más susceptibles de sufrir violencia verbal y violencia sexual por parte de sus parejas, conformando un grupo de riesgo de violencia de género sobre el que hay que implementar medidas de prevención, detección y protección. Es necesario sensibilizar y formar en igualdad de género, especialmente, a los adolescentes con padres de bajo nivel educativo y los de sexo masculino Palabras clave violencia de pareja, adolescente, agresión, sexismo, género y salud, relaciones interpersonales, violencia sexual.

Introduction Freedom of movement has been identified as a key issue for pregnant individuals during the birthing process, even if they opt for epidural analgesia, which has relegated people to more static positions during birth for many years. The aims of this systematic review were to evaluate the influence of mobility and positional changes on perinatal and neonatal outcomes in people in labor with epidural analgesia, describe the range of movement interventions used during the first and second stage of labor, and describe the level of motor blockade among people with low‐dose epidural analgesia. Methods Bibliographic databases (Web of Science, Cochrane, CINAHL) were consulted from December 2020 to January 2021. The articles selected were clinical trials and observational or analytical studies, the subject of which was mobilization during labor in people with epidural analgesia. The outcome measures were mode of birth, duration of labor, and extrauterine adaptation after birth. A narrative synthesis was used to describe the types of movements interventions employed during the stages of labor and the level of motor blockade among people with low‐dose epidural analgesia. Results Ten articles were selected (8 clinical trials, one cross‐sectional study, and one quasiexperimental study), with a total sample of 6086 individuals. A meta‐analysis showed nonsignificant results between groups for mode of birth (relative risk [RR], 1.00; 95% CI, 0.87‐1.14), duration of labor (RR, 1.64; 95% CI, ‐34.57 to 37.86), and extrauterine adaptation after birth (RR, 0.86; 95% CI, 0.39‐1.93). There was heterogeneity among studies in the type of movement interventions used during the first and second stage of labor. Discussion Although no clear benefit was observed for mobilization in epidural labor, no detrimental effects were found either, so perinatal care providers should encourage mobilization if the laboring person so desires, throughout the entire childbirth process.