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  • Title: [Digno Stagno and the home for the rural pregnant].
    Author: Levy S.
    Journal: Enfoques Aten Prim; 1990 Jul; 5(2):33-8. PubMed ID: 12342931.
    Abstract:
    This article is dedicated to Dino Stagno Maccioni because of his pioneering work in developing the field of maternal and child health in Chile as well as his outstanding work in health care in Chile's Ninth Region. He is also renowned because he developed community health indicators and projects that were used as the basis of health policies in local and national programs. One of his most famous programs is "The Home for Pregnant Women in Rural Traiguen," or "La Casita." IN 1975 this home became the 1st home for high-risk pregnant rural peasants in Chile with the aim of lowering the high mortality rates of women and infants and increasing professional control over the process of pregnancy and delivery. In 1984 an evaluation was done on the program's first 9 years. 1579 cases were reviewed and compared to statistics from other hospitals in Chile. The results demonstrated an increase from 136 patients in 1975 to 456 in 1983; its coverage was 100% of the rural population of which 36% were those from Traiguen; attendance of high risk pregnancies increased from 32% in 1975 to 62.7% in 1983. The philosophy was to keep rural high risk patients and their babies "in hand" to minimize their complications; 26% of deliveries were complicated and ended up in cesarean sections, predicting that these patients outside of this setting would have died. Professional deliveries increased from 80% in 1975 to 91% in 1983 demonstrating the success of the program. In 1990 the program remains a success.
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