Eloísa Fernández Ordóñez

In certain hospital interventions that replace medical doctors with nurses, there is little or no difference in patient mortality and quality of life, according to research that brings together the results of 82 previous studies, and includes data from healthcare personnel from different specialities. "While our findings suggest there is merit in pursuing [nurse-physician substitution] as a solution to shortages and maldistribution of doctors, it is also important to consider the implications of [nurse-physician substitution] on the availability of nurses and future developments in the scope of nursing practice," the authors write in the study, published in the Cochrane Database of Systematic Reviews.

A review of epidemiological data examines the physical and psychological complications that occur after childbirth in the medium and long term. More than a third of women reported lasting, and often neglected, health problems six weeks after childbirth. The most common complaints were: pain during sexual intercourse (35%), lower back pain (32%), urinary incontinence (8-31%), anxiety (9-24%), anal incontinence (19%), depression (11-17%) or significant fear of childbirth (6-15%). In their paper, published today in the journal The Lancet Global Health as part of a special series, the authors stress the importance of providing comprehensive health services beyond six weeks postpartum.