El exilio leridano de los canónigos y diputados a Cortes liberales Francisco Martínez Marina y José Espiga Gadea

En el presente trabajo vamos a analizar la trayectoria política de dos canónigos, Francisco Martínez Marina y José Espiga y Gadea, partidarios del liberalismo en una época de cambios en la cual, cada uno a su manera, contribuyó a la construcción del Estado liberal constitucional español. Tras las Cortes de Cádiz, estos importantes pensadores fueron perseguidos por el absolutismo y compartieron estancia en la Catedral de Lérida, el seno de la cual abandonaron para participar en las Cortes del Trienio Liberal (1820­-1823)

Eclesiásticos catalanes y las Cortes de Cádiz

En este estudio se ha analizado la preparación de las Cortes de Cádiz y la elección de los diputados catalanes, la actuación de los diputados eclesiásticos catalanes en las Cortes extraordinarias y en las ordinarias y finalmente la respuesta de los obispos catalanes a las medidas emprendidas por las Cortes de Cádiz a través de la publicación de la Instrucción de los ilustrísimos señores obispos de Lérida, Tortosa, Barcelona, Urgel, Teruel y Pamplona al clero y pueblo de sus diócesis, fechada el 12 de diciembre de 1812. Los principales eclesiásticos que asistieron a las sesiones de las Cortes fueron Jaume Creus i Martí, defensor de los principios tradicionalistas, por ejemplo, del mantenimiento del Santo Tribunal de la Inquisición y Josep Espiga i Gadea, paladín de los ideales liberales. Los decretos promulgados por las Cortes de Cádiz fueron contestados por los obispos catalanes en la Instrucción, dirigida a erradicar las doctrinas erróneas de los filósofos españoles, consignadas en los Diarios de las Cortes y que se basaban en el anticlericalismo, en el ultraje a los ministros de la Iglesia, en el ataque a la disciplina eclesiástica, en su inmunidad y doctrina, teniendo como finalidad la descristianización de España.

Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals

Background: As a result of the growing number of interventions that are now performed in the context of maternity care, health authorities have begun to examine the possible repercussions for service provision and for maternal and neonatal health. In Spain the Strategy Paper on Normal Childbirth was published in 2008, and since then the authorities in Catalonia have sought to implement its recommendations. This paper reviews the current provision of maternity care in Catalonia. Methods: This was a descriptive study. Hospitals were grouped according to their source of funding (public or private) and were stratified (across four strata) on the basis of the annual number of births recorded within their respective maternity service. Data regarding the distribution of obstetric professionals were taken from an official government survey of hospitals published in 2010. The data on obstetric interventions (caesarean, use of forceps, vacuum or non-specified instruments) performed in 2007, 2010 and 2012 were obtained by consulting discharge records of 44 public and 20 private hospitals, which together provide care in 98% of all births in Catalonia. Proportions and confidence intervals were calculated for each intervention performed in all full-term (3742 weeks) singleton births. Results: Analysis of staff profiles according to the stratification of hospitals showed that almost all the hospitals had more obstetricians than midwives among their maternity care staff. Public hospitals performed fewer caesareans [range between 19.20% (CI 18.84-19.55) and 28.14% (CI 27.73-28.54)] than did private hospitals [range between 32.21% (CI 31.78-32.63) and 39.43% (CI 38.98-39.87)]. The use of forceps has decreased in public hospitals. The use of a vacuum extractor has increased and is more common in private hospitals. Conclusions: Caesarean section is the most common obstetric intervention performed during full-term singleton births in Catalonia. The observed trend is stable in the group of public hospitals, but shows signs of a rise among private institutions. The number of caesareans performed in accredited public hospitals covers a limited range with a stable trend. Among public hospitals the highest rate of caesareans is found in non-accredited hospitals with a lower annual number of births.

Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals

Background: As a result of the growing number of interventions that are now performed in the context of maternity care, health authorities have begun to examine the possible repercussions for service provision and for maternal and neonatal health. In Spain the Strategy Paper on Normal Childbirth was published in 2008, and since then the authorities in Catalonia have sought to implement its recommendations. This paper reviews the current provision of maternity care in Catalonia. Methods: This was a descriptive study. Hospitals were grouped according to their source of funding (public or private) and were stratified (across four strata) on the basis of the annual number of births recorded within their respective maternity service. Data regarding the distribution of obstetric professionals were taken from an official government survey of hospitals published in 2010. The data on obstetric interventions (caesarean, use of forceps, vacuum or non-specified instruments) performed in 2007, 2010 and 2012 were obtained by consulting discharge records of 44 public and 20 private hospitals, which together provide care in 98% of all births in Catalonia. Proportions and confidence intervals were calculated for each intervention performed in all full-term (3742 weeks) singleton births. Results: Analysis of staff profiles according to the stratification of hospitals showed that almost all the hospitals had more obstetricians than midwives among their maternity care staff. Public hospitals performed fewer caesareans [range between 19.20% (CI 18.84-19.55) and 28.14% (CI 27.73-28.54)] than did private hospitals [range between 32.21% (CI 31.78-32.63) and 39.43% (CI 38.98-39.87)]. The use of forceps has decreased in public hospitals. The use of a vacuum extractor has increased and is more common in private hospitals. Conclusions: Caesarean section is the most common obstetric intervention performed during full-term singleton births in Catalonia. The observed trend is stable in the group of public hospitals, but shows signs of a rise among private institutions. The number of caesareans performed in accredited public hospitals covers a limited range with a stable trend. Among public hospitals the highest rate of caesareans is found in non-accredited hospitals with a lower annual number of births.