Guía de práctica clínica para la prevención, detección temprana y tratamiento de las complicaciones del embarazo, parto y puerperio: sección 3. Infecciones en el embarazo: ruptura prematura de membranas (RPM)

  • Jairo Amaya-Guío Universidad Nacional de Colombia
  • Jorge Andrés Rubio-Romero Universidad Nacional de Colombia
  • Leonardo Arévalo-Mora Servicios de Salud Suramericana
  • John Henry Osorio-Castaño
  • Francisco Edna-Estrada Federación Colombiana de Obstetricia y Ginecología
  • Martha Patricia Ospino-Guzmán Universidad Nacional de Colombia
  • Grupo Desarrollador de la Guía - Universidad Nacional de Colombia - Alianza CINETS

Resumen

Objetivo: realizar recomendaciones para la atención del embarazo con ruptura prematura de membranas como parte integral de la Guía de Práctica Clínica (GPC) para la prevención, detección temprana y tratamiento de las complicaciones del embarazo en Colombia.

Materiales y métodos:el grupo desarrollador de la Guía (GDG) elaboró esta GPC durante 2011-2012, acorde con la Guía Metodológica para la elaboración de Guías de Atención Integral en el Sistema General de Seguridad Social en Salud Colombiano, basándose en la evidencia científica disponible y sumando la participación activa de grupos de pacientes, sociedades científicas y grupos de interés. En particular, la evidencia de esta sección fue adaptada de la GPC “Preterm prelabour rupture of membranes” (Royal Collegue of Obstetrics and Gynecology-2006) y actualizada por medio de procedimientos sistemáticos, tanto para la búsqueda y valoración de la evidencia como para la generación de recomendaciones. El nivel de evidencia y la fuerza de las recomendaciones fueron expresadas por medio del sistema del Scottish Intercollegiate Guidelines Network (SIGN).

Resultados: se presentan las recomendaciones para la atención de los embarazos con ruptura prematura de membranas. Estas incluyen cambios en la conducta del personal de salud y las instituciones para aumentar la probabilidad de obtener un resultado materno fetal exitoso en las gestaciones con esta complicación.

Conclusiones: se presenta una versión resumida de las recomendaciones y evidencia de esta sección, que se espera sea adoptada por los profesionales de salud encargados de la atención del embarazo en el país para disminuir la morbilidad y mortalidad asociada a la gestación.

Biografía del autor/a

Jairo Amaya-Guío, Universidad Nacional de Colombia
Médico cirujano; Especialista en Obstetricia y Ginecología. Profesor Asociado, Departamento de Obstetricia y Ginecología, Universidad Nacional de Colombia y Profesor asistente, Fundación Universitaria San Martín. Bogotá (Colombia)
Jorge Andrés Rubio-Romero, Universidad Nacional de Colombia
Médico cirujano; Especialista en Obstetricia y Ginecología. Profesor Asociado, Departamento de Obstetricia y Ginecología, Universidad Nacional de Colombia. Bogotá (Colombia)
Leonardo Arévalo-Mora, Servicios de Salud Suramericana
Médico Cirujano; médico experto en VIH, Servicios de Salud Suramericana. Estudiante de Maestría en Salud Sexual y Reproductiva. Bogotá (Colombia)
John Henry Osorio-Castaño
Enfermero, MSc. Especialista en Gerencia de IPS; Magíster en Epidemiología. Bogotá (Colombia)
Francisco Edna-Estrada, Federación Colombiana de Obstetricia y Ginecología
Médico Cirujano; Especialista en Obstetricia y Ginecología. Vocal Zona Norte de la Junta Directiva de la Federación Colombiana de Obstetricia y Ginecología. Bogotá (Colombia)
Martha Patricia Ospino-Guzmán, Universidad Nacional de Colombia
Médica Cirujana; Especialista en Epidemiología. Estudiante de Maestría en Salud Sexual y Reproductiva. Integrante del grupo de investigación de Salud Sexual y Reproductiva de la Universidad Nacional de Colombia. Bogotá (Colombia)
Grupo Desarrollador de la Guía - Universidad Nacional de Colombia - Alianza CINETS
Grupo Desarrollador de la Guía - Universidad Nacional de Colombia - Alianza CINETS

Citas

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Publicado
2015-12-21
Sección
Articulo de Revisión