Guía de práctica clínica para la detección temprana de las anomalías durante el trabajo de parto, atención del parto normal y distócico

Autores/as

  • Jorge Andrés Rubio-Romero
  • Ariel Iván Ruiz-Parra
  • Fernando Martínez
  • Juliana Muñoz-Restrepo
  • Luis Alfonso Muñoz
  • Ingrid Arévalo-Rodríguez
  • Pío Iván Gómez-Sánchez
  • Representantes del Grupo

DOI:

https://doi.org/10.18597/rcog.90

Palabras clave:

trabajo de parto, distocia, guías de práctica clínica, práctica clínica basada en la evidencia

Resumen

Objetivo: realizar recomendaciones para detección temprana de las anomalías durante el trabajo de parto, atención del parto normal y distócico.

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 Guía fue adaptada de la “Guía de práctica clínica sobre la atención del parto normal” (País Vasco - 2010) y actualizada por 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 expresados por medio del sistema del Scottish Intercollegiate Guidelines Network (SIGN).

Esta guía y sus secciones hacen parte de un grupo de 25 GAI basadas en la evidencia que incorporan consideraciones económicas y de implementabilidad en el contexto del Sistema General de Seguridad Social en Salud colombiano, y que se desarrollaron por iniciativa del Ministerio de Salud y Protección Social y el Departamento de Ciencia, Tecnología e Innovación (Colciencias) en temas prioritarios y de alta prevalencia en el país mediante contrato otorgado a la Universidad Nacional de Colombia en el año 2010.

Resultados: se presentan las recomendaciones para la asistencia del trabajo de parto y el parto asociadas con mayor probabilidad de obtener un resultado materno fetal exitoso durante la atención del parto.

Conclusiones: se espera que las recomendaciones de esta GPC sean utilizadas por los profesionales de la salud de los programas de atención de la gestación con el fin de disminuir la morbilidad y mortalidad atribuibles a complicaciones del trabajo de parto y el parto.

Biografía del autor/a

Jorge Andrés Rubio-Romero

Profesor Asociado, Departamento de Obstetricia y Ginecología e Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.

Ariel Iván Ruiz-Parra

Profesor Titular, Departamento de Obstetricia y Ginecología e Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.

Fernando Martínez

Ginecoobstetra. MSc (c) Epidemiología clínica, Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.

Juliana Muñoz-Restrepo

Ginecoobstetra. Departamento de Obstetricia y Ginecología, Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.

Luis Alfonso Muñoz

Anestesiólogo, MSc (c) en Epidemiología Clínica. Instructor asociado, Fundación Universitaria de Ciencias de la Salud, Departamento de Anestesia, Hospital San José, Bogotá, Colombia.

Ingrid Arévalo-Rodríguez

Psicóloga, MSc Epidemiología Clínica, PhD (c) en Pediatría, Obstetricia y Ginecología, Medicina Preventiva y Salud Pública, Universidad Autónoma de Barcelona. Coordinadora General de Epidemiología Clínica de la Guía. Instructor asociado,. División de Investigaciones, Fundación Universitaria de Ciencias de la Salud, Hospital de San José, Hospital Infantil de San José. Bogotá, Colombia.

Pío Iván Gómez-Sánchez

Líder general de la GPC. Profesor Titular y Director del Grupo de Investigación en Salud Sexual y Reproductiva, Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.

Representantes del Grupo

Representantes del Grupo Desarrollador de la Guía - Universidad Nacional de Colombia - Alianza CINETS

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Cómo citar

1.
Rubio-Romero JA, Ruiz-Parra AI, Martínez F, Muñoz-Restrepo J, Muñoz LA, Arévalo-Rodríguez I, et al. Guía de práctica clínica para la detección temprana de las anomalías durante el trabajo de parto, atención del parto normal y distócico. Rev. colomb. obstet. ginecol. [Internet]. 20 de diciembre de 2013 [citado 29 de marzo de 2024];64(4):379-424. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/90

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2013-12-20

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