Guía de práctica clínica para la prevención y el manejo de la hemorragia posparto y complicaciones del choque hemorrágico
DOI:
https://doi.org/10.18597/rcog.91Palabras clave:
hemorragia posparto, choque hemorrágico, guías de práctica clínica, práctica clínica basada en la evidencia, ColombiaResumen
Objetivo: formular recomendaciones basadas en la mejor evidencia disponible que sirvan como guía para los profesionales de salud en la prevención, detección y el manejo de la hemorragia posparto y de las complicaciones asociadas a la misma con el fin de homogeneizar las conductas clínicas y contribuir a la reducción de la morbi-mortalidad materna.
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 Generalde 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 las GPC del Royal College of Obstetricians and Gynaecologists (RCOG) “Prevention and management of postpartum haemorrhage” (2009) y de la Organización Mundial de la Salud (OMS), “WHO guidelines for the management of postpartum haemorrhage and retained placenta” (2009), y actualizada por medio de procedimientos sistemáticos, tanto para la búsqueda y la 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 recomendaciones para la prevención, detección y el tratamiento de la hemorragia posparto a partir de 17 preguntas clínicas.
Conclusión: se presenta una versión resumida de las recomendaciones y evidencia de esta Guía, que se espera sea adoptada por los profesionales de la salud encargados de la atención del embarazo en el país para disminuir la morbilidad y mortalidad asociada a la gestación.
Biografía del autor/a
Joaquín Guillermo Gómez Dávila
Jhon Henry Osorio Castaño
John Jairo Zuleta Tobón
Juan Guillermo Londoño Cardona
Jesús Arnulfo Velásquez Penagos
Ingrid Arévalo Rodríguez
Pío Iván Gómez Sánchez
Representantes del Grupo
Representantes del Grupo Desarrollador de la Guía - Universidad Nacional de Colombia Alianza Cinets
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