Guía de Práctica Clínica para el abordaje de las complicaciones hipertensivas asociadas al embarazo

Autores/as

  • Giancarlo Buitrago-Gutiérrez
  • Alejandro Castro-Sanguino
  • Rodrigo Cifuentes-Borrero
  • Martha Patricia Ospino-Guzmán
  • Ingrid Arévalo-Rodríguez
  • Pío Iván Gómez-Sánchez
  • Representantes Grupo Desarrollador de la Guía

DOI:

https://doi.org/10.18597/rcog.107

Palabras clave:

hipertensión, hipertensión inducida por el embarazo, guías de práctica clínica, práctica clínica basada en la evidencia, Colombia

Resumen

Objetivo: realizar recomendaciones para la atención de las complicaciones hipertensivas en el embarazo 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 “Hypertension in pregnancy: the management of hypertensive disorders during pregnancy” (National Institute of Care and Health Excellence - NICE - 2010) 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 expresados por medio del sistema del Scottish Intercollegiate Guidelines Network (SIGN).

Resultados: se presentan las recomendaciones para la atención de las complicaciones hipertensivas en el embarazo. 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 estas condiciones.

Conclusiones: se presenta una versión resumida de las recomendaciones y evidencia para la atención de las complicaciones hipertensivas en el embarazo, la cual 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

Giancarlo Buitrago-Gutiérrez

Médico cirujano. Magíster en Epidemiología Clínica, Universidad Nacional de Colombia. Bogotá, Colombia.

Alejandro Castro-Sanguino

Médico cirujano. Especialista en Obstetricia y Ginecología. Especialista en Medicina Crítica y Cuidado Intensivo. Profesor Asociado, Departamento de Obstetricia y Ginecología, Universidad Nacional de Colombia. Bogotá, Colombia.

Rodrigo Cifuentes-Borrero

Médico cirujano. Especialista en Obstetricia y Ginecología. Doctor en Biología de la Reproducción. Profesor Emérito, Universidad del Valle. Cali, Colombia.

Martha Patricia Ospino-Guzmán

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.

Ingrid Arévalo-Rodríguez

Epidemióloga Clínica, Universidad Nacional de Colombia. 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

Especialista en Obstetricia y Ginecología, y en Epidemiología. Magíster en Salud Sexual y Reproductiva. Profesor Titular y director del Grupo de Investigación en Salud Sexual y Reproductiva de la Facultad de Medicina, Universidad Nacional de Colombia. Líder general de la GPC. Bogotá, Colombia.

Representantes Grupo Desarrollador de la Guía

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

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Cómo citar

1.
Buitrago-Gutiérrez G, Castro-Sanguino A, Cifuentes-Borrero R, Ospino-Guzmán MP, Arévalo-Rodríguez I, Gómez-Sánchez PI, et al. Guía de Práctica Clínica para el abordaje de las complicaciones hipertensivas asociadas al embarazo. Rev. colomb. obstet. ginecol. [Internet]. 30 de septiembre de 2013 [citado 29 de marzo de 2024];64(3):289-326. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/107

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2013-09-30

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