Guía de Práctica Clínica para la prevención y detección temprana de las alteraciones del embarazo

Amaya-Guío, Jairo; Rodríguez-Merchán, Diana Milena; Osorio-Sánchez, Dimelza; Barrera-Barinas, Alexander

doi:10.18597/rcog.106

Cited by 9 publications

(20 citation statements)

References 86 publications

(95 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Worldwide, PE complicates 2 to 3% of all pregnancies; but in developing countries, the incidence increases up to 8%, being the main cause of maternal death in Colombia in 2017. 1 3 5 6 7 Although the pathophysiology of PE has not been completely understood, there is evidence that impaired trophoblastic invasion of the spiral arteries is one of the underlying causes. Abnormal UtA Doppler at the 1 st trimester is a reflection of increased resistance to flow and a nonspecific biomarker of prediction of early PE.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 About 18% of maternal deaths are secondary to hypertensive disorders of pregnancy, and in developing countries it can reach up to 35%. [3][4][5][6][7] The pathophysiology of PE is not yet fully understood, but it is considered that one of the most important factors is placental ischemia, secondary to an inadequate trophoblastic invasion of the maternal spiral arteries with subsequent vasoconstriction, release of antiangiogenic factors, and endothelial damage, which will be reflected in the clinical manifestations of the disease. 8 The measurement of the mean uterine arteries pulsatility index (UtA-PI) using the Doppler technique is an indirect validated indicator of trophoblastic invasion and placental perfusion and can be altered in the early stages of gestation.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Could Aspirin Treatment Modify the Assessment of the Uterine Arteries?

Vallejo

Uriel

Porras-Ramírez

et al. 2022

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

Objective To analyze whether acetylsalicylic (ASA) intake modifies the mean uterine arteries pulsatility index (UtA-PI) at the 2nd or 3rd trimester in a cohort of pregnant women with abnormal mean UtA-PI at between 11 and 14 weeks of gestation. Methods This is a retrospective cohort study. Singleton pregnancies with abnormal mean UtA-PI at between 11 and 14 weeks of gestation were studied. The participants were divided into 3 groups: 1) If the participant did not take ASA during pregnancy; 2) If the participant took ASA before 14 weeks of gestation; and 3) If the participant took ASA after 14 weeks of gestation. The mean UtA-PI was evaluated at the 2nd and 3rd trimesters, and it was considered to improve when it decreased below the 95th percentile. The prevalence ratio (PR) and the number needed to treat (NNT) were calculated. Results A total of 72 participants with a mean UtA-PI > 95th percentile at the 1st trimester of gestation were evaluated. Out of the 18 participants who took ASA, 8 participants started it before 14 weeks of gestation and 10 after. A total of 33.3% of these participants had improved the mean UtA-PI at the 2nd and 3rd trimesters of gestation, although it was not statistically significant (p = 0.154). The prevalence ratio was 0.95 (95% confidence interval [CI]: 0.31–1.89), but between the 1st and 2nd trimesters of gestation, the PR was 0.92 (95%CI: 0.21–0.99) and it was statistically significant. Conclusion The present work demonstrates a modification of the mean UtA-PI in participants who took ASA compared with those who did not. It is important to check if ASA can modify the normal limits of uterine arteries because this could have an impact on surveillance.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Could Aspirin Treatment Modify the Assessment of the Uterine Arteries?

Vallejo

Uriel

Porras-Ramírez

et al. 2022

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

show abstract

“…given the importance of such visits to both neonatal and maternal outcomes [32,33]. In 2016, the World Health Organization (WHO) recommended at least eight antenatal care contacts to reduce perinatal mortality and improve women's experience of care [34], and in 2013 the Colombian Ministry of Health guidelines endorsed at least seven prenatal visits [32]. Taking this into account, in sensitivity analysis we used a binary indicator for getting the minimum recommended visits (seven) as an alternative outcome.…”

Section: Plos Onementioning

confidence: 99%

Socioeconomic inequalities in birth outcomes: An 11-year analysis in Colombia

2021

View full text Add to dashboard Cite

Objective To examine socioeconomic inequalities in birth outcomes among infants born between 2008 and 2018 and assessed trends in inequalities during that period in Colombia, a middle-income country with high levels of inequality emerging from a long internal armed conflict. Methods Using birth certificate data in Colombia, we analysed the outcomes of low birth weight, an Apgar score <7 at 5 minutes after birth and the number of prenatal visits among full-term pregnancies. Maternal education and health insurance schemes were used as socioeconomic position (SEP) indicators. Inequalities were estimated using the prevalence/mean of the outcomes across categories of the SEP indicators and calculating the relative and slope indices of inequality (RII and SII, respectively). Results Among the 5,433,265 full-term singleton births analysed, there was a slight improvement in the outcomes analysed over the study period (lower low-birth-weight and Apgar<7 prevalence rates and higher number of prenatal visits). We observed a general pattern of social gradients and significant relative (RII) and absolute (SII) inequalities for all outcomes across both SEP indicators. RII and SII estimates with their corresponding CIs revealed a general picture of no significant changes in inequalities over time, with some particular, time-dependent exceptions. When comparing the initial and final years of our study period, inequalities in low birth weight related to maternal education increased while those in Apgar score <7 decreased. Relative inequalities across health insurance schemes increased for the two birth outcomes but decreased for the number of prenatal visits. Conclusion The lack of a consistent improvement in the magnitude of inequalities in birth outcomes over an 11-year period is a worrying issue because it could aggravate the cycle of inequality, given the influence of birth outcomes on health, social and economic outcomes throughout the life course. The findings of our analysis emphasize the importance of policies aimed at providing access to quality education and providing a health care system with universal coverage and high levels of integration.

show abstract

“…Así, la ganancia de peso durante el embarazo es una de las variables que determina el pronóstico de la gestación, al tiempo que tiene la ventaja de ser un factor de riesgo modificable (15). De esta manera, la evaluación nutricional de la embarazada constituye una acción fundamental dentro de la atención prenatal (16); por ello es necesario contar con guías o patrones de referencia para realizar de forma apropiada el control del estado nutricional del embarazo (17).…”

Section: Introductionunclassified

Estudio de concordancia entre las Escalas de ROSSO-MARDONES y ATALAH para la evaluación nutricional en embarazadas. Clínica La Ermita de Cartagena, 2017

Rivas-Perdomo

Galván-Villa²

2020

Rev. Colomb. Obstet. Ginecol.

View full text Add to dashboard Cite

Objetivo: evaluar el grado de concordancia entre el modelo de evaluación del estado nutricional materna propuesto por Rosso-Mardones con el propuesto por Atalah Materiales y métodos: estudio de concordancia diagnóstica. Se incluyeron gestantes entre los 19 y 37 años, con una edad gestacional de 10 o más semanas; se excluyeron gestantes con: diabetes, enfermedad tiroidea, hipertensión asociada al embarazo, embarazos gemelares, malformaciones fetales graves, muerte fetal e hidrops fetalis. Muestreo no probabilístico. Se midieron las variables sociodemográficas, obstétricas y el estado nutricional. Se calculó el valor de kappa de concordancia entre las dos escalas de evaluación nutricional. Resultados: se incluyeron 98 gestantes. La escala de Roso-Mardones clasificó al 33 % de las pacientes en estado nutricional normal, al 22 % con bajo peso y al 44 % con sobrepeso u obesidad. La escala de Atalah clasificó al 41 % de las gestantes en estado nutricional normal, al 10 % con bajo peso y al 48 % con sobrepeso u obesidad. El valor kappa ponderado obtenido fue 0,74 con un error estándar de 0,04 y un IC 95 %: 0,66-0,82 con valor p < 0,05. Conclusiones: las escalas de evaluación nutricional en gestantes, nomograma de Rosso-Mardones y de Atalah, tienen un acuerdo considerable. Se requieren más estudios que evalúen la concordancia entre estas escalas en población gestante.

show abstract

Guía de Práctica Clínica para la prevención y detección temprana de las alteraciones del embarazo

Cited by 9 publications

References 86 publications

Could Aspirin Treatment Modify the Assessment of the Uterine Arteries?

Could Aspirin Treatment Modify the Assessment of the Uterine Arteries?

Socioeconomic inequalities in birth outcomes: An 11-year analysis in Colombia

Estudio de concordancia entre las Escalas de ROSSO-MARDONES y ATALAH para la evaluación nutricional en embarazadas. Clínica La Ermita de Cartagena, 2017

Contact Info

Product

Resources

About