Guía de práctica clínica para la prevención y el manejo de la enfermedad hipertensiva del embarazo

Translated title of the contribution: Clinical practice guideline for the prevention and management of hypertensive disorders of pregnancy

Omar Yanque-Robles, Naysha Becerra-Chauca, Wendy Nieto-Gutiérrez, Raúl Alegría Guerrero, Marco Uriarte-Morales, Wilmer Valencia-Vargas, Jorge Arroyo-Campuzano, Lourdes Sheillah Torres-Peña, Rita Ada Meza-Padilla, Carmen Meza-Luis, Stefany Salvador-Salvador, Lourdes Carrera-Acosta

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To provide clinical recommendations based on evidence for the the prevention and management of HDP in EsSalud. Methods: A CPG for the the prevention and management of HDP in EsSalud was developed. To this end, a guideline development group (local GDG) was established, including medical specialists and methodologists. The local GDG formulated 8 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and—when it was considered pertinent—primary studies were searched in PubMed y Central during 2021. The evidence to answer each of the posed clinical questions was selected. The quality of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic work meetings, the local GDG used the GRADE methodology to review the evidence and formulate the recommendations, the points of good clinical practice and flowcharts for the prevention, management and follow-up. Finally, the CPG was approved with Resolution 112-IETSI-ESSALUD-2021. Results: This CPG addressed 8 clinical questions, divided into three topics: prevention, management and follow-up of the HDP. Based on these questions, 11 recommendations (6 strong recommendations and 5 weak recommendations), 32 points of good clinical practice, and 3 flowcharts were formulated. Conclusions: The main recommendations in the guideline are the use of magnesium sulfate for the treatment of severe pre-eclampsia and eclampsia. The guideline must be updated in three years’ time.

Translated title of the contributionClinical practice guideline for the prevention and management of hypertensive disorders of pregnancy
Original languageSpanish
Pages (from-to)48-141
Number of pages94
JournalRevista Colombiana de Obstetricia y Ginecologia
Volume73
Issue number1
DOIs
StatePublished - 30 Mar 2022
Externally publishedYes

Keywords

  • Female
  • Humans
  • Hypertension/drug therapy
  • Practice Guidelines as Topic
  • Pregnancy
  • Pregnancy Complications/drug therapy

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