{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T05:53:07Z","timestamp":1747201987301,"version":"3.40.5"},"reference-count":23,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"1","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivos: caracterizar una cohorte de mujeres con interrupci\u00f3n voluntaria del embarazo (IVE) y describir las complicaciones intraoperatorias seg\u00fan la t\u00e9cnica aplicada.\nMateriales y m\u00e9todos: estudio descriptivo, de cohorte hist\u00f3rica en mujeres intervenidas a IVE en dos Instituciones Prestadoras de Salud-IPS en Medell\u00edn, Colombia, en el 2019. Se excluyeron aquellas mujeres con infecci\u00f3n p\u00e9lvica, e ITS. Se realiz\u00f3 un muestreo consecutivo, se evaluaron variables sociodemogr\u00e1ficas, de salud sexual y reproductiva, caracter\u00edsticas cl\u00ednicas del embarazo, causa legal de la IVE, caracter\u00edsticas de la atenci\u00f3n y las complicaciones hasta los 7 d\u00edas posteriores al procedimiento de las t\u00e9cnicas de IVE. Finalmente, se hace an\u00e1lisis descriptivo.\nResultados: durante el periodo de estudio hubo 1.520 mujeres elegibles de las cuales 46 fueron intervenidas en otras instituciones por lo que quedaron 1.474 candidatas a ingresar al estudio, de estas se excluyeron 30 por presentar infecciones p\u00e9lvicas o de transmisi\u00f3n sexual, por lo que, finalmente, se analizaron 1.444 mujeres gestantes. Los riesgos para la salud de la mujer fueron la causa legal m\u00e1s frecuente con un 94,3%. El 99% de las mujeres ten\u00edan asesor\u00eda previa, y el 78,4% acept\u00f3 alg\u00fan m\u00e9todo anticonceptivo post-IVE. El 95,6% de las mujeres fueron intervenidas por la t\u00e9cnica de aspiraci\u00f3n manual endouterina (AMEU) y al 4,4% se la practic\u00f3 la t\u00e9cnica\u00a0 de dilataci\u00f3n y curetaje (D&amp;C). En un 17,56% de las pacientes intervenidas con D&amp;C se presentaron complicaciones hasta el s\u00e9ptimo d\u00eda posoperatorio, no hubo complicaciones en el grupo sometido a AMEU, el 80% de las mujeres asistieron a control el s\u00e9ptimo d\u00eda post-IVE.\nConclusiones: la AMEU es un procedimiento seguro que no gener\u00f3 complicaciones intraoperatorias en el procedimiento hasta los primeros siete d\u00edas despu\u00e9s de la IVE, en\u00a0 las pacientes estudiadas. Se requieren estudios prospectivos que eval\u00faen la seguridad y costos de las diferentes alternativas de IVE.<\/jats:p>","DOI":"10.18597\/rcog.3760","type":"journal-article","created":{"date-parts":[[2022,4,9]],"date-time":"2022-04-09T13:30:58Z","timestamp":1649511058000},"page":"39-47","update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":1,"title":["Seguridad de la Interrupci\u00f3n Voluntaria del Embarazo (IVE) en dos Instituciones Prestadoras de Salud en Medell\u00edn, Colombia, en 2019. Cohorte hist\u00f3rica"],"prefix":"10.18597","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7720-7243","authenticated-orcid":false,"given":"Edgar Fernando","family":"C\u00e1rdenas-Arias","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6322-7454","authenticated-orcid":false,"given":"Diana Elizabeth","family":"Escudero-Cardona","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2311-9955","authenticated-orcid":false,"given":"Edgar Adel","family":"Nore\u00f1a-Mosquera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"unstructured":"Brown SS EL. The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families. Brown SS EL, editor. Washington: National Academy of Sciences; 1995. 21\u201347 p. Disponible en: https:\/\/www.nap.edu\/download\/4903","key":"89096"},{"unstructured":"OMS-Organizaci\u00f3n Mundial de la Salud. Aborto. Centro de prensa. 2021 [cited 2022 Mar 3]. Disponible en: https:\/\/www.who.int\/es\/news-room\/fact-sheets\/detail\/abortion","key":"89097"},{"unstructured":"Prada E, Singh S, Remez L VL. Embarazo no deseado y aborto inducido en Colombia: causas y consecuencias. Prada E, Singh S, Remez L VL, editor. New York: Guttmacher Institute; 2011. 10\u201314 p. Disponible en: https:\/\/www.guttmacher.org\/sites\/default\/files\/report_pdf\/embarazo-no-deseado-colombia_1.pdf","key":"89098"},{"unstructured":"Medell\u00edn S de S de. Interrupci\u00f3n Voluntaria del Embarazo-IVE. Bolet\u00edn Epidemiol\u00f3gico 2. Medellin; 2017. Disponible en: https:\/\/www.medellin.gov.co\/irj\/go\/km\/docs\/pccdesign\/SubportaldelCiudadano_2\/PlandeDesarrollo_0_19\/Publicaciones\/Shared Content\/Boletines\/Boletines 2017\/Bolet\u00edn Epidemiol\u00f3gico 2.pdf","key":"89099"},{"doi-asserted-by":"crossref","unstructured":"Say L, Chou D, Gemmill A, Tun\u00e7alp \u00d6, Moller AB, Daniels J, et al.. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014 Jun;2(6):e323-33. https:\/\/doi.org\/10.1016\/S2214-109X(14)70227-X","key":"89100","DOI":"10.1016\/S2214-109X(14)70227-X"},{"unstructured":"OMS-Organizaci\u00f3n Mundial de la Salud. Aborto sin riesgos: gu\u00eda t\u00e9cnica y de pol\u00edticas para sistemas de salud. 2nd ed. Salud O-OM de la, editor. Montevideo: OMS-Organizaci\u00f3n Mundial de la Salud; 2012. 1\u2013134 p.","key":"89101"},{"unstructured":"OMS-Organizaci\u00f3n Mundial de la Salud. Aborto. Temas de salud. 2022 [cited 2022 Mar 4]. Disponible en: https:\/\/www.who.int\/es\/health-topics\/abortion#tab=tab_1","key":"89102"},{"unstructured":"RCOG-Royal College of Obstetrician and Gynaecologist. The care of women requesting induced abortion. RCOG Press. 2011;7:8\u201310.","key":"89103"},{"unstructured":"Araujo J, Vargas CI CC de la R de C. Sentencia C-355. Sentencia C-355 Colombia; 2006. Disponible en: https:\/\/www.funcionpublica.gov.co\/eva\/gestornormativo\/norma.php?i=173189","key":"89104"},{"unstructured":"Social M de la S y la P. Resoluci\u00f3n 3280 de 2018. 3280 Bogot\u00e1; 2018 p. 1\u2013348. Disponible en: https:\/\/www.minsalud.gov.co\/sites\/rid\/Lists\/BibliotecaDigital\/RIDE\/DE\/DIJ\/resolucion-3280-de-2018.pdf","key":"89105"},{"unstructured":"Minsalud. Gu\u00eda de capacitaci\u00f3n para atenci\u00f3n en salud de la Interrupci\u00f3n Voluntaria del Embarazo (IVE). Bogot\u00e1; 2014. Disponible en: https:\/\/colombia.unfpa.org\/sites\/default\/files\/pub-pdf\/SM-IVE-Guia-Capcitacion.pdf","key":"89106"},{"unstructured":"Ram\u00edrez EJ AS. Una revisi\u00f3n integral de la interrupci\u00f3n voluntaria del embarazo. Universidad de Ciencias Aplicadas; 2017. Disponible en: https:\/\/repository.udca.edu.co\/bitstream\/11158\/640\/1\/documento final.pdf","key":"89107"},{"unstructured":"Republica de Colombia . Corte Constitucional. Sentencia C-055-22 Disponible en: https:\/\/www.corteconstitucional.gov.co\/comunicados\/Comunicado%20de%20prensa%20Sentencia%20C-055-22%20-%20Febrero%2021-22.pdf","key":"89108"},{"unstructured":"Minsalud. Determinantes del aborto inseguro y barreras de acceso para la atenci\u00f3n de la interrupci\u00f3n voluntaria del embarazo en mujeres colombianas. Bogot\u00e1; 2014. 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