{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T02:23:29Z","timestamp":1776133409086,"version":"3.50.1"},"reference-count":23,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"1","license":[{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"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: describir la frecuencia de complicaciones maternas en mujeres gestantes con placenta previa (PP) mayor o menor y evaluar una posible asociaci\u00f3n entre tipo de PP y la presencia de hemorragia materna severa y otros resultados maternos asociados.\nMateriales y m\u00e9todos: cohorte retrospectiva, descriptiva. Se incluyeron gestantes con 20 semanas o m\u00e1s de embarazo, con diagn\u00f3stico confirmado de placenta previa, quienes fueron atendidas en un hospital de alto nivel de complejidad localizado en Cali (Colombia), entre enero de 2011 y diciembre de 2020. Se excluyeron las gestantes con diagn\u00f3stico de placenta previa y acretismo placentario concomitante. Las variables recolectadas fueron: edad materna, \u00edndice de masa corporal, tabaquismo, obesidad, paridad, presencia de sangrado, hemorragia posparto, manejo de la hemorragia posparto, transfusi\u00f3n y admisi\u00f3n a UCI de la gestante. Se realiz\u00f3 an\u00e1lisis descriptivo. El protocolo fue aprobado por el comit\u00e9 de \u00e9tica de la Fundaci\u00f3n Valle de Lili.\nResultados: 146 pacientes cumplieron con los criterios de inclusi\u00f3n. La poblaci\u00f3n estuvo constituida por mujeres con una mediana de edad de 32 a\u00f1os, sin antecedente quir\u00fargico, con diagn\u00f3stico prenatal de placenta previa a la semana 22. En el 70,5 % de los casos se trat\u00f3 de pacientes con placenta previa mayor. Las complicaciones m\u00e1s frecuentes fueron hemorragia posparto (37,9\u2009% vs. 16,3\u2009% para pacientes con placenta previa mayor y menor, respectivamente), requerimiento de transfusi\u00f3n (23,3 y 9,3\u2009%, respectivamente) y el ingreso materno a la UCI (40,8\u2009% vs. 18,6\u2009%, respectivamente). No se registraron muertes maternas.\nConclusiones: las mujeres con placenta previa experimentan una frecuencia elevada de complicaciones; probablemente, dicha frecuencia es m\u00e1s alta cuando se documenta placenta previa mayor. Se requieren m\u00e1s estudios que comparen la frecuencia de complicaciones maternas seg\u00fan el tipo de placenta previa.<\/jats:p>","DOI":"10.18597\/rcog.3852","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T13:19:44Z","timestamp":1680268784000},"page":"28-36","update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":1,"title":["Desenlaces maternos seg\u00fan el tipo de placenta previa en un hospital de alta complejidad en Cali, Colombia. Estudio de cohorte retrospectivo","Maternal outcomes according to the type of placenta previa in a high complexity hospital in Cali, Colombia. Retrospective cohort study"],"prefix":"10.18597","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4064-6645","authenticated-orcid":false,"given":"Diana Fernanda","family":"Argote-R\u00edos","sequence":"first","affiliation":[{"name":"Universidad Icesi, Facultad de Ciencias de la Salud, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6472-433X","authenticated-orcid":false,"given":"Luisa Fernanda","family":"Zapata-Salazar","sequence":"additional","affiliation":[{"name":"Universidad Icesi, Facultad de Ciencias de la Salud, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3205-0785","authenticated-orcid":false,"given":"Diana","family":"Mart\u00ednez-Ru\u00edz","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6971-2098","authenticated-orcid":false,"given":"Stiven Ernesto","family":"Sinisterra-D\u00edaz","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0072-2318","authenticated-orcid":false,"given":"Daniela","family":"Sarria-Ortiz","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5639-9127","authenticated-orcid":false,"given":"Albaro Jos\u00e9","family":"Nieto-Calvache","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili, Departamento de Ginecolog\u00eda, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2023,3,30]]},"reference":[{"key":"92791","doi-asserted-by":"crossref","unstructured":"Gr\u00f6nvall M, Stefanovic V, Paavonen J, Loukovaara M, Tikkanen M. 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