{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T12:18:24Z","timestamp":1766578704627},"reference-count":23,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,3]]},"abstract":"<p><bold>Introducci\u00f3n.<\/bold> La preeclampsia es una de las principales causas de morbimortalidad maternofetal en el mundo. La suplementaci\u00f3n con calcio ha demostrado prevenir este trastorno y, por lo tanto, es importante contar con gu\u00edas que emitan recomendaciones respecto de su uso.<\/p>\n<p><bold>Objetivo.<\/bold> Sintetizar las recomendaciones relacionadas con la preeclampsia desarrolladas por la Organizaci\u00f3n Mundial de la Salud (OMS) con el fin de mejorar la calidad del cuidado y desenlaces en salud de las mujeres en edad reproductiva y embarazadas, y abordar aspectos sobre su implementaci\u00f3n.<\/p>\n<p><bold>M\u00e9todos.<\/bold> Las gu\u00edas elaboradas por la OMS siguen los m\u00e9todos de elaboraci\u00f3n de las gu\u00edas GRADE (<italic>Grading of Recommendations Assessment Development and Evaluation<\/italic>) del <italic>Manual para la elaboraci\u00f3n de directrices<\/italic> de la OMS. Se llev\u00f3 a cabo una s\u00edntesis de las recomendaciones de dos gu\u00edas de la OMS. Adem\u00e1s, se realiz\u00f3 una b\u00fasqueda sistem\u00e1tica en PubMed, Lilacs, Health Systems Evidence, Epistemonikos y literatura gris de estudios desarrollados en la Regi\u00f3n de las Am\u00e9ricas con el fin de identificar barreras, facilitadores y estrategias de implementaci\u00f3n, as\u00ed como determinar indicadores.<\/p>\n<p><bold>Resultados.<\/bold> Se formularon dos recomendaciones relacionadas con preeclampsia, eclampsia y sus complicaciones para aplicar antes y durante el embarazo. Se identificaron barreras, facilitadores para la implementaci\u00f3n y se crearon indicadores de adherencia y resultado.<\/p>\n<p><bold>Conclusiones.<\/bold> Las recomendaciones formuladas buscan proveer orientaci\u00f3n sobre c\u00f3mo prevenir la preeclampsia a trav\u00e9s del consumo de calcio con consideraciones para su implementaci\u00f3n en Am\u00e9rica Latina y el Caribe.<\/p>","DOI":"10.26633\/rpsp.2021.134","type":"journal-article","created":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T13:58:26Z","timestamp":1635775106000},"page":"1","source":"Crossref","is-referenced-by-count":2,"title":["S\u00edntesis de evidencia y recomendaciones para el manejo de la suplementaci\u00f3n con calcio antes y durante el embarazo para la prevenci\u00f3n de la preeclampsia y sus complicaciones"],"prefix":"10.26633","volume":"45","author":[{"given":"Organizaci\u00f3n Panamericana","family":"de la Salud","sequence":"first","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Washington, D.C., Estados Unidos de Am\u00e9rica."},{"name":"reveizl@paho.org"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11167","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Tranquilli A, Dekker G, Magee L, Roberts J, Sibai B, Steyn W, et al. 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