{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T11:07:43Z","timestamp":1771326463529,"version":"3.50.1"},"reference-count":26,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,16]]},"abstract":"<sec>\n<title>Introducci\u00f3n.<\/title>\n<p>Los trastornos hipertensivos durante el embarazo son una causa importante de morbilidad grave, muerte y discapacidad a largo plazo. El tratamiento farmacol\u00f3gico adecuado es uno de los pilares de la gesti\u00f3n de estos trastornos.<\/p>\n<\/sec>\n<sec>\n<title>Objetivos.<\/title>\n<p>Sintetizar las recomendaciones desarrolladas por la Organizaci\u00f3n Mundial de la Salud (OMS) con el fin de mejorar la calidad del cuidado y los desenlaces en salud de las mujeres embarazadas con trastornos hipertensivos y abordar aspectos sobre su implementaci\u00f3n.<\/p>\n<\/sec>\n<sec>\n<title>M\u00e9todos.<\/title>\n<p>Se llev\u00f3 a cabo una s\u00edntesis de las recomendaciones de dos gu\u00edas de la OMS (<italic>Tratamiento farmacol\u00f3gico de la hipertensi\u00f3n severa en el embarazo<\/italic> y <italic>Tratamiento farmacol\u00f3gico de la hipertensi\u00f3n no severa en el embarazo<\/italic>). Las gu\u00edas elaboradas por la OMS siguen los m\u00e9todos de elaboraci\u00f3n de las gu\u00edas GRADE (Grading of Recommendations Assessment Development and Evaluation) del <italic>Manual para el Desarrollo de Gu\u00edas de la OMS<\/italic>. Adicionalmente, se realiz\u00f3 una b\u00fasqueda sistem\u00e1tica en PubMed, Lilacs, Health Systems Evidence, Epistemonikos y literatura gris de estudios desarrollados en las Am\u00e9ricas con el fin de identificar barreras, facilitadores y estrategias de implementaci\u00f3n, as\u00ed como para identificar indicadores.<\/p>\n<\/sec>\n<sec>\n<title>Resultados.<\/title>\n<p>Se formularon cuatro recomendaciones dirigidas a las mujeres con trastornos hipertensivos. Se identificaron barreras y facilitadores para la implementaci\u00f3n, y se crearon indicadores de adherencia y resultado.<\/p>\n<\/sec>\n<sec>\n<title>Conclusiones.<\/title>\n<p>Las recomendaciones formuladas buscan orientar sobre c\u00f3mo enfocar el tratamiento farmacol\u00f3gico de la hipertensi\u00f3n en el embarazo, con consideraciones para su implementaci\u00f3n en Am\u00e9rica Latina y el Caribe.<\/p>\n<\/sec>","DOI":"10.26633\/rpsp.2024.51","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T04:42:48Z","timestamp":1715920968000},"page":"1","source":"Crossref","is-referenced-by-count":5,"title":["S\u00edntesis de evidencia y recomendaciones: gu\u00edas de pr\u00e1ctica cl\u00ednica para el tratamiento farmacol\u00f3gico de la hipertensi\u00f3n arterial en el embarazo"],"prefix":"10.26633","volume":"48","author":[{"family":"Organizaci\u00f3n Panamericana 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":"Yamin AE, Maine DP. 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