<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912021000200039</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/01.02.2019.39</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Frecuencia de hipotiroidismo subclínico en gestantes atendidas en servicios materno-infantiles del Ministerio de Salud Pública desde el 2017 al 2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Frequency of subclinical hypothyroidism in pregnant women treated in maternal and child services of the Ministry of Public Health from 2017 to 2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez-Martínez]]></surname>
<given-names><![CDATA[Diego Julián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delvalle-Santander]]></surname>
<given-names><![CDATA[Diana Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Valdez]]></surname>
<given-names><![CDATA[Oscar Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A5"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Pacífico Especialización en Endocrinología Ginecológica ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Dirección General de Programas de Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Distrital de Ñemby ]]></institution>
<addr-line><![CDATA[Ñemby ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Clínica Neolife Medicina y Cirugía Reproductiva ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>3</volume>
<numero>2</numero>
<fpage>39</fpage>
<lpage>45</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912021000200039&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912021000200039&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912021000200039&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción. Las hormonas tiroideas desempeñan un papel fundamental en el desarrollo del embarazo y el crecimiento fetal. El hipotiroidismo no tratado se relaciona con riesgo aumentado de parto pretérmino, mortalidad perinatal, bajo peso al nacer y alteraciones en el desarrollo neuropsicomotor del neonato. En el 2018 el Ministerio de Salud Pública estableció un protocolo de diagnóstico y manejo del hipotiroidismo en el embarazo. Debido a que no existen estudios actualizados que utilicen estos nuevos criterios, es importante establecer la frecuencia de patologías tiroideas en la población paraguaya de embarazadas para el tratamiento oportuno y disminuir los resultados adversos. Objetivo. Determinar la frecuencia de hipotiroidismo subclínico en gestantes atendidas en servicios materno-infantiles pertenecientes al Ministerio de Salud Pública. Materiales y Métodos. Estudio retrospectivo, descriptivo de corte transversal, de muestreo no probabilístico, en gestantes que tuvieron su parto en servicios de la red del Ministerio de Salud Pública, entre el 1 de enero de 2017 y el 31 de diciembre de 2019. Para la recolección de datos y posterior análisis, se usaron los informes del sistema informático perinatal. Resultados. De las 18845 pacientes estudiadas, 170 presentaron criterios diagnósticos de hipotiroidismo subclínico, que representó una frecuencia de 0,902%. La edad promedio de las gestantes fue de 24 años. Conclusión. La frecuencia de hipotiroidismo en las mujeres paraguayas justifica ampliar la cobertura de detección y tratamiento oportuno para evitar el hipotiroidismo congénito y sus resultados adversos, prevenibles con una adecuada atención prenatal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction. Thyroid hormones play a fundamental role in the development of pregnancy and fetal growth. Untreated hypothyroidism is associated with an increased risk of preterm delivery, perinatal mortality, low birth weight, and alterations in the neuropsychomotor development of the neonate. In 2018, the Ministry of Public Health established a protocol for the diagnosis and management of hypothyroidism in pregnancy. Since there are no updated studies that use these new criteria, it is important to establish the frequency of thyroid pathologies in the population of Paraguayan pregnant women to improve timely treatment and reduce adverse outcomes. Objective. To determine the frequency of subclinical hypothyroidism in pregnant women treated in maternal and child services of the Ministry of Public Health. Materials and Methods. A cross-sectional, retrospective, descriptive study, with a non-probabilistic sampling, in a population of pregnant women who delivered in services belonging to the Ministry of Public Health network, between January, 1st 2017 and December 31, 2019 was carried out. The reports from the perinatal computer system were taken into account for data collection and subsequent analysis. Results. Of the 18845 patients studied, 170 presented diagnostic criteria for subclinical hypothyroidism, that represented a frequency of 0.902%. The average age of the patients was 24 years. Conclusion. The frequency of hypothyroidism in Paraguayan women justify expanding the coverage of detection and timely treatment to avoid congenital hypothyroidism and its adverse outcomes, preventable with adequate prenatal care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tiroides]]></kwd>
<kwd lng="es"><![CDATA[hipotiroidismo]]></kwd>
<kwd lng="es"><![CDATA[gestación]]></kwd>
<kwd lng="en"><![CDATA[thyroid]]></kwd>
<kwd lng="en"><![CDATA[hypothyroidism]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
</kwd-group>
</article-meta>
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