<?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>S2664-28912025000100120</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/2025.e7120</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones materno-perinatales en pacientes internadas con trastornos hipertensivos del embarazo en un hospital de referencia de Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Maternal-perinatal complications in patients admitted with hypertensive disorders of pregnancy in a reference hospital in Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Taboada]]></surname>
<given-names><![CDATA[Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segovia]]></surname>
<given-names><![CDATA[María Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dávalos]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rolón]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zárate]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ovelar]]></surname>
<given-names><![CDATA[Jazmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peralta]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez]]></surname>
<given-names><![CDATA[Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[Fiama]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Nacional de Itauguá ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>7</volume>
<fpage>120</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912025000100120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912025000100120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912025000100120&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción. Los trastornos hipertensivos del embarazo constituyen uno de los motivos fundamentales de morbilidad grave, pudiendo ocasionar muerte materna y perinatal. Objetivo. Describir la frecuencia de complicaciones materno y perinatales en pacientes internadas con trastornos hipertensivos del embarazo en el Departamento de Ginecología y Obstetricia del Hospital Nacional de Itauguá, durante el periodo de septiembre de 2024 a febrero de 2025. Materiales y Método. Estudio observacional, descriptivo-analítico de corte transversal y muestreo de casos consecutivos. Se incluyeron gestantes internadas con trastornos hipertensivos en el Hospital Nacional, entre septiembre de 2024 a febrero de 2025. Resultados. Se estudiaron 95 pacientes con edad media de 28 ± 7 años y edad gestacional promedio de 35,6 ± 3,9 semanas. El 78,9% procedía del departamento Central y el 72,6% tenía nivel educativo secundario. El 29,5% tenía comorbilidades, predominando la hipertensión arterial crónica (75%). El 77,9% desarrollo hipertensión inducida por el embarazo y el 60,8% pre-eclampsia. El 8,4% requirió ingreso a cuidados intensivos y la mortalidad materna fue 4,2%. Entre los recién nacidos, el 34% tuvo bajo peso al nacer, 36,8% fue prematuro y 7,4% presentó retardo del crecimiento intrauterino. La mortalidad fetal fue 7,4%. Conclusión. La elevada frecuencia de preeclampsia y de recién nacidos con bajo peso o prematuros refleja el impacto de estas complicaciones en la salud materna y fetal. La mortalidad observada pone de manifiesto la urgente necesidad de fortalecer el control prenatal, la detección temprana y el manejo integral de las gestantes con factores de riesgo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction. Hypertensive disorders of pregnancy constitute one of the leading reasons for serious morbidity, which can cause maternal and perinatal death. Objective. To describe the frequency of maternal-perinatal complications in patients hospitalized with hypertensive disorders of pregnancy in the Department of Gynecology and Obstetrics of the National Hospital of Itauguá, period September 2024 to February 2025. Materials and Method. Observational, descriptive-analytical cross-sectional study of consecutive sampling. Pregnant women with hypertensive disorders admitted to the National Hospital from September 2024 to February 2025 were included. Results. A total of 95 patients were studied with a mean age of 28 ± 7 years and a mean gestational age of 35.6 ± 3.9 weeks; 78.9% were from Central department and 72.6% had secondary education. Comorbidities were present in 29.5% predominantly chronic arterial hypertension (75%). Pregnancy-induced hypertension developed 77.9% of the cases and pre-eclampsia 60.8%. Intensive care admission was required in 8.4% and maternal mortality was 4.2%. Among newborns, 34% had low birth weight, 36.8% were premature and 7.4% had intrauterine growth restriction. Fetal mortality was 7.4%. Conclusion. The high frequency of preeclampsia and low birth weight or premature newborns reflects the impact of these complications on maternal and fetal health. The observed mortality underlines the urgent need to strengthen prenatal care, early detection, and comprehensive management of pregnant women with risk factors.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[salud]]></kwd>
<kwd lng="es"><![CDATA[mortalidad.]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[health]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[Martinovic]]></surname>
<given-names><![CDATA[TC.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hipertensión y embarazo: revisión de la literatura]]></article-title>
<source><![CDATA[REV. MED. CLIN. CONDES]]></source>
<year>2023</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>33-43</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Espeche]]></surname>
<given-names><![CDATA[WG]]></given-names>
</name>
<name>
<surname><![CDATA[Carrera Ramos]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Minetto]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gomez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[De Iraola]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cerri]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consecuencia de los trastornos hipertensivos durante el embarazo (THE) sobre la salud cardiovascular de la mujer]]></article-title>
<source><![CDATA[Hipertensión y Riesgo Vascular]]></source>
<year>2024</year>
<volume>41</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>211-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[Recomendaciones de la OMS sobre el tratamiento farmacológico de la hipertensión arterial leve o moderada en el embarazo]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Washington, D.C. ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luna Solano]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Quintana Serrano]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Cuenca Pilataxi]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Abril Núñez]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trastornos hipertensivos del embarazo Actualización en el diagnóstico y tratamiento farmacológico]]></article-title>
<source><![CDATA[RECIAMUC]]></source>
<year>2024</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>245-56</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carrión-Nessi]]></surname>
<given-names><![CDATA[FS]]></given-names>
</name>
<name>
<surname><![CDATA[Omaña-Ávila]]></surname>
<given-names><![CDATA[OD]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Mendoza]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Lahoud]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Marchis]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndromes hipertensivos del embarazo pautas actualizadas para la conducta clínica]]></article-title>
<source><![CDATA[Rev Obstet Ginecol Venez]]></source>
<year>2022</year>
<volume>82</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>242-63</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<source><![CDATA[Los trastornos hipertensivos del embarazo afectan a 1 de cada 7 partos en los hospitales]]></source>
<year>2022</year>
<publisher-name><![CDATA[CDC]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mora-Escobar]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
<name>
<surname><![CDATA[Cusihuamán-Puma]]></surname>
<given-names><![CDATA[AU]]></given-names>
</name>
<name>
<surname><![CDATA[Insfrán]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis Situacional de Muertes Maternas en Paraguay: alcances del 2008-2018]]></article-title>
<source><![CDATA[Rev Salud Publica Parag.]]></source>
<year>2020</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>10-22</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública y Bienestar Social</collab>
<source><![CDATA[]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Informes Anuales ]]></publisher-loc>
<publisher-name><![CDATA[Situación epidemiológica de muerte materna en Paraguay]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[María-Tablado]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnóstico de la hipertensión durante el embarazo y preeclampsia, los límites del control y tratamiento Medicina de Familia]]></article-title>
<source><![CDATA[SEMERGEN;]]></source>
<year>2024</year>
<volume>51</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>102330</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rezende]]></surname>
<given-names><![CDATA[GP]]></given-names>
</name>
<name>
<surname><![CDATA[Casagrande]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Guida]]></surname>
<given-names><![CDATA[JPS]]></given-names>
</name>
<name>
<surname><![CDATA[Parpinelli]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Surita]]></surname>
<given-names><![CDATA[FG]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Resultados maternos y perinatales de embarazos complicados por hipertensión crónica seguidos en un hospital de referencia]]></article-title>
<source><![CDATA[Revista Brasileira de Ginecología e Obstetrícia]]></source>
<year>2020</year>
<volume>42</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>248-54</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<source><![CDATA[Gestational Hypertension and Preeclampsia]]></source>
<year>2020</year>
<volume>135</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>e237-60</page-range><publisher-name><![CDATA[ACOG Practice Bulletin]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Múnera-Echeverri]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz-Ortiz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ibarra-Burgos]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hipertensión arterial y embarazo]]></article-title>
<source><![CDATA[Rev Colomb Cardiol]]></source>
<year>2021</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3-13</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rubio González]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Huerta Arroyo]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia Benasach]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Gijon Conde]]></surname>
<given-names><![CDATA[FT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hypertensive states of pregnancy]]></article-title>
<source><![CDATA[Hipertensión y Riesgo Vascular]]></source>
<year>2024</year>
<volume>41</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>118-31</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moreno López]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Preeclampsia como factor de riesgo de enfermedad cardiovascular en el futuro: etiopatogenia e implicación en la práctica clínica]]></article-title>
<source><![CDATA[Clínica e Investigación en Ginecología y Obstetricia]]></source>
<year>2024</year>
<volume>51</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villalaín]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Herraiz]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Solís]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Salud cardiovascular y renal en la mujer la preeclampsia como marcador de riesgo]]></article-title>
<source><![CDATA[Nefrología]]></source>
<year>2023</year>
<volume>43</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>269-80</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yanque-Robles]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Becerra-Chauca]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Nieto-Gutiérrez]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Alegría Guerrero]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Uriarte-Morales]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Valencia-Vargas]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía de práctica clínica para la prevención y el manejo de la enfermedad hipertensiva del embarazo]]></article-title>
<source><![CDATA[Rev. colomb. obstet. ginecol.]]></source>
<year>2022</year>
<volume>73</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>48-141</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vélez Cuervo]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Rendón Zapata]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Caicedo Bolaños]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Descripción de los factores contribuyentes a las muertes secundarias a trastornos hipertensivos asociados al embarazo en Antioquia, Colombia (2012-2020).]]></article-title>
<source><![CDATA[Ginecol. obstet Méx]]></source>
<year>2024</year>
<volume>92</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>127-36</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Raimond]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Dupont]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Gabriel]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hipertensión arterial crónica y embarazo]]></article-title>
<source><![CDATA[EMC - Ginecología-Obstetricia]]></source>
<year>2025</year>
<volume>61</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruiz-Saavedra]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García-Pérez-Velasco]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Serpa-Morán]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Tejada-González]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Leandro-Barros]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García-Lledó]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hipertensión arterial: etiopatogenia, clínica, historia natural, complicaciones y tratamiento. Hipertensión arterial en el anciano y en el embarazo]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>2025</year>
<volume>14</volume>
<numero>39</numero>
<issue>39</issue>
<page-range>2385-99</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Velázquez González]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Portillo Román]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estados hipertensivos del embarazo y complicaciones materno-perinatales en el Hospital Regional De Ciudad del Este]]></article-title>
<source><![CDATA[Rev. salud pública Parag]]></source>
<year>2024</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>49-54</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rolón Fernández]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Rolón Peralta]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
<name>
<surname><![CDATA[Sanguina Oviedo]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Vertuan Benítez]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Villalba Duarte]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Villamayor Riveros]]></surname>
<given-names><![CDATA[ZA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Frecuencia de internación hospitalaria en embarazadas a causa de hipertensión arterial en el Hospital Regional de Coronel Oviedo]]></article-title>
<source><![CDATA[Rev. parag. biofi´s]]></source>
<year>2022</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>10-3</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zorrilla]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Segovia]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ingresos a Unidad de Cuidados Intensivos de mujeres durante el embarazo y periodo puerperal]]></article-title>
<source><![CDATA[Rev. Nac. (Itauguá)]]></source>
<year>2017</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>49-60</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Montori]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Abadía]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Alcalá]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Edad materna avanzada y resultados adversos del embarazo un estudio de cohorte]]></article-title>
<source><![CDATA[Revista taiwanesa de obstetricia y ginecología]]></source>
<year>2021</year>
<volume>60</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>119-24</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Booker]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hypertensive Disorders of Pregnancy]]></article-title>
<source><![CDATA[Clinics in Perinatology]]></source>
<year>2020</year>
<volume>47</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>817-33</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Narea Quiroz]]></surname>
<given-names><![CDATA[YL]]></given-names>
</name>
<name>
<surname><![CDATA[Macías Pazmiño]]></surname>
<given-names><![CDATA[KO]]></given-names>
</name>
<name>
<surname><![CDATA[Macías Silva]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgos de preeclampsia en la primera gestación de mujeres jóvenes Más Vita. Rev. Cienc]]></article-title>
<collab>Villavicencio Morejón M de L</collab>
<source><![CDATA[Salud]]></source>
<year>2022</year>
<volume>4</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>267-85</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[XC]]></given-names>
</name>
<name>
<surname><![CDATA[Montserrat]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Porras-Ramírez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Eslava]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Características epidemiológicas de los trastornos hipertensivos durante el embarazo en una población de alto riesgo Rev. Bras. Saude Mater]]></article-title>
<source><![CDATA[Infant]]></source>
<year>2022</year>
<volume>22</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>497-505</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvarez Peralta]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Tapia Cardenas]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Salazar Torres]]></surname>
<given-names><![CDATA[ZK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia y factores asociados a trastornos hipertensivos del embarazo en edades obstétricas de riesgo Hospital Vicente Corral Moscoso, Cuenca 2019]]></article-title>
<source><![CDATA[Salud, Ciencia y Tecnología]]></source>
<year>2023</year>
<volume>3</volume>
<page-range>357</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arriaga-García]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Montes-Martínez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de las categorías de hipertensión inducida por el embarazo que preceden a eclampsia]]></article-title>
<source><![CDATA[Ginecol. obstet. Méx.]]></source>
<year>2021</year>
<volume>89</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>364-72</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Embarazo en la adolescencia]]></source>
<year>2024</year>
<publisher-name><![CDATA[OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toffoletti]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Velilla]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Wannis Fulchini]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Elvis Garay]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidencia del Embarazo Adolescente en un Hospital Público de Paraguay Sci]]></article-title>
<source><![CDATA[Am]]></source>
<year>2024</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>59-65</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harper]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Biggio]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Tita]]></surname>
<given-names><![CDATA[ATN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Edad gestacional del parto en embarazos con complicaciones de hipertensión crónica]]></article-title>
<source><![CDATA[Obstet Gynecol]]></source>
<year>2016</year>
<volume>127</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1101-9</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cortez-Anyosa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Diaz-Tinoco]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones materno-perinatales asociadas al embarazo adolescente Un estudio de casos y controles]]></article-title>
<source><![CDATA[Revista Internacional de Salud Materno Fetal]]></source>
<year>2023</year>
<volume>8</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>25-32</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="book">
<collab>Instituto Nacional de Estadística</collab>
<source><![CDATA[Censo Nacional de Población y Viviendas]]></source>
<year>2022</year>
<publisher-name><![CDATA[INE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Mortalidad materna]]></source>
<year>2025</year>
<publisher-name><![CDATA[OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Mucio]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[CG]]></given-names>
</name>
<name>
<surname><![CDATA[Martino]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbilidad Materna Extremadamente Grave un paso clave para reducir la muerte materna]]></article-title>
<source><![CDATA[Revista Médica Clínica Las Condes]]></source>
<year>2023</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>26-32</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Macas-Tobar]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Albornoz-Zamora]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos-Argilagos]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Principales causas de mortalidad en gestantes ingresadas en unidades de cuidados críticos]]></article-title>
<source><![CDATA[Vida y Salud]]></source>
<year>2025</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>573-81</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seminario-Gallosa]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Bardales-Zuta]]></surname>
<given-names><![CDATA[VH]]></given-names>
</name>
<name>
<surname><![CDATA[Carruitero-Honores]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevención de la preeclampsia y su relevancia en el contexto latinoamericano una revisión narrativa]]></article-title>
<source><![CDATA[Rev. chil. obstet y ginecol]]></source>
<year>2024</year>
<volume>89</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>116-23</page-range></nlm-citation>
</ref>
<ref id="B38">
<label>38</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vargas-Vera]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Placencia-Ibadango]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas-Silva]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Toapanta-Orbea]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Villalobos-Inciarte]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
<name>
<surname><![CDATA[Loor-Goya]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones en neonatos hijos de madres con trastornos hipertensivos del embarazo Ginecol. obstet]]></article-title>
<source><![CDATA[Méx]]></source>
<year>2022</year>
<volume>89</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>509-15</page-range></nlm-citation>
</ref>
<ref id="B39">
<label>39</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meza Aquino]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
<name>
<surname><![CDATA[Kawabata]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones materno-fetales en embarazadas con hipertensión arterial en el servicio de Ginecología del Hospital Regional de Coronel Oviedo. 2013 al 2015]]></article-title>
<source><![CDATA[AranduPoty]]></source>
<year>2023</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>6-10</page-range></nlm-citation>
</ref>
<ref id="B40">
<label>40</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pons]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Leiva]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Muerte fetal avances en el estudio diagnóstico. REV. MED. CLIN]]></article-title>
<source><![CDATA[CONDES;]]></source>
<year>2023</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>57-63</page-range></nlm-citation>
</ref>
<ref id="B41">
<label>41</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Conforme Delgado]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Daquilema Sánchez]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Cabrera Olvera]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez Barrera]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Díaz]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Experiencias de gestantes con trastornos hipertensivos ingresadas a áreas críticas, y separación del binomio madre-hijo, en tres instituciones en Ecuador, durante la pandemia por Covid-19 (2020)]]></article-title>
<source><![CDATA[Rev. colomb. obstet. ginecol.]]></source>
<year>2024</year>
<volume>75</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
