<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412019000400002</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i4.2222</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cardiopatía congénita corregida en la mujer embarazada, experiencia en un hospital de tercer nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Correction congenital heart disease in pregnancy patients. Experience in a third level hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Cruz]]></surname>
<given-names><![CDATA[Rosa Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rubalcava-Rubalcava]]></surname>
<given-names><![CDATA[Tirso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godínes-Enríquez]]></surname>
<given-names><![CDATA[Myrna Souraye]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Servicio de Terapia intensiva ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Departamento de Enseñanza ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>4</numero>
<fpage>217</fpage>
<lpage>227</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Describir los desenlaces cardiovasculares, obstétricos y perinatales durante el embarazo y puerperio de pacientes con cardiopatía congénita corregida.  MATERIALES Y MÉTODOS:  Estudio de cohorte simple, retrospectivo, descriptivo y transversal efectuado en pacientes embarazadas con cardiopatía congénita corregida, atendidas en el Instituto Nacional de Perinatología, entre enero de 2015 y febrero de 2017. Del expediente clínico se obtuvieron los datos demográficos, además de evaluar el riesgo de cardiopatía según la clasificación de la OMS, las comorbilidades y desenlaces obstétricos y perinatales. El análisis estadístico se realizó con el programa SPSS, versión 20.  RESULTADOS:  Se registraron 24 pacientes con cardiopatía congénita, principalmente comunicación interauricular e interventricular y coartación aórtica. La edad promedio fue de 24.6 años. En cuanto a la clasificación de riesgo de la OMS se encontraron 7 de 24 en OMS I, 8 de 24 en OMS II, 7 de 24 en OMS II-III y 2 de 24 en OMS III. Se observó que 13 de 24 pacientes tenían parche de pericardio bovino, 3 de 24 stent y 4 de 24 válvulas; 1 de 24 tuvo aborto espontáneo, 1 de 24 nacimiento pretérmino y 22 de 24 embarazo de término. El promedio de edad gestacional fue de 38.5 semanas y Apgar a los cinco minutos de 9. Ningún recién nacido ingresó a la unidad de cuidados intensivos, ni se registraron muertes maternas.  CONCLUSIONES:  El riesgo de alteraciones cardiovasculares durante el embarazo depende de la identificación de la cardiopatía específica y el estado clínico de la paciente. Es importante la asesoría individual, por un equipo multidisciplinario y en un centro especializado desde la etapa inicial del embarazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To describe the cardiovascular, obstetric and perinatal outcomes during pregnancy and the puerperium of patients with corrected congenital heart disease; treated at the Instituto Nacional de Perinatología.  MATERIALS AND METHODS:  Simple, retrospective, descriptive and cross-sectional cohort study of pregnant patients with corrected congenital heart disease treated at the Instituto Nacional de Perinatología of January 2015 at February 2017. The cardiovascular risk according to WHO, comorbidities, obstetric outcomes and perinatal. Demographic data, WHO risk, comorbidities, obstetric outcomes and perinatal. The statistical analysis was carried out with the SPSS program in its version 20.  RESULTS:  We included 24 patients with congenital heart disease, the most frequent being interatrial and interventricular communication, aortic coarctation; average age of 24.6 years, the WHO risk distribution: 7/24 OMS I, 8/24 OMS II, 7/24 OMS II-III y 2/24 OMS III; 13/24 had a bovine pericardium patch, 3/24 stent, 4/24 valves;1/24 presented spontaneous abortion, 1/24 preterm birth, 22/24 achieved full-term gestation, average gestational age at the resolution of 38.5 SDG, Apgar at 5 minutes of 9, no newborn required admission to NICU, no maternal death occurred.  CONCLUSION:  The risk of pregnancy depends on the heart disease and clinical condition of the patient. Individual counseling is important, by a multidisciplinary team and in a specialized center from the early stage of pregnancy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cardiopatía]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[desenlace obstétrico y perinatal]]></kwd>
<kwd lng="en"><![CDATA[Cardiopathy]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Obstetric and perinatal outcomes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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