<?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>S0300-90412021001100004</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i11.6802</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad de un tratamiento acortado con sulfato de magnesio para prevención de eclampsia durante el puerperio]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of a shortened treatment with magnesium sulfate for prevention of eclampsia during puerperium]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Vela]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nava-Guerrero]]></surname>
<given-names><![CDATA[Eduardo Noé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caballero-Flores]]></surname>
<given-names><![CDATA[Isidro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Mora]]></surname>
<given-names><![CDATA[Dania Yedith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cisneros-Rivera]]></surname>
<given-names><![CDATA[Fidel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perales-Dávila]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional Materno Infantil de los Servicios de Salud de Nuevo León  ]]></institution>
<addr-line><![CDATA[Guadalupe Nuevo León]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Tecnológico de Monterrey  ]]></institution>
<addr-line><![CDATA[Guadalupe Nuevo León]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional Materno Infantil de los Servicios de Salud de Nuevo León  ]]></institution>
<addr-line><![CDATA[Guadalupe Nuevo León]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional Materno Infantil de los Servicios de Salud de Nuevo León  ]]></institution>
<addr-line><![CDATA[Guadalupe Nuevo León]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>11</numero>
<fpage>865</fpage>
<lpage>874</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021001100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021001100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021001100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Determinar si la administración de un tratamiento acortado, menor de 8 h, con sulfato de magnesio durante el puerperio es efectivo para prevenir eclampsia y conseguir algunas otras ventajas.  MATERIAL Y MÉTODOS:  Estudio de serie de casos, retrospectivo, transversal y comparativo efectuado en el Hospital Regional Materno Infantil de Nuevo León, México, de febrero de 2019 a enero de 2020. Criterios de inclusión: pacientes con embarazo único complicado con preeclampsia con datos de severidad o hipertensión crónica con preeclampsia severa sobreagregada a quienes se administró sulfato de magnesio como profilaxis para eclampsia antes del nacimiento y que, posteriormente, continuaron su administración en el puerperio. Las pacientes se dividieron en dos grupos según las horas que recibieron sulfato de magnesio durante el puerperio: grupo A: tratamiento acortado menor de 8 h y grupo B: con esquema de más de 8 h. Para comparar proporciones se utilizó la prueba de &#967;2. Se consideró con significación estadística el valor de p &#8804; 0.05.  RESULTADOS:  Se analizaron 379 participantes: 76 en el grupo A y 303 en el B. No se registró ningún caso de eclampsia en ambos grupos. Las horas para iniciar la lactancia, deambulación, permanencia de la sonda Foley y en cuidados intensivos fueron significativamente menores en el grupo de tratamiento acortado (14.1 vs 26.06; p =.000), (15.1 vs 26.24; p = .000), (14.5 vs 25.3; p = 000), (13.8 vs 23.1; p = .000), respectivamente. No se observó diferencia en las complicaciones neonatales.  CONCLUSIÓN:  La administración de un tratamiento acortado de sulfato de magnesio durante el puerperio es igual de efectivo que un tratamiento mayor de 8 h para prevención de eclampsia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To determine whether the administration of a shortened treatment of less than 8 h with magnesium sulfate during the puerperium is effective to prevent eclampsia and to achieve some other advantages.  MATERIAL AND METHODS:  A retrospective, cross-sectional, comparative, retrospective, case series study performed at the Hospital Regional Materno Infantil of Nuevo León, Mexico, from February 2019 to January 2020. Inclusion criteria: patients with singleton pregnancy complicated with preeclampsia with data of severity or chronic hypertension with severe over-added preeclampsia who were administered magnesium sulfate as prophylaxis for eclampsia before birth and subsequently continued its administration in the puerperium. The patients were divided into two groups according to the hours that they received magnesium sulfate during the puerperium: group A: shortened treatment of less than 8 h and group B: with a schedule of more than 8 h. The proportions were compared by using the test for the proportion of patients who received magnesium sulfate during the puerperium. To compare proportions, we used the . A value of p &#8804; 0.05 was considered statistically significant.  RESULTS:  379 participants were analyzed: 76 in group A and 303 in group B. No cases of eclampsia were recorded in both groups. Hours to initiate breastfeeding, ambulation, Foley tube stay and intensive care were significantly lower in the shortened treatment group (14.1 vs 26.06; p = .000), (15.1 vs 26.24; p = .000), (14.5 vs 25.3; p = 000), (13.8 vs 23.1; p = .000), respectively. No difference in neonatal complications was observed.  CONCLUSION:  Administration of a shortened course of magnesium sulfate during the puerperium is as effective as a longer course of 8 h for prevention of eclampsia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sulfato de magnesio]]></kwd>
<kwd lng="es"><![CDATA[eclampsia]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia]]></kwd>
<kwd lng="es"><![CDATA[puerperio]]></kwd>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[nacimiento]]></kwd>
<kwd lng="es"><![CDATA[lactancia]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[deambulación]]></kwd>
<kwd lng="en"><![CDATA[Magnesium sulfate]]></kwd>
<kwd lng="en"><![CDATA[Eclampsia]]></kwd>
<kwd lng="en"><![CDATA[Puerperium]]></kwd>
<kwd lng="en"><![CDATA[Preeclampsia]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Birth]]></kwd>
<kwd lng="en"><![CDATA[Breast feeding]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Unit]]></kwd>
<kwd lng="en"><![CDATA[Walking]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<collab>Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin.Number 222</collab>
<article-title xml:lang=""><![CDATA[Obstet]]></article-title>
<source><![CDATA[Gynecol]]></source>
<year>2020</year>
<volume>135</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>e237-60</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[Abalos]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cuesta]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Grosso]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Chou]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Say]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global and regional estimates of preeclampsia and eclampsia a systematic review]]></article-title>
<source><![CDATA[Eur J Obstet Reprod Biol]]></source>
<year>2013</year>
<volume>170</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coetzee]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A randomised controlled trial of intravenous magnesium sulphate versus placebo in the management of women with severe pre-eclampsia]]></article-title>
<source><![CDATA[BJM]]></source>
<year>1998</year>
<volume>105</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>300-3</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Belfort]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Anthony]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Saade]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
<name>
<surname><![CDATA[Allen]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A comparison of magnesium sulfate and nimodipine for the prevention of eclampsia]]></article-title>
<source><![CDATA[N England J Med]]></source>
<year>2003</year>
<volume>348</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>304-11</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[Duley]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Henderson-Smart]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[GJA]]></given-names>
</name>
<name>
<surname><![CDATA[Chou]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Magnesium sulphate versus diazepam for eclampsia]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2010</year>
<numero>12</numero>
<issue>12</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Altman]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Carroli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Duley]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Farrell]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Moodley]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The MAGPIE Trial: a randomised placebo-controlled trial]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2002</year>
<volume>359</volume>
<numero>2002</numero>
<issue>2002</issue>
<page-range>1877-90</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shiliang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Joseph]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Liston]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sharon]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence, risk factors, and associated complications of eclampsia]]></article-title>
<source><![CDATA[Obstetrics and Gynecology]]></source>
<year>2011</year>
<volume>118</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>987-94</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sibai]]></surname>
<given-names><![CDATA[BM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Magnesium sulfate prophylaxis in preeclampsia Lessons learned from recent trials]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2004</year>
<volume>190</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1520-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumpalum]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Jirasettassiri]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shortened Postpartum Magnesium Sulfate Treatment for Severe preeclampsia]]></article-title>
<source><![CDATA[TJOG]]></source>
<year>2010</year>
<volume>18</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>63-9</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[Vigil-DeGracia]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ludmin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ng]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes-Tejada]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Is there benefit to continue magnesium sulphate postpartum in women receiving magnesium sulphate before delivery? A randomised controlled study]]></article-title>
<source><![CDATA[BJOG]]></source>
<year>2018</year>
<volume>125</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1304-11</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pu]]></surname>
<given-names><![CDATA[Yifu]]></given-names>
</name>
<name>
<surname><![CDATA[Lei]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Yujin]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Xingwang]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Shaoming]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shortened postpartum magnesium sulfate treatment vs traditional 24h for severe preeclampsia: a systematic review and meta-analysis of randomized trials]]></article-title>
<source><![CDATA[Hypertension in Pregnancy]]></source>
<year>2020</year>
<volume>39</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>186-95</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hypertension in pregnancy Report of the American College of Obstetricians and Gynecologists' Task Force on Hypertension in pregnancy]]></article-title>
<source><![CDATA[Ob/Gyn]]></source>
<year>2013</year>
<volume>122</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1122-31</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[Anjum]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rajaram]]></surname>
<given-names><![CDATA[GP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Short-course postpartum (6-h) magnesium sulfate therapy in severe preeclampsia]]></article-title>
<source><![CDATA[Arch Gynecol Obstet]]></source>
<year>2016</year>
<volume>293</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>983-6</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[Tanaka]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Katsuragi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Osato]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Hasegawa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Increase in maternal death-related venous thromboembolism during pregnancy in Japan (2010-2013)]]></article-title>
<source><![CDATA[Circulation]]></source>
<year>2015</year>
<volume>79</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1357-62</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
