<?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>S0300-90412017000100002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Riesgo de complicaciones maternas y perinatales en mujeres con coartación aórtica. Estudio de casos y controles]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk of maternal and perinatal complications in women with aortic coarctation. Case- control study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Palacios]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Catacora-Navarro]]></surname>
<given-names><![CDATA[MO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Lima]]></surname>
<given-names><![CDATA[KV]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Pacheco]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estrada-Altamirano]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Medicina Crítica en Obstetricia Medicina Crítica en Obstetricia Medicina del Enfermo en Estado Crítico]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Medicina Crítica en Obstetricia Medicina Crítica en Obstetricia Medicina del Enfermo en Estado Crítico]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Medicina Crítica en Obstetricia Medicina Crítica en Obstetricia Anestesiología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Medicina del Enfermo en Estado Crítico Medicina del Enfermo en Estado Crítico Medicina Interna]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Medicina del Enfermo en Estado Crítico Cirugía general]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2017</year>
</pub-date>
<volume>85</volume>
<numero>1</numero>
<fpage>1</fpage>
<lpage>6</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412017000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412017000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412017000100002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: determinar los riesgos maternos y perinatales en mujeres con coartación aórtica.  MATERIAL Y MÉTODO:  estudio de casos y controles de pacientes atendidas en el Instituto Nacional de Perinatología Isidro Espinosa de los Reyes para control prenatal entre 2011-2016. Se estimó la razón de momios para complicaciones maternas (preeclampsia, hemorragia, hipertensión y proteinuria) y fetales (restricción del crecimiento intrauterino, prematurez y Apgar bajo).  RESULTADOS: se estudiaron 13 casos: en éstos, la hemorragia posparto fue de 5.7 (p=0.2) RM 3.8 (IC 95%: 0.31-46.9); preeclampsia de 11.4 (p=0.1), RM 4.4 (IC 95%: 0.6-28.8); hipertensión de 14.3 (p=0.35), RM 2.8 (IC 95%: 0.59-13.3) y proteinuria de 14.4 (p=0.09), RM 3.9 (IC 95%: 0.75-20). Restricción del crecimiento intrauterino 8.6 (p=0.09), RM 6.3 (IC 95%: 0.5-68.4). El embarazo se interrumpió a las 35.1 ± 6.1 semanas (p=0.05); 27% (6 de 13 casos) con prematurez y 27.7% (6 de 22 controles), no hubo diferencias estadísticas en el puntaje Apgar.  CONCLUSIÓN: la coartación aórtica en las embarazadas incrementa la morbilidad; la principal limitación de este estudio fue el número reducido de casos; de ahí que se requieran investigaciones con mayor cantidad de casos, que permitan llegar a conclusiones más sólidas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: Determine maternal and perinatal risk in women with aortic coarctation.  MATERIAL AND METHOD:  A study of cases and controls in women admitted in the period 2011- 2016 during antenatal care was performed. 13 cases were found. We calculated OR for maternal complications such as preeclampsia, bleeding, hypertension and proteinuria; fetal and intrauterine growth restriction, prematurity and Apgar.  RESULTS: Maternal morbidity for postpartum hemorrhage was 5.7 (p=0.2), OR 3.8 (CI 95% 0.31-46.9), 11.4 preeclampsia (p=0.1), OR 4.4 (CI 95% 0.6-28.8), 14.3 hypertension (p=0.35), OR 2.8 (CI 95% 0.59-3.13), proteinuria, 14.4 (p=0.09) OR 3.9 (CI 95% 0.75- 20). Growth restriction 8.6 (p=0.09), OR 6.3 (CI 95% 0.5- 68.4). Gestational age of 35.1 ± 6.1 SDG interruption (p=0.05), with 27% (6 of 13 cases) with prematurity and 27.7% (6 of 22 controls), no statistical differences in the Apgar score.  CONCLUSION: Pregnant women who present with coarctation of the aorta, there is an increase in morbidity as has been demonstrated in previous publications; however, the main limitation of the study is the low number of cases and requires further research.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[coartación aórtica]]></kwd>
<kwd lng="es"><![CDATA[cardiopatía congénita]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[resultados perinatales y maternos]]></kwd>
<kwd lng="en"><![CDATA[Aortic coarctation]]></kwd>
<kwd lng="en"><![CDATA[Congenital heart disease]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Perinatal and maternal outcomes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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