<?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>S0300-90412021000400005</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i4.2916</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hipertensión pulmonar y síndrome de Eisenmenger en la embarazada. Serie de casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Pulmonary hypertension and Eisenmenger syndrome during pregnancy. A case series]]></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[Copado-Mendoza]]></surname>
<given-names><![CDATA[Diana Yazmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acevedo-Gallegos]]></surname>
<given-names><![CDATA[Sandra]]></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[Pérez-Montaño]]></surname>
<given-names><![CDATA[Anais]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Márquez-González]]></surname>
<given-names><![CDATA[Horacio]]></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 Departamento de Medicina Materno fetal ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Departamento de Investigación clínica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</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>4</numero>
<fpage>309</fpage>
<lpage>317</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Describir la evolución y los desenlaces perinatales de una serie de casos de pacientes con diagnóstico de hipertensión pulmonar y complicación con síndrome de Eisenmenger.  MATERIALES Y MÉTODOS:  Estudio retrospectivo, descriptivo y transversal de serie de casos consecutivos de pacientes con diagnóstico de hipertensión pulmonar o síndrome de Eisenmenger atendidas de manera integral desde su ingreso hasta la finalización del embarazo en el Instituto Nacional de Perinatología Isidro Espinosa de los Reyes entre los meses de enero de 2015 a enero de 2019.  RESULTADOS:  El promedio de edad de las madres fue de 25.79 años (15 a 40 años, DE ± 7.19) y las semanas de embarazo promedio al ingreso al INPer fueron 22. Se clasificó con hipertensión pulmonar leve a 5 de 34 pacientes, hipertensión pulmonar moderada a 9 de 34 e hipertensión pulmonar grave a 20 de 34. Tuvieron síndrome de Eisenmenger 9 de 34 casos.  CONCLUSIONES:  La hipertensión pulmonar y el síndrome de Eisenmenger durante el embarazo siguen siendo los factores que más complicaciones graves y mortalidad materna y fetal originan. Ello hace necesario atender a estas pacientes con un enfoque individualizado, en manos de un equipo experto, interdisciplinario, en centros de alta especialidad, con el fin de mejorar el pronóstico para la madre y los desenlaces perinatales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To describe the evolution and perinatal outcomes of a case series of patients with a diagnosis of pulmonary hypertension and complication with Eisenmenger syndrome.  MATERIALS AND METHODS:  Retrospective, descriptive, cross-sectional study of consecutive case series of patients with a diagnosis of pulmonary hypertension or Eisenmenger&#8217;s syndrome attended comprehensively from admission to the end of pregnancy at the Instituto Nacional de Perinatología Isidro Espinosa de los Reyes between the months of January 2015 to January 2019.  RESULTS:  The average age of the mothers was 25.79 years (15 to 40 years, SD ± 7.19) and the average weeks of pregnancy on admission to the INPer was 22. 5 of 34 patients were classified as having mild pulmonary hypertension, 9 of 34 as having moderate pulmonary hypertension and 20 of 34 as having severe pulmonary hypertension. 9 of 34 cases had Eisenmenger syndrome.  CONCLUSIONS:  Pulmonary hypertension and Eisenmenger&#8217;s syndrome during pregnancy continue to be the factors that cause the most serious complications and maternal and fetal mortality. This makes it necessary to care for these patients with an individualized approach, in the hands of an expert, interdisciplinary team, in highly specialized centers, in order to improve the prognosis for the mother and perinatal outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hipertensión arterial pulmonar]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Eisenmenger]]></kwd>
<kwd lng="es"><![CDATA[embarazo y puerperio]]></kwd>
<kwd lng="es"><![CDATA[madres]]></kwd>
<kwd lng="es"><![CDATA[mortalidad fetal]]></kwd>
<kwd lng="en"><![CDATA[Pulmonary hypertension]]></kwd>
<kwd lng="en"><![CDATA[Eisenmenger syndrome]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[puerperium]]></kwd>
<kwd lng="en"><![CDATA[Mothers]]></kwd>
<kwd lng="en"><![CDATA[Fetal mortality]]></kwd>
</kwd-group>
</article-meta>
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