Guías de prácticas clínicas para la atención y el manejo de los problemas médicos de las mujeres con epilepsia

René Andrade Machado, Adriana Goicoechea Astencio, Pedro Luis Rodríguez García, Zadayaky Fernández Abreu, Aisel Santos Santos, Tania Garnier Ávila, Juan Miguel Riol Lozano, Arlety García Espinosa, María Elena de la Torre Santos

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Resumen

INTRODUCCIÓN: Atendiendo al desarrollo que ha alcanzado Cuba en la atención prenatal se requiere de un programa de atención nacional estandarizado y basado en la evidencia disponible para el manejo y seguimiento de los problemas médicos en las mujeres con epilepsia (MCE).

OBJETIVO: Confeccionar una guía práctica para la atención y el manejo de las principales prioridades de salud de las MCE.

MÉTODOS: El capítulo cubano de la Liga Contra la Epilepsia y la Sociedad Cubana de Neurología y Neurocirugía convocó a resolver el problema de la falta de uniformidad en el seguimiento médico de las mujeres con epilepsia. Las guías fueron construidas mediante un consenso de especialistas en Medicina General Integral, Neurólogos, Epileptólogos y Psiquiatras que se han dedicado al estudio de la epilepsia en la mujer. A un panel de expertos se les solicitaron las preguntas que debían responderse en la guía. Para dar respuestas a estas preguntas se realizó la búsqueda, recolección y clasificación de la evidencia disponible. Se analizaron 2456 artículos, 4 guías, 2 tesis de terminación de residencia y 3 trabajos presentados en las Jornadas de Epilepsia en Cuba.

DESARROLLO: Se describe el análisis de la evidencia y se dan recomendaciones para la atención y el manejo de los problemas médicos de la MCE en la etapa preconcepcional, gestacional, parto–puerperio, y menopausia.

CONCLUSIONES: Estas guías constituyen una propuesta para el manejo de los problemas médicos de la epilepsia en la mujer en Cuba, están basadas en la evidencia científica disponible y se espera que resulten en una mejor atención clínica.

Palabras clave

Anticoncepción; Disfunción sexual; Embarazo; Epilepsia; Fertilidad; Lactancia materna; Parto; Sexualidad

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