Miastenia Gravis y maternidad. Una revisión bibliográfica
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2017-05-23
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Jaén: Universidad de Jaén
Resumen
[ES] Los objetivos que motivan la realización de este trabajo son conocer cómo afecta la Miastenia Gravis a
la mujer durante el embarazo, parto y puerperio; profundizar en los efectos sobre el recién nacido; y
explorar los cuidados de Enfermería y el manejo de la enfermedad durante este período. Se ha llevado a
cabo una revisión narrativa de la literatura a través de una búsqueda bibliográfica, entre los meses de
enero y febrero de 2017, en diferentes bases de datos, nacionaies e internacionales. Tras la obtención
de los resuitados, se ha llegado a las siguientes conclusiones: La gestación en mujeres con MG debe ser
planificada, una vez transcurridos 2 años desde el diagnóstico iniciai. El parto vía vaginal no está
contraindicado. La anaigesía/anestesia obstétrica tampoco está contraindicada v debe ser consensuada.
El puerperio conlleva un elevado riesgo de exacerbación. La Enfermería actúa dando información y apoyo a las mujeres a lo largo de todo el proceso.
[EN] To know how pregnancy, delivery and postpartum period are affected by Mvasthenia Gravis; to delve into the effects of this disease on the newborn and to analyze the nursing cares for these patients and the management of Myasthenia Gravis during this period are the objectives of this project. A literature review has been done through a bibliographic search, which was carried out from January 2017 to February 2017, in national and international databases. After obtaining the results, the following conclusions have been reached: Pregnancy in myasthenic women has to be planned in advance; it should take place 2 years after MG initial diagnosis. Vaginal delivery is not contraindicated. Obstetric analgesia/anaesthesia in not contraindicated but there should be a previous agreement with the physician. During the postpartum period there is a higher risk of MG worsening and MG onset. Nursing staff acts giving information and support to these myasthenic patients during all this period.
[EN] To know how pregnancy, delivery and postpartum period are affected by Mvasthenia Gravis; to delve into the effects of this disease on the newborn and to analyze the nursing cares for these patients and the management of Myasthenia Gravis during this period are the objectives of this project. A literature review has been done through a bibliographic search, which was carried out from January 2017 to February 2017, in national and international databases. After obtaining the results, the following conclusions have been reached: Pregnancy in myasthenic women has to be planned in advance; it should take place 2 years after MG initial diagnosis. Vaginal delivery is not contraindicated. Obstetric analgesia/anaesthesia in not contraindicated but there should be a previous agreement with the physician. During the postpartum period there is a higher risk of MG worsening and MG onset. Nursing staff acts giving information and support to these myasthenic patients during all this period.