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Acta Médica Peruana

On-line version ISSN 1728-5917


YANQUE-ROBLES, Omar et al. Peruvian Social Security (EsSalud) 2018 Clinical Practice Guidelines for prevention and management of preterm births. Acta méd. Peru [online]. 2019, vol.36, n.1, pp.46-56. ISSN 1728-5917.

This paper features a summary of the Peruvian Social Security (EsSalud) Clinical Practice Guidelines (CPG) for prevention and management of preterm birth. A specialized group was formed for writing this CPG, which included clinical and methodology specialists, who formulated 11 clinical questions. Systematic searches in PubMed and CPG repositories were performed aiming to answer the questions, and relevant evidence was selected. The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In regular work meetings, the specialized group used the GRADE approach for reviewing the evidence and for developing recommendations. At the end, this CPG formulated twenty recommendations (13 strong and 7 conditional), 24 good clinical practice points, one recommendation for implementation, and a flowchart.

Keywords : Obstetric labor, premature; Practice guideline; Evidence-based medicine.

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