Como médico, acho estranho estas “conclusões” da IGAS. Não correspondem à legis artis, principalmente no caso da gestão da pré-eclâmpsia. Chama-se **pré** por alguma razão. A grávida não estava em eclâmpsia. Não era emergente. Urgente, daí ser transferida para onde existisse vaga (ao fazer o parto iam enfiar o bebé onde???).
Por exemplo: “Before 34 weeks — Before 34+0 weeks, if the mother and fetus are stable and have no findings of serious end-organ dysfunction, then an expectant approach with close monitoring for evidence of progression to the severe end of the disease spectrum is reasonable to achieve further fetal growth and maturity. However, if severe hypertension, serious maternal end-organ dysfunction (table 2), or nonreassuring tests of fetal well-being develop, then prompt delivery is generally indicated.
Guidelines from major medical organizations generally recommend this approach given the high risk of neonatal morbidity from preterm birth [1,4,5]. We agree with the guidelines, which are based on expert opinion.”
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Como médico, acho estranho estas “conclusões” da IGAS. Não correspondem à legis artis, principalmente no caso da gestão da pré-eclâmpsia. Chama-se **pré** por alguma razão. A grávida não estava em eclâmpsia. Não era emergente. Urgente, daí ser transferida para onde existisse vaga (ao fazer o parto iam enfiar o bebé onde???).
Por exemplo: “Before 34 weeks — Before 34+0 weeks, if the mother and fetus are stable and have no findings of serious end-organ dysfunction, then an expectant approach with close monitoring for evidence of progression to the severe end of the disease spectrum is reasonable to achieve further fetal growth and maturity. However, if severe hypertension, serious maternal end-organ dysfunction (table 2), or nonreassuring tests of fetal well-being develop, then prompt delivery is generally indicated.
Guidelines from major medical organizations generally recommend this approach given the high risk of neonatal morbidity from preterm birth [1,4,5]. We agree with the guidelines, which are based on expert opinion.”
Parecem quase conclusões encomendadas.