<?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>1409-4568</journal-id>
<journal-title><![CDATA[Enfermería Actual de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Enfermería Actual de Costa Rica]]></abbrev-journal-title>
<issn>1409-4568</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Costa Rica ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-45682018000100127</article-id>
<article-id pub-id-type="doi">10.15517/revenf.v0i34.31725</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso de macro dosis de oxitocina en mujeres conóbito fetal]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of macro doses of oxytocin in women with stillbirth]]></article-title>
<article-title xml:lang="pt"><![CDATA[Uso de macro doses de oxitocina em mulheres com óbito fetal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández González]]></surname>
<given-names><![CDATA[Ana Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Calderón]]></surname>
<given-names><![CDATA[Fabiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Rafael de Alajuela  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<numero>34</numero>
<fpage>127</fpage>
<lpage>145</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-45682018000100127&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-45682018000100127&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-45682018000100127&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El objetivo de este estudio fue analizar la mejor evidencia científica disponible sobre el uso de macro dosis de oxitocina comparado con dosis estándar en mujeres que presentaron óbito fetal en el año 2017. Las acciones profesionales obstétricas para la atención en los partos varían ampliamente entre los diferentes países, entre las diferentes instituciones nacionales y los diferentes equipos encargados de dicha atención. El realizar investigación en el campo de obstetricia nos permite determinar cuáles son las mejores acciones basadas en la evidencia científica y de esta manera ofrecer una atención de calidad a la usuaria gestante. Para realizar el estudio se aplicó la metodología de Práctica Clínica Basada en la Evidencia; se inició con la elaboración de la pregunta clínica seguido por búsqueda de información en las bases de datos científicas como MEDLINE, COCHRANE, SCIENCIE DIRECT, TRIPDATA BASE, SCIELO y PUBMED. La búsqueda en todas las bases de datos recuperó un total de 2548 artículos, los cuales fueron revisados cuidadosamente por título y abstract. Al finalizar, se recuperó un artículo el cual fue objeto de análisis crítico. Se concluye que la mejor evidencia disponible es insuficiente para dar respuesta fiable a la pregunta clínica establecida sobre el tema.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The objective of this study was to analyze the best available scientific evidence on the use of macro doses of oxytocin compared to standard doses in women who presented fetal death in the year 2017. The professional obstetric actions for delivery care vary widely among the different countries, between the different national institutions and the different teams responsible for such care. Conducting research in the field of obstetrics allows us to determine what are the best actions based on scientific evidence and thus provide quality care to the pregnant user. In order to carry out the study, the methodology of Clinical Practice Based on Evidence was applied; It began with the elaboration of the clinical question followed by the search of information in the scientific databases such as MEDLINE, COCHRANE, SCIENCIE DIRECT, TRIPDATA BASE, SCIELO and PUBMED. The search in all the databases retrieved a total of 2 548 articles, which were carefully reviewed by title and abstract. At the end, an article was retrieved which was the subject of critical analysis. It is concluded that the best available evidence is insufficient to give a reliable answer to the clinical question established on the subject.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O objetivo deste estudo foi analisar as melhores evidências científicas disponíveis sobre o uso de macro doses de oxitocina em comparação com doses padrão em mulheres que apresentaram morte fetal no ano 2017. As ações obstétricas profissionais para atendimento de parto variam amplamente entre as diferentes países, entre as diferentes instituições nacionais e as diferentes equipes responsáveis &#8203;&#8203;por esses cuidados. A realização de pesquisas no campo da obstetrícia nos permite determinar quais são as melhores ações baseadas em evidências científicas e, portanto, fornecer cuidados de qualidade para o usuário grávida. Para realizar o estudo, foi aplicada a metodologia da Prática Clínica Baseada na Evidência; Começou com a elaboração da questão clínica seguida pela busca de informações nas bases de dados científicas, como MEDLINE, COCHRANE, SCIENCIE DIRECT, TRIPDATA BASE, SCIELO e PUBMED. A pesquisa em todos os bancos de dados recuperou um total de 2 548 artigos, que foram cuidadosamente revisados &#8203;&#8203;por título e resumo. No final, um artigo foi recuperado, que foi objeto de análise crítica. Conclui-se que a melhor evidência disponível é insuficiente para dar uma resposta confiável à questão clínica estabelecida no assunto.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Muerte-fetal]]></kwd>
<kwd lng="es"><![CDATA[Óbito-fetal]]></kwd>
<kwd lng="es"><![CDATA[Oxitocina]]></kwd>
<kwd lng="en"><![CDATA[Fetal-death]]></kwd>
<kwd lng="en"><![CDATA[Oxytocin]]></kwd>
<kwd lng="en"><![CDATA[Stillbirth]]></kwd>
<kwd lng="pt"><![CDATA[Morte-fetal]]></kwd>
<kwd lng="pt"><![CDATA[Oxitocina]]></kwd>
<kwd lng="pt"><![CDATA[Óbito-fetal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weeks]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Tratamiento clínico para la muerte fetal temprana (menos de 24 semanas): Comentario de la BSR). La Biblioteca de Salud Reproductiva de la OMS]]></source>
<year>2008</year>
<publisher-loc><![CDATA[Ginebra ]]></publisher-loc>
<publisher-name><![CDATA[Organización Mundial de la Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Mortalidad Materna]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reyna]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Montilla]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Reyna]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Mejía]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Misoprostol oral u oxitocina para la expulsión del Feto Muerto Intrauterino en el segundo trimestre]]></article-title>
<source><![CDATA[Revista de Facultad de Medicina]]></source>
<year>2005</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>29-32</page-range><publisher-name><![CDATA[Universidad de Los Andes]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gawron]]></surname>
<given-names><![CDATA[LM.]]></given-names>
</name>
<name>
<surname><![CDATA[Kiley]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Labor induction outcomes in third-trimester stillbirths]]></article-title>
<source><![CDATA[International Journal of Gynecology and Obstetrics]]></source>
<year>2013</year>
<volume>123</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>203-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grotegut]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Paglia]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Thames]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[James]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[xytocin exposure during labor among women with postpartum hemorrhage secundary to uterine atony]]></article-title>
<source><![CDATA[Revista Americana de Ginecología y Obstetricia]]></source>
<year>2011</year>
<volume>204</volume>
<numero>56</numero>
<issue>56</issue>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abha]]></surname>
<given-names><![CDATA[Singh.]]></given-names>
</name>
<name>
<surname><![CDATA[Chandrashekhar]]></surname>
<given-names><![CDATA[Shrivastav]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uterine Rupture: Still a Harsh Reality]]></article-title>
<source><![CDATA[J Obstet Gynaecol India]]></source>
<year>2015</year>
<volume>65</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>158-61</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ladewing]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[London]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Moberly]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Olds]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Enfermería Maternal y del recién nacido. Editorial McGraw-Hill interamericana]]></source>
<year>2006</year>
<publisher-loc><![CDATA[España ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schwarcz]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Fesina]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Duverges]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Obstetricia]]></source>
<year>2012</year>
<edition>Sexta Edición</edition>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Editorial el Ateneo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alcolea]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Oter]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Fases de la Práctica Basada en la Evidencia]]></source>
<year>2011</year>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Munar]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Actualización en el uso de uterotónicos]]></article-title>
<source><![CDATA[Rev Esp Anestesiol Reanim]]></source>
<year>2012</year>
<volume>59</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>91-97.</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Buñuel]]></surname>
<given-names><![CDATA[JC.]]></given-names>
</name>
<name>
<surname><![CDATA[Ochoa]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La valoración crítica de documentos científicos y su aplicabilidad a la práctica clínica: aspecto clave en la toma de decisiones basada en las mejores pruebas científicas]]></article-title>
<source><![CDATA[Evid Pediatr]]></source>
<year>2006</year>
<numero>2</numero>
<issue>2</issue>
<page-range>37</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabero]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Saldivar]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Cabrillo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Obstetriciay medicina Materno fetal]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Siruana]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Los principios de la bioética y el surgimiento de una bioética intercultural]]></article-title>
<source><![CDATA[Revista veritas]]></source>
<year>2010</year>
<volume>22</volume>
<page-range>121-57</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dela Torre]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Ética y Deontología Jurídica]]></source>
<year>2000</year>
<publisher-loc><![CDATA[Madrid. ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Dykinson]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Redondo]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<source><![CDATA[Creando clientes en mercados globales = Building client relationships in global markets]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Editorial AEDEM ]]></publisher-loc>
<publisher-name><![CDATA[Madrid]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Laguna]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Caballero]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
<name>
<surname><![CDATA[Mazuera]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Salamanca]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Daza]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Fourzali]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consideraciones éticas en la publicación de investigaciones científicas]]></article-title>
<source><![CDATA[Salud Uninorte.]]></source>
<year>2007</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>64-78</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="">
<collab>Normas Vancouver</collab>
<source><![CDATA[Citas y Referencias Bibliográficas según Normas Vancouver]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sésgales]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sobre la Declaración de Conflictos de Interés]]></article-title>
<source><![CDATA[Rev Cient Cienc Méd]]></source>
<year>2011</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Budden]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[LJY.]]></given-names>
</name>
<name>
<surname><![CDATA[Henry]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[High-dose versus low-dose oxytocin infusion regimens for induction of labour at term]]></article-title>
<source><![CDATA[Base de Datos Cochrane de Revisiones Sistemáticas]]></source>
<year>2014</year>
<numero>10</numero>
<issue>10</issue>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boyle]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Preslar]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Hogue]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Silver]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Goldenberg]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Stoll]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Delivery in Women with Stillbirth: Results from the Stillbirth Collaborative. Research Network]]></article-title>
<source><![CDATA[The American College of Obstetricians and Gynecologists]]></source>
<year>2017</year>
<volume>129</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>693-8</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Duponta]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Carayolc]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Le Rayd]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Barasinskif]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Berangerg]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Burgueth]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recommandations pour l´ administration d´oxytocine au cours du travail spontané. Texte court des recommandations]]></article-title>
<source><![CDATA[Gynécologie Obstétrique Fertilité &amp; Sénologie]]></source>
<year>2017</year>
<volume>45</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>56-61</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
