<?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>S1409-45682018000200144</article-id>
<article-id pub-id-type="doi">10.15517/revenf.v0i35.32824</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Generalidades de las venas varicosas en miembros inferiores y su tratamiento durante el embarazo: una revisión narrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Generalities regarding varicose veins in lower limbs and their treatment during pregnancy: a narrative review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Generalidades das varizes em membros inferiores e seu tratamento durante a gravidez: uma revisão narrativa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas Valenciano]]></surname>
<given-names><![CDATA[Ligia Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar Fonseca]]></surname>
<given-names><![CDATA[Henry]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Sánchez]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Bermúdez]]></surname>
<given-names><![CDATA[Jennifer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Valle  ]]></institution>
<addr-line><![CDATA[ Cali]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af4">
<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>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<numero>35</numero>
<fpage>144</fpage>
<lpage>158</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-45682018000200144&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-45682018000200144&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-45682018000200144&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen 20. La enfermedad varicosa es un problema común que afecta a gran parte de la población mundial, principalmente en mujeres, agravado por una condición de embarazo. Esta revisio&#769;n narrativa tiene el objetivo de conocer la evidencia cienti&#769;fica disponible sobre aspectos diagnósticos, factores de riesgo e intervención conservadora o invasiva, incluyendo cirugía de las venas varicosas en miembros inferiores en mujeres embarazadas. La bu&#769;squeda bibliogra&#769;fica se llevó a cabo en las bases de datos PubMed, Biblioteca Cochrane y EBSCO Host entre los an&#771;os 2009 y 2017. Se recuperó 50 referencias bibliogra&#769;ficas y se seleccionó seis documentos para el análisis. Respecto del diagnóstico se lleva a cabo mediante la observación, examen directo, historia clínica y exámenes más específicos como el doppler. La síntomatología más común que se presenta es el dolor en miembros inferiores, edema, pesadez, prurito y calambres. La intervención para el tratamiento a mujeres embarazadas es la terapia conservadora, aunque solo en casos excepcionales se determinará otro tipo de tratamiento. En este proceso, la educación tiene un rol muy importante en la seguridad de la madre y el feto, cuyo abordaje debe ser dado por un equipo de profesionales en salud. Se concluye que existe controversias respecto de la patogenia de esta morbilidad durante el embarazo, por lo tanto, no se ofrece otros tratamientos distintos a los recomendados desde el año 50, de manera que hay una gran necesidad de llevar a cabo estudios robustos que demuestren cuáles son las mejores medidas profilácticas más novedosas y de tratamiento desde el inicio del embarazo, además de promover la prevención de la aparición posterior, de tal manera que esté asegurada la salud de la mujer y, consecuentemente, la de su bebé.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 24. The varicose disease is a common problem that affects a large part of the world population in greater percentage of women, added to its condition the presence of pregnancy. This narrative review has the objective of knowing the available scientific evidence on diagnostic aspects, risk factors and conservative or invasive intervention including surgery of varicose veins in lower limbs in pregnant women. The bibliographic search was carried out in PubMed, Cochrane Library and EBSCO Host databases between 2009 and 2017. Fifty bibliographical references were retrieved and six documents were selected for analysis. Regarding the diagnosis is carried out through observation, direct examination, clinical history, more specific examinations such as Doppler. The most common symptom presented is a pain in the lower limbs, oedema, heaviness, pruritus and cramps. The intervention for the treatment of pregnant women is conservative therapy, only in exceptional cases will be determined another type of treatment. Education plays a very important role in the safety of the mother and the fetus. The approach to these women must be given by a team of health professionals. It is concluded that there are controversies regarding the pathogenesis of this morbidity during pregnancy and, therefore, no treatments other than those recommended since year 50 are offered, so there is a great need to carry out robust studies that show which are the best new prophylactic measures and treatment from the beginning of pregnancy, in addition to promoting the prevention of subsequent appearance, in such a way that the health of the woman and consequently that of her baby is ensured.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo 28. A doença varicosa é um problema comum que afeta uma grande parte da população mundial em maior porcentagem para as mulheres, adicionou à sua condição a presença de gravidez. Esta revisão narrativa tem como objetivo conhecer as evidências científicas disponíveis sobre aspectos diagnósticos, fatores de risco e intervenção conservadora ou invasiva, incluindo cirurgia de varizes em membros inferiores em mulheres grávidas. A pesquisa bibliográfica foi realizada nas bibliotecas PubMed, Cochrane Library e EBSCO Host entre 2009 e 2017. Cinquenta referências bibliográficas foram recuperadas e 6 documentos foram selecionados para análise. Quanto ao diagnóstico é realizado através da observação, exame direto, história clínica, exames mais específicos, como Doppler. O sintoma mais comum apresentado é a dor nos membros inferiores, edema, peso, prurido e cólicas. A intervenção para o tratamento de mulheres grávidas é a terapia conservadora, apenas em casos excepcionais será determinado outro tipo de tratamento. A educação desempenha um papel muito importante na segurança da mãe e do feto. A abordagem dessas mulheres deve ser dada por uma equipe de profissionais de saúde. Conclui-se que há controvérsias quanto à patogenia desta morbidade durante a gravidez e, portanto, não são oferecidos outros tratamentos além dos recomendados desde o ano 50, por isso há uma grande necessidade de realizar estudos robustos que mostrem quais são as melhores medidas profiláticas novas e o tratamento desde o início da gravidez, além de promover a prevenção da aparição subseqüente, de tal forma que seja assegurada a saúde da mulher e conseqüentemente a de seu bebê.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[tratamiento-venas-varicosas]]></kwd>
<kwd lng="es"><![CDATA[venas-varicosas]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[varicose-vein treatment]]></kwd>
<kwd lng="en"><![CDATA[varicose veins]]></kwd>
<kwd lng="pt"><![CDATA[gravidez]]></kwd>
<kwd lng="pt"><![CDATA[tratamento de veias varicosas]]></kwd>
<kwd lng="pt"><![CDATA[varizes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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