<?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>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272023000200301</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones materno-fetales en gestantes con lupus eritematoso sistémico]]></article-title>
<article-title xml:lang="en"><![CDATA[Maternal-fetal complications in pregnant women with systemic lupus erythematosus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carballé García]]></surname>
<given-names><![CDATA[Daisy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez González]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesa Fernández]]></surname>
<given-names><![CDATA[Lisbet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa Machado]]></surname>
<given-names><![CDATA[René]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Carballé]]></surname>
<given-names><![CDATA[Neila Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Nerey]]></surname>
<given-names><![CDATA[María Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unversidad de Ciencias Médicas de Villa Clara  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>301</fpage>
<lpage>309</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272023000200301&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272023000200301&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272023000200301&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el lupus eritematoso sistémico es una enfermedad autoinmune que afecta principalmente a mujeres en edad fértil y se ha asociado con un aumento de la morbimortalidad materno-fetal.  Objetivo:  describir las principales complicaciones materno-fetales en gestantes con lupus eritematoso sistémico.  Métodos:  se realizó una investigación de desarrollo, descriptiva y transversal en 137 gestantes con diagnóstico de lupus eritematoso sistémico atendidas en los Hospitales &#8220;Mariana Grajales&#8221; y &#8220;Arnaldo Milián Castro&#8221; entre enero de 2015 y diciembre de 2019 con predominio del análisis documental.  Resultados:  predominaron las gestantes en edades entre 20 y 24 años, con nivel escolar Medio-Superior, primigestas, que acudieron a cinco o más Consultas de Atención Prenatal y a una o dos Consultas de Reumatología y de Alto Riesgo Obstétrico durante el embarazo. El 94,98% fueron diagnosticadas antes del embarazo y predominó el intervalo de evolución entre uno y cuatro años. La principal comorbilidad fue la hipertensión arterial (22,63%), seguida de la diabetes mellitus (18,25%). Las complicaciones maternas más frecuentes fueron el parto pretérmino (28,47%) y la rotura prematura de membranas (24,81%), mientras que las complicaciones fetales que predominaron fueron la prematuridad (32,77%) y el bajo peso al nacer (24,37%).  Conclusiones:  en el estudio se constató el incremento de las complicaciones materno-fetales en gestantes con lupus eritematoso sistémico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  systemic lupus erythematosus is an autoimmune disease that mainly affects women of childbearing age and has been associated with increased maternal-fetal morbidity and mortality.  Objective:  to describe the main maternal-fetal complications in pregnant women with systemic lupus erythematosus.  Methods:  a developmental, descriptive and cross-sectional research was conducted in 137 pregnant women with a diagnosis of systemic lupus erythematosus attended at the &#8220;Mariana Grajales&#8221; and &#8220;Arnaldo Milián Castro&#8221; Hospitals between January 2015 and December 2019 with a predominance of documentary analysis.  Results:  pregnant women between 20 and 24 years old, with medium-high school level, primigravidae, who attended five or more Prenatal Care Consultations and one or two Rheumatology and High Obstetric Risk Consultations during pregnancy predominated. The 94.98% were diagnosed before pregnancy and the interval of evolution was predominantly between one and four years. The main comorbidity was arterial hypertension (22.63%), followed by diabetes mellitus (18.25%). The most frequent maternal complications were preterm delivery (28.47%) and premature rupture of membranes (24.81%), while the most frequent fetal complications were prematurity (32.77%) and low birth weight (24.37%).  Conclusions:  the study showed an increase in maternal-fetal complications in pregnant women with systemic lupus erythematosus.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lupus eritematoso sistémico]]></kwd>
<kwd lng="es"><![CDATA[materno]]></kwd>
<kwd lng="es"><![CDATA[fetal]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[lupus erythematosus, systemic]]></kwd>
<kwd lng="en"><![CDATA[maternal]]></kwd>
<kwd lng="en"><![CDATA[fetal]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
</kwd-group>
</article-meta>
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<name>
<surname><![CDATA[González Arenas]]></surname>
<given-names><![CDATA[E]]></given-names>
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<surname><![CDATA[Aceves Barrios]]></surname>
<given-names><![CDATA[CA]]></given-names>
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<given-names><![CDATA[U]]></given-names>
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<article-title xml:lang=""><![CDATA[Endocarditis infecciosa asociada a cables de marcapaso en lactante menor con lupus neonatal]]></article-title>
<source><![CDATA[Enf Infec Microbiol]]></source>
<year>2022</year>
<volume>42</volume>
<numero>2</numero>
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