<?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>2301-1254</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Anfamed]]></abbrev-journal-title>
<issn>2301-1254</issn>
<publisher>
<publisher-name><![CDATA[Universidad de la República. Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2301-12542022000201501</article-id>
<article-id pub-id-type="doi">10.25184/anfamed2022v9n2a1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Incorporando la bioética ambiental a los cuidados materno-perinatales para disminuir los riesgos de la pan-sindemia en el proceso reproductivo.]]></article-title>
<article-title xml:lang="en"><![CDATA[Incorporating environmental bioethics to maternal perinatal care to reduce the risks of pan-syndemic in the reproductive process.]]></article-title>
<article-title xml:lang="pt"><![CDATA[Incorporando a bioética ambiental ao cuidado perinatal materno para reduzir os riscos de pan-sindemia no processo reprodutivo.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Briozzo]]></surname>
<given-names><![CDATA[Leonel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fiol]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bandeira]]></surname>
<given-names><![CDATA[Elisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República de Uruguay Facultad de Medicina Clínica Ginecotocológica A]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República de Uruguay Facultad de Medicina Unidad Académica de Bioética]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2301-12542022000201501&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2301-12542022000201501&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2301-12542022000201501&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: Hasta el momento actual, el abordaje bioético de los cuidados materno-perinatales se proyecta desde la visión integral de la salud bio - psico - social, la perspectiva de derechos humanos y el enfoque de género. En general, no se ha incorporado a los cuidados materno-perinatales la bioética ambiental, que surge de la perspectiva de la salud ambiental; integrando la ética global, la perspectiva de la consiliencia, el derecho al ambiente saludable y la ética ambiental. La actual situación de crisis global por la combinación de la Pandemia COVID 19 y la Sindemia Global, que caracterizaremos como Pan-sindemia, incrementa los riesgos y daños en el proceso reproductivo, sobre todo en las poblaciones vulneradas en sus derechos.  Justificación: Es necesario minimizar el efecto de la Pan-sindemia en el proceso reproductivo. En la agenda global, la humanidad debe revertir las causas que provocan la Pan-sindemia. Mientras tanto, los profesionales y equipos de salud deben reformular su rol a la hora de los cuidados materno-perinatales, incorporando a la clínica el derecho a un ambiente saludable para la reproducción.  Perspectivas: Las modificaciones en la práctica clínica de los equipos de salud sexual y reproductiva deben orientarse a: - incorporar la bioética ambiental a los cuidados materno-perinatales desde la formación hasta la práctica clínica - desarrollar un abordaje integral de los grandes síndromes obstétricos perinatales, la prematurez y la restricción de crecimiento, para minimizar el impacto de la Pan-sindemia en el proceso reproductivo humano.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Until now, the bioethical approach to maternal perinatal care is projected from the integral vision of bio-psycho-social health, the perspective of Human Rights and the gender perspective. In general, environmental bioethics, which arises from the perspective of environmental health has not been incorporated into maternal-perinatal care with global ethics, the perspective of consilience, the right to a healthy environment and environmental ethics. The current global crisis situation due to the combination of the COVID 19 Pandemic and the Global Syndemic, characterized as Pan Syndemic, increases the risks and damages in the reproductive process, especially in populations violated in their rights.  Justification: It is necessary to minimize the effect of the Pan Syndemic on the human reproductive process. On the global agenda, humanity must reverse the causes of the Pan Syndemic. Meanwhile, health professionals and teams must reformulate their role when it comes to maternal-perinatal care, incorporating into the clinic the right to a healthy environment for reproduction.  Perspectives: Modifications in the clinical practice of sexual and reproductive health teams should be aimed at: incorporate environmental bioethics into maternal perinatal care from training to clinical practice; develop a comprehensive approach to major perinatal obstetric syndromes, prematurity and fetal growth restriction, to minimize the impact of the Pan Syndemic on the human reproductive process.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Até o momento, a abordagem bioética da atenção materna perinatal se projeta a partir da visão integral da saúde biopsicossocial, da perspectiva dos direitos humanos e da perspectiva de gênero. De modo geral, a bioética ambiental não foi incorporada à assistência materno-perinatal que surge na perspectiva da saúde ambiental; integrando a ética global, a perspectiva da consiliência, o direito ao ambiente saudável e a ética ambiental. A atual situação de crise global devido à combinação da Pandemia COVID 19 e da Sindemia Global, que caracterizaremos como Pan-sindêmica, aumenta os riscos e danos no processo reprodutivo, especialmente em populações cujos direitos são violados.  Justificação: É necessário minimizar o efeito da Pan-sindemia no processo reprodutivo. Na agenda global, a humanidade deve reverter as causas que causam a Pan-sindemia. Nesse ínterim, os profissionais e equipes de saúde devem reformular seu papel no que se refere à assistência materno-perinatal, incorporando à clínica o direito a um ambiente saudável para a reprodução.  Panorama: As modificações na prática clínica das equipes de saúde sexual e reprodutiva devem ter como objetivo: - incorporar a bioética ambiental ao cuidado perinatal materno, desde o treinamento até a prática clínica - desenvolver uma abordagem abrangente para as principais síndromes obstétricas perinatais, prematuridade e restrição de crescimento, para minimizar o impacto da Pan-sindemia no processo reprodutivo humano.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bioética clínica]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Bioética Ambiental]]></kwd>
<kwd lng="es"><![CDATA[Salud materna]]></kwd>
<kwd lng="es"><![CDATA[Salud perinatal.]]></kwd>
<kwd lng="en"><![CDATA[Clinical Ethics]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Environmental Ethics]]></kwd>
<kwd lng="en"><![CDATA[Maternal health]]></kwd>
<kwd lng="en"><![CDATA[Perinatal health]]></kwd>
<kwd lng="pt"><![CDATA[bioética clínica]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Bioética Ambiental]]></kwd>
<kwd lng="pt"><![CDATA[Saúde materna]]></kwd>
<kwd lng="pt"><![CDATA[Saúde perinatal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Taheri]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Takian]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Taghizadeh]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Creating a positive perception of childbirth experience systematic review and meta-analysis of prenatal and intrapartum interventions]]></article-title>
<source><![CDATA[Reprod Health]]></source>
<year>2018</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>73</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Safe motherhood, reproductive health and population policies]]></article-title>
<source><![CDATA[Safe Mother]]></source>
<year>1994</year>
<numero>14</numero>
<issue>14</issue>
<page-range>4-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Género y salud]]></source>
<year>2020</year>
<page-range>1-10</page-range><publisher-name><![CDATA[OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Potter]]></surname>
<given-names><![CDATA[VR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bioethics The science of survival]]></article-title>
<source><![CDATA[Perspect Biol Med]]></source>
<year>1970</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>127-53</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Potter]]></surname>
<given-names><![CDATA[VR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global bioethics linking genes to ethical behavior]]></article-title>
<source><![CDATA[Perspect Biol Med]]></source>
<year>1995</year>
<volume>39</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>118-31</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Potter]]></surname>
<given-names><![CDATA[VR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bioética Global encauzando la cultura hacia utopías más vívidas]]></article-title>
<source><![CDATA[Revista de la Sociedad Internacional de Bioética]]></source>
<year>2001</year>
<volume>5</volume>
<page-range>7-24</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lolas Stepke]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Competencias en ética biocéntrica Un fundamento para la investigación médica]]></article-title>
<source><![CDATA[Rev Med Urug]]></source>
<year>2012</year>
<volume>28</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>123-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consilience among the great branches of learning]]></article-title>
<source><![CDATA[Daedalus]]></source>
<year>1998</year>
<volume>127</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>131-49</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<collab>ONU</collab>
<source><![CDATA[United Nations. Report of the Human Rights Council on its forty-third session. Part III: Promotion and protection of all human rights, civil, political, economic, social and cultural rights, including the right to development. Special Rapporteur on the issue of human rights obligations relating to the enjoyment of a safe, clean, healthy and sustainable environment]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zinsstag]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Crump]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Schelling]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Climate change and One Health]]></article-title>
<source><![CDATA[FEMS Microbiol Lett]]></source>
<year>2018</year>
<volume>365</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>fny085</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Agius]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ética ambiental y políticas internacionales (Environmental ethics: towards an intergenerational perspective)]]></article-title>
<source><![CDATA[Ética ambiental y políticas internacionales (Environmental ethics and international policy)]]></source>
<year>2007</year>
<page-range>g</page-range><publisher-loc><![CDATA[Paris ]]></publisher-loc>
<publisher-name><![CDATA[UNESCO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kwiatkowska]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¡Que perdure la tierra! Poner en práctica la ética ambiental (Let Earth forever remain: putting environmental ethics to work)]]></article-title>
<source><![CDATA[Etica ambiental y políticas internacionales (Environmental ethics and international policy).]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Paris ]]></publisher-loc>
<publisher-name><![CDATA[UNESCO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El principio de responsabilidad y el principio de precaución: Hans Jonas y la constitución de una ecoética]]></article-title>
<source><![CDATA[Revista Nómadas]]></source>
<year>2015</year>
<volume>46</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>241-70</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<collab>ONU</collab>
<source><![CDATA[Naciones Unidas. Declaración de Rio sobre el Medio Ambiente y el Desarrollo. Principio 15]]></source>
<year>1992</year>
<publisher-name><![CDATA[ONU]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="">
<collab>UNESCO</collab>
<source><![CDATA[Informe del Grupo de Expertos sobre el principio precautorio de la Comisión Mundial de Ética del Conocimiento Científico y la Tecnología (COMEST)]]></source>
<year>2005</year>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="">
<collab>UNESCO</collab>
<source><![CDATA[Declaración Universal sobre Bioética y Derechos Humanos]]></source>
<year>2006</year>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Abreu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ética Ambiental: Una Revisión Inicial]]></article-title>
<source><![CDATA[Revista Daena (International Journal of Good Conscience)]]></source>
<year>2018</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>70-81</page-range><publisher-loc><![CDATA[UANL ]]></publisher-loc>
<publisher-name><![CDATA[San Nicolás, N.L. México]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Richie]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Moving Environmental Bioethics into the 21st Century: Green Bioethics and the Common Good]]></source>
<year>2016</year>
<publisher-name><![CDATA[Boston College University]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horton]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Offline: COVID-19 is not a pandemic]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2020</year>
<volume>396</volume>
<page-range>874</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Swinburn]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Kraak]]></surname>
<given-names><![CDATA[VI]]></given-names>
</name>
<name>
<surname><![CDATA[Allender]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Global Syndemic of Obesity, Undernutrition, and Climate Change The Lancet Commission report]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2019</year>
<volume>393</volume>
<numero>10173</numero>
<issue>10173</issue>
<page-range>746</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quammen]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spillover Animal Infections and the Next Human Pandemic]]></article-title>
<source><![CDATA[Yale J Biol Med]]></source>
<year>2013</year>
<volume>86</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>107-12</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jacob]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Briana]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Di Renzo]]></surname>
<given-names><![CDATA[GC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Building resilient societies after COVID-19 the case for investing in maternal, neonatal, and child health]]></article-title>
<source><![CDATA[Lancet Public Health]]></source>
<year>2020</year>
<volume>5</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>e624-7</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="book">
<collab>UNAIDS</collab>
<source><![CDATA[Impact of the global economic crisis on women, girls and gender equality. Discussion Paper]]></source>
<year>2012</year>
<publisher-name><![CDATA[UNAIDS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Briozzo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Nozar]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Fiol]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis del impacto de la pandemia COVID-19 sobre la calidad de los servicios de salud sexual y reproductiva]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>2020</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>249-74</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Puri]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Yadav]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stillbirths and the COVID-19 pandemic Looking beyond SARS-CoV-2 infection]]></article-title>
<source><![CDATA[Int J Gynaecol Obstet]]></source>
<year>2021</year>
<volume>153</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>76-82</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Briozzo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Tomasso]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Viroga]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Nozar]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bianchi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of mitigation measures against the COVID 19 pandemic on the perinatal results of the reference maternity hospital in Uruguay (published online ahead of print]]></article-title>
<source><![CDATA[J Matern Fetal Neonatal Med]]></source>
<year>2021</year>
<page-range>1-3</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roberton]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Carter]]></surname>
<given-names><![CDATA[ED]]></given-names>
</name>
<name>
<surname><![CDATA[Chou]]></surname>
<given-names><![CDATA[VB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries a modelling study]]></article-title>
<source><![CDATA[Lancet Glob Health]]></source>
<year>2020</year>
<volume>8</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>e901-8</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Briozzo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Viroga]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abordaje obstétrico integral de la prematurez y restricción del crecimiento fetal y su relación con las enfermedades crónicas del adulto]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>2020</year>
<volume>36</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>74-84</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Golberstein]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzales]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Meara]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[How do economic downturns affect the mental health of children Evidence from the National Health Interview Survey]]></article-title>
<source><![CDATA[Health Econ]]></source>
<year>2019</year>
<volume>28</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>955-70</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barker]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[In utero programming of chronic disease]]></article-title>
<source><![CDATA[Clin Sci (Lond)]]></source>
<year>1998</year>
<volume>95</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>115-28</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Briozzo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Coppola]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Gesuele]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Tomasso]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Restricción de crecimiento fetal, epigenética y transmisión transgeneracional de las enfermedades crónicas y la pobreza]]></article-title>
<source><![CDATA[Horizonte Médico]]></source>
<year>2013</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>45-53</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Provenzi]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Guida]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Montirosso]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Preterm behavioral epigenetics A systematic review]]></article-title>
<source><![CDATA[Neurosci Biobehav Rev]]></source>
<year>2018</year>
<volume>84</volume>
<page-range>262-71</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kottow]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bioética una disciplina en riesgo]]></article-title>
<source><![CDATA[Revista Redbioética/UNESCO]]></source>
<year>2010</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>159-73</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="book">
<source><![CDATA[United Nations. The Sustainable Development Goals: our framework for COVID-19 recovery]]></source>
<year>2020</year>
<publisher-name><![CDATA[ONU]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
