Hematocrito y hemoglobina como marcadores de transfusión sanguínea en hemorragias postparto en el Hospital Básico de Daule
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Químicas
Resumen
Antecedentes.- La hemorragia postparto está definida como la pérdida sanguínea de más de
500 cc que se producen en el postparto inmediato y mayor de 1000 cc después de una operación cesárea, esta emergencia continúa siendo en la actualidad una complicación frecuente, además de la principal causa de mortalidad materna, especialmente en países en vías de desarrollo como Ecuador. Objetivos.- El trabajo tuvo como objetivo principal evaluar al hematocrito y hemoglobina como marcadores de transfusión sanguínea en hemorragias postparto y su relación con la mortalidad en pacientes atendidas en el Hospital Básico Daule para determinar la importancia del Servicio de Medicina Transfusional, por lo que se trazaron como objetivos operatorios caracterización de las mujeres embarazadas según riesgo de hemorragia postparto, principales tipos de hemorragias y el riesgo, clasificar los niveles de hematocrito y hemoglobina en hemorragias postparto y su relación con la necesidad de transfusión de sangre. Metodología.- Se trató de un estudio cuali – cuantitativo con un diseño no experimental, con un tipo de investigación descriptiva, correlacional de corte transversal, donde se revisaron 84 pacientes con hemorragia post parto atendidas de julio 2015 a julio de 2016 en el Hospital Básico Daule. Resultados.- Las con esta patología eran principalmente menores de 20 años, procedentes de Daule, con un Índice de Masa Corporal normal. Los niveles de hematocritos y hemoglobina en esta población son bajos y tienen relación directa con la terapia transfusional en el tratamiento de hemorragias postparto. Conclusión.- - El servicio de medicina transfusional se vuelve una necesidad evidente, especialmente al considerar que las pacientes embarazadas requieren una atención prioritaria para reducir el riesgo de mortalidad materna.
Background.- Postpartum hemorrhage is defined as blood loss of more than 500 cc which occur in the immediate postpartum and increased 1000cc after a Caesarean section, this emergency remains today a frequent complication, besides the main cause of maternal mortality, especially in developing countries like Ecuador. Objectives.- Work main objective was to evaluate the hematocrit and hemoglobin as markers for blood transfusion in postpartum hemorrhage and its relationship with mortality in patients treated at the Basic Daule Hospital to determine the importance of Transfusion Medicine Service, so that they plotted as operative goals characterization of pregnant women according to risk of postpartum hemorrhage, bleeding and major types of risk, classifying hematocrit and hemoglobin levels postpartum hemorrhage and its relation to the need for blood transfusion. Methodology.- This was a qualitative study - quantitative with a non-experimental design, with a kind of descriptive, correlational cross-sectional, where 84 patients were reviewed with postpartum bleeding met July 2015 July 2016 in the Basic Hospital Daule. The Results.- with this condition were mostly under 20 years, from Daule with a Body Mass Index normal. The hematocrit and hemoglobin levels in this population are low and are directly related to transfusion therapy in the treatment of postpartum hemorrhage. Conclusion.- - transfusion medicine service becomes an obvious need, especially when considering that pregnant patients require priority attention to reduce the risk of maternal mortality.
Background.- Postpartum hemorrhage is defined as blood loss of more than 500 cc which occur in the immediate postpartum and increased 1000cc after a Caesarean section, this emergency remains today a frequent complication, besides the main cause of maternal mortality, especially in developing countries like Ecuador. Objectives.- Work main objective was to evaluate the hematocrit and hemoglobin as markers for blood transfusion in postpartum hemorrhage and its relationship with mortality in patients treated at the Basic Daule Hospital to determine the importance of Transfusion Medicine Service, so that they plotted as operative goals characterization of pregnant women according to risk of postpartum hemorrhage, bleeding and major types of risk, classifying hematocrit and hemoglobin levels postpartum hemorrhage and its relation to the need for blood transfusion. Methodology.- This was a qualitative study - quantitative with a non-experimental design, with a kind of descriptive, correlational cross-sectional, where 84 patients were reviewed with postpartum bleeding met July 2015 July 2016 in the Basic Hospital Daule. The Results.- with this condition were mostly under 20 years, from Daule with a Body Mass Index normal. The hematocrit and hemoglobin levels in this population are low and are directly related to transfusion therapy in the treatment of postpartum hemorrhage. Conclusion.- - transfusion medicine service becomes an obvious need, especially when considering that pregnant patients require priority attention to reduce the risk of maternal mortality.
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HEMORRAGIA POSTPARTO, TERAPIA TRANSFUSIONAL, SERVICIO DE MEDICINA TRANSFUSIONAL