Hemorragia postparto en adolescentes, propuesta medidas preventivas
No hay miniatura disponible
Fecha
2016
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La hemorragia postparto (HPP) es la pérdida de contenido hemático por el canal
vaginal posterior al parto o cesárea mayor a 500 ml ó 1000 ml respectivamente, La
incidencia mundial es del 10,5 %. Los cálculos clínicos de la pérdida de sangre no
suelen ser precisos, así que cualquier hemorragia con posibilidad de producir
inestabilidad hemodinámica debe considerarse una HPP. La causa más común es la
atonía uterina que se presenta en las adolescentes embarazadas y precoces. El objetivo
es Determinar la incidencia de la Hemorragia Postparto en Adolescentes atendidas en el
Hospital Juan Carlos Guasti de la ciudad de Atacames periodo Enero - Junio 2016.
Metodología enfoque cuantitativo, de diseño No experimental, transversal,
correlacional causal, mediante obtención de datos estadísticos y aplicación de
cuestionario para revisar factores de riesgos. Resultados La incidencia de Hemorragia
Obstétrica en las gestantes adolescentes fue del 34,4 %, con un Odds Ratio de 3,27 (IC
95 % 2,04 – 5,26) en relación con la población general Conclusiones La incidencia de
Hemorragia Postparto fue mayor en las embarazadas adolescentes que en las gestantes
en general con una diferencia estadísticamente significativa. Los principales factores
causales de HPP fueron los Traumas Cervicales, seguido de las Retenciones placentarias
y en menor grado la Atonía Uterina
Postpartum haemorrhage (HPP) is the loss of blood content through the vaginal canal postpartum or cesarean section greater than 500 ml or 1000 ml respectively. The worldwide incidence is 10.5%. Clinical calculations of blood loss are usually not accurate, so any haemorrhage with the possibility of producing hemodynamic instability should be considered a PPH. The most common cause is uterine atony that occurs in pregnant and precocious adolescents. The objective is to determine the incidence of Postpartum Hemorrhage in Adolescents attended at the Juan Carlos Guasti Hospital in the city of Atacames period January - June 2016. Methodology quantitative approach, non-experimental design, transverse, causal correlational, by obtaining statistical data and Application of a questionnaire to review risk factors. Results the incidence of Obstetric Hemorrhage in adolescent pregnant women was 34.4%, with an Odds Ratio of 3.27 (95% CI 2.04 - 5.26) in relation to the general population. Conclusions The incidence of Postpartum Hemorrhage was Higher in pregnant adolescents than in pregnant women in general with a statistically significant difference. The main causal factors of PPH were Cervical Traumas, followed by Placental Retention and, to a lesser extent, Uterine atony
Postpartum haemorrhage (HPP) is the loss of blood content through the vaginal canal postpartum or cesarean section greater than 500 ml or 1000 ml respectively. The worldwide incidence is 10.5%. Clinical calculations of blood loss are usually not accurate, so any haemorrhage with the possibility of producing hemodynamic instability should be considered a PPH. The most common cause is uterine atony that occurs in pregnant and precocious adolescents. The objective is to determine the incidence of Postpartum Hemorrhage in Adolescents attended at the Juan Carlos Guasti Hospital in the city of Atacames period January - June 2016. Methodology quantitative approach, non-experimental design, transverse, causal correlational, by obtaining statistical data and Application of a questionnaire to review risk factors. Results the incidence of Obstetric Hemorrhage in adolescent pregnant women was 34.4%, with an Odds Ratio of 3.27 (95% CI 2.04 - 5.26) in relation to the general population. Conclusions The incidence of Postpartum Hemorrhage was Higher in pregnant adolescents than in pregnant women in general with a statistically significant difference. The main causal factors of PPH were Cervical Traumas, followed by Placental Retention and, to a lesser extent, Uterine atony
Descripción
PDF
Palabras clave
Hemorragia posparto, Adolescente, Medicina preventiva, Hospital Juan Carlos Guasti, Cantón Atacames, Ecuador