Hemorragia postparto inmediato en adolescentes de 16 a 19 años y propuesta de un plan de atención
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La Hemorragia postparto es una causa principal en la muerte materna según datos de la OMS la misma que se produce en países que se encuentran en desarrollo se da cuando existe la pérdida de sangre que supera los 500 a 1000 ml después la finalización del embarazo sea por parto o una cesárea en su mayoría causada por atonía uterina, retención placentaria, en un99% son hemorragia postparto tempranas. Se realizó un estudio retrospectivo, descriptivo y de diseño no experimental que tienen como objetivo Determinar la frecuencia de las adolescentes de 16 a 19 años que presentaron la hemorragia postparto en la Unidad Metropolitana de Salud Sur, en el área a Área de Gineco Obstétrico el período de investigación fue 2016 El universo estuvo constituido por todos las pacientes que presentaron complicaciones al terminar su embarazo ya sea por parto o cesárea y se atendieron en esta casa de salud durante el período de investigación. Los datos recolectados para la investigación se obtuvieron de historias clínicas y una de una ficha de recolección de datos Como resultado de la investigación se pudo determinar que en esta casa de salud presentaron hemorragia postparto y postcésarea en un 24% las adolescentes de 16 a 19 años. Además que las pacientes atendidas proceden de una área urbana en un 90% ya que aquí existe fácil acceso a esta casa de salud que presenta los servicios gratuitos. De acuerdo a las complicaciones que se presentaron en mayor porcentaje pacientes en un 30% fue el alumbramiento incompleto seguido en un 37% de la atonía uterina los mismos que necesitaron un manejo hospitalario. Luego de haber terminado el estudio se ha procedido a realizar los cuadros y gráficos estadísticos los para tabulados, luego analizados e interpretados. Se recomienda la propuesta de aplicación un Plan de Atención
Postpartum haemorrhage is a leading cause of maternal death according to WHO data. The same occurs in developing countries when there is blood loss in excess of 500 to 1000 ml after the end of pregnancy. Childbirth, or cesarean section, mostly caused by uterine atony, placental retention, and early postpartum haemorrhage (99%). A retrospective, descriptive and non-experimental design study was carried out to determine the prevalence of adolescents aged 16 to 19 years who presented postpartum haemorrhage in the Metropolitan Health Sur Unit in the area of Obstetrical Gynecology Area Of research was 2016 The universe was constituted by all 530 pregnant women who were attended in this health home during the period of investigation. The data collected for the investigation were obtained from medical records and one from a datasheet. As a result of the investigation it was possible to determine that in this health home they presented postpartum and post-caesarean haemorrhage in 65% did not present this complication in the patients While 24% presented this complication in adolescents. In addition, the patients treated come from an urban area in 90% since there is easy access to this health home that offers free services. According to the complications that occurred in a greater percentage of patients in 30%, the incomplete delivery followed in 37% of the uterine atony the same ones that required a hospital management. After completing the study, the tables and statistical graphs have been made after having been tabulated, then analyzed and interpreted. The proposal of application is recommended a ligue of Attention.
Postpartum haemorrhage is a leading cause of maternal death according to WHO data. The same occurs in developing countries when there is blood loss in excess of 500 to 1000 ml after the end of pregnancy. Childbirth, or cesarean section, mostly caused by uterine atony, placental retention, and early postpartum haemorrhage (99%). A retrospective, descriptive and non-experimental design study was carried out to determine the prevalence of adolescents aged 16 to 19 years who presented postpartum haemorrhage in the Metropolitan Health Sur Unit in the area of Obstetrical Gynecology Area Of research was 2016 The universe was constituted by all 530 pregnant women who were attended in this health home during the period of investigation. The data collected for the investigation were obtained from medical records and one from a datasheet. As a result of the investigation it was possible to determine that in this health home they presented postpartum and post-caesarean haemorrhage in 65% did not present this complication in the patients While 24% presented this complication in adolescents. In addition, the patients treated come from an urban area in 90% since there is easy access to this health home that offers free services. According to the complications that occurred in a greater percentage of patients in 30%, the incomplete delivery followed in 37% of the uterine atony the same ones that required a hospital management. After completing the study, the tables and statistical graphs have been made after having been tabulated, then analyzed and interpreted. The proposal of application is recommended a ligue of Attention.
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HEMORRAGIA POSPARTO, ADOLECENTE, ATENCION A LA SALUD, PLANES Y PROGRAMAS DE SALUD, ESTUDIOS RETROSPECTIVOS, EPIDEMIOLOGIA DESCRIPTIVA, UNIDAD METROPOLITANA DE SALUD SUR, CANTON QUITO, ECUADOR