Hemorragias postparto en el Hospital Básico Shushufindi, estrategias para disminuir las complicaciones
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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 la pérdida hemática superior a 500 ml tras un parto vaginal y más 1.000 ml tras una cesárea, constituye una de las complicaciones obstétricas más temidas en el puerperio inmediato, en su gran mayoría ocasionada por atonía uterina, causa de mortalidad materna evitable en todo el mundo. El proyecto de investigación es realizado en el hospital básico Shushufindi perteneciente a Sucumbíos, donde de acuerdo a los antecedentes son atendidos un promedio de 30 partos por mes de los cuales aproximadamente el 7%, han sido diagnosticados con hemorragia postparto, constituyéndose en uno de los problemas relevantes de analizar con el fin de conocer sus causas y proponer alternativas para contribuir a disminuir la morbilidad a consecuencia de este problema. El objetivo general es determinar las complicaciones de las hemorragias post-parto en el hospital básico Shushufindi, de Enero a Junio del 2016. La metodología a emplearse será cuantitativa, analítica, descriptiva y retrospectiva, por medio de ellas se obtendrá información oportuna acorde al tema a tratar, al igual que la observación y bibliografía. Mediante los resultados que se obtuvieron se evidencio que muchos son los factores que acarrean esta problemática mundial de mortalidad en las parturientas, como edad, nivel socioeconómico, patologías añadidas al embarazo, etc., de igual forma el personal no brinda una buena asistencia médica. Se concluye que los resultados muestran una considerable cantidad de casos donde existieron riesgos de mortalidad dentro del Hospital Básico Shushufindi, la medicación empleada por el personal de salud fue: masaje uterino, solución salina, oxitocina y Misoporol, mientras que los procedimientos quirúrgicos más empelados fueron: sutura de desgarro con el 38%, revisión manual con el 39%, y revisión instrumental 23% de los casos.
Postpartum haemorrhages are the blood loss greater than 500 ml after vaginal delivery or 1,000 ml after cesarean section, is one of the most feared obstetric complications in the immediate puerperium, most of them caused by uterine atony, a cause of avoidable maternal mortality in all the world. The research project is carried out at the Shushufindi basic hospital in Sucumbíos, where an average of 30 births per month of which approximately 7% have been diagnosed have been diagnosed with postpartum haemorrhage, being one of the problems Relevant to analyze in order to know their causes and propose alternatives to contribute to decrease morbidity as a consequence of this problem. The general objective is to determine the complications of postpartum haemorrhages at the Shushufindi basic hospital, from January to June 2016. The methodology to be used will be quantitative, analytical, descriptive and retrospective, by means of which they will obtain timely information according to the theme To be treated, as well as observation and bibliography. By means of the results obtained, it was evident that many factors contribute to this worldwide problem of mortality in the parturients, such as age, socioeconomic level, diseases, etc., in the same way, the staff does not provide good medical care. It is concluded that the results show a considerable number of cases where there were mortality risks within the Shushufindi Basic Hospital, the saline solution and Misoporol used the saline solution, while the most common surgical procedures were the tear suture With 31% of cases and manual revision with 39% of cases.
Postpartum haemorrhages are the blood loss greater than 500 ml after vaginal delivery or 1,000 ml after cesarean section, is one of the most feared obstetric complications in the immediate puerperium, most of them caused by uterine atony, a cause of avoidable maternal mortality in all the world. The research project is carried out at the Shushufindi basic hospital in Sucumbíos, where an average of 30 births per month of which approximately 7% have been diagnosed have been diagnosed with postpartum haemorrhage, being one of the problems Relevant to analyze in order to know their causes and propose alternatives to contribute to decrease morbidity as a consequence of this problem. The general objective is to determine the complications of postpartum haemorrhages at the Shushufindi basic hospital, from January to June 2016. The methodology to be used will be quantitative, analytical, descriptive and retrospective, by means of which they will obtain timely information according to the theme To be treated, as well as observation and bibliography. By means of the results obtained, it was evident that many factors contribute to this worldwide problem of mortality in the parturients, such as age, socioeconomic level, diseases, etc., in the same way, the staff does not provide good medical care. It is concluded that the results show a considerable number of cases where there were mortality risks within the Shushufindi Basic Hospital, the saline solution and Misoporol used the saline solution, while the most common surgical procedures were the tear suture With 31% of cases and manual revision with 39% of cases.
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Hemorragia posparto, Medicina preventiva, Hospital Básico de Shushufindi, Cantón Shushufindi, Ecuador