Causas y factores de riesgo que conllevan a presentar hemorragias post-parto en mujeres de 25 a 35 años de edad atendidas en el Hospital Matilde Hidalgo de Procel de junio 2015 a marzo 2016
Fecha
2016
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
Las hemorragias postparto lideran las causas de morbi-mortalidad a nivel mundial, con predominio en países en desarrollo, siendo este un grave problema obstétrico, convirtiéndose en una gran preocupación para las naciones. El objetivo principal de esta investigación fue determinar las causas y factores de riesgo de las hemorragias postparto que se presentaron en las mujeres de 25 a 35 años de edad atendidas en el “Hospital Matilde Hidalgo Procel”, de la Ciudad de Guayaquil, Ecuador, durante el período de junio de 2015 a marzo 2016. La metodología empleada corresponde a un estudio descriptivo de tipo transversal, con variables demográficas y biológicas de naturaleza cuali-cuantitativa. Se elaboró una ficha de recolección de datos, basada en las variables en estudio con sus respectivas dimensiones e indicadores, aplicada a la revisión de historias clínicas la misma que fue tabulada en cuadros y representadas en gráficos para cada uno de las variables en estudio correspondientes. Se consideraron las variables de paridad, embarazos múltiples y antecedentes de hemorragias postparto como factores de riesgo, sin embargo en los análisis correlacionales entre estas variables, la única que reporto significancia estadística fue la vía vaginal de parto con los desgarros de cérvix, siendo ausente en el resto de comparaciones. Los resultados se obtuvieron de la muestra de treinta pacientes, quienes presentaron hemorragias postparto, entre las principales causas se encuentran los desgarros del cérvix (40%) y la retención placentaria (32%). La mayoría de ellas presentaban gestaciones a término, eran grandes multíparas (60%), sin antecedentes patológicos y con partos vaginales (92%). La frecuencia basado a las edades se reportó con el 56% en mujer menores de 25 a 29 años, siendo este el porcentaje más alto de la investigación.Se concluye en la investigación que las principales causas de hemorragias postparto en las pacientes son desgarros del cérvix y retención placentaria.
The postpartum hemorrhage lead the causes of morbidity and mortality worldwide, with predominance in developing countries, this being a serious problem obstetrical, becoming a major concern for the united. The main objective of this research was to determine the causes and risk factors of the postpartum hemorrhage that were presented in women 25 to 35 years of age treated in the "Hospital Matilde Hidalgo Procel", in the city of Guayaquil, Ecuador, during the period of June 2015 to March 2016. The methodology used corresponds to a descriptive study of transverse type, with demographic variables and biological nature quali-quantitative. Developed a tab of data collection, based on the variables in study with their respective dimensions and indicators, applied to the review of medical histories the same that was tabulated in tables and represented in graphs for each one of the variables in study concerned. The following variables were considered of parity, multiple pregnancies and background of postpartum hemorrhage as risk factors, however in the Correlational Analysis between these variables, the only one that reported statistical significance was the vaginal route of delivery with the tears of the cervix, being absent in the remainder of the comparisons.The results were obtained from the sample of thirty patients who presented postpartum hemorrhage, among the major causes are the tears of the cervix (40%) and retained placenta (32%). The majority of them had pregnancies to term, were large multiparous (60%), without pathological antecedents and with vaginal delivery (92%). The frequency based on ages are reported with the 56% in women under the age of 25 to 29 years, this being the highest percentage of research.It is concluded in the investigation that the main causes of postpartum hemorrhage in the patients are tearing of the cervix and placental retention
The postpartum hemorrhage lead the causes of morbidity and mortality worldwide, with predominance in developing countries, this being a serious problem obstetrical, becoming a major concern for the united. The main objective of this research was to determine the causes and risk factors of the postpartum hemorrhage that were presented in women 25 to 35 years of age treated in the "Hospital Matilde Hidalgo Procel", in the city of Guayaquil, Ecuador, during the period of June 2015 to March 2016. The methodology used corresponds to a descriptive study of transverse type, with demographic variables and biological nature quali-quantitative. Developed a tab of data collection, based on the variables in study with their respective dimensions and indicators, applied to the review of medical histories the same that was tabulated in tables and represented in graphs for each one of the variables in study concerned. The following variables were considered of parity, multiple pregnancies and background of postpartum hemorrhage as risk factors, however in the Correlational Analysis between these variables, the only one that reported statistical significance was the vaginal route of delivery with the tears of the cervix, being absent in the remainder of the comparisons.The results were obtained from the sample of thirty patients who presented postpartum hemorrhage, among the major causes are the tears of the cervix (40%) and retained placenta (32%). The majority of them had pregnancies to term, were large multiparous (60%), without pathological antecedents and with vaginal delivery (92%). The frequency based on ages are reported with the 56% in women under the age of 25 to 29 years, this being the highest percentage of research.It is concluded in the investigation that the main causes of postpartum hemorrhage in the patients are tearing of the cervix and placental retention
Descripción
PDF
Palabras clave
Parto, Hemorragia posparto, Etiología, Factores de riesgo, Atonía uterina, Desgarro cervical, Epidemiología descriptiva, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador