Incidencia de hemorragias posparto en mujeres atendidas en el Hospital Gineco-Obstétrico Enrique C. Sotomayor en el período de noviembre- mayo 2014
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
Se ha definido la hemorragia postparto como una pérdida sanguínea mayor de 500 cc después de un parto vaginal.
La hemorragia posparto es la principal causa de mortalidad materna a nivel mundial y segunda en el Ecuador.
Es responsable de 50% de las hemorragias del alumbramiento y de 4% de las muertes maternas. Esta complicación se presenta posterior a la salida de la placenta, porque el útero no se contrae (retracción), existiendo por lo tanto una pérdida continua de sangre desde el lugar donde estaba implantada la placenta.
El objetivo de este estudio fue Determinar el número de pacientes que presentaron hemorragias postparto en el hospital Gineco-obstetrico Enrique C. Sotomayor en el periodo de noviembre –mayo de 2014.
Se realizo un ensayo clínico con datos de pacientes que fueron atendidas en el Hospital antes mencionado el cual terminaban su parto por vía vaginal presentaron hemorragias posparto; Se encontró que las pacientes que presentaron mayor índice de hemorragias pos parto fueron las pacientes multíparas con 50% y el uterotonico mas utilizado y con mayor efectividad fue el misoprostol 52% y la mayor causa fue por atonía uterina.
Múltiples intervenciones se pueden intentar para controlar el sangrado (médicas, mecánicas, quirúrgico) pero aun así requieren diferentes niveles de habilidad y destreza y conocimientos específicos del profesional de salud.
Defined PPH as blood loss greater than 500 ml after vaginal delivery. Postpartum hemorrhage is the leading cause of maternal mortality worldwide and second in Ecuador. It is responsible for 50% of bleeding childbirth and 4% of maternal deaths. This complication occurs after the delivery of the placenta, because the uterus (retraction) does not shrink, and therefore there was a continuous loss of blood from where the placenta was implanted. The aim of this study was to determine the number of patients with postpartum hemorrhage in the obstetric hospital Gynecology Enrique C. Sotomayor in the period from November to May 2014. A clinical trial data from patients who were treated at the above Hospital which ended their vaginal delivery had postpartum hemorrhage was performed; We found that patients who had higher rates of bleeding after childbirth multiparous patients were 50% and uterotonic used more and more effectively misoprostol was 52% and the major cause was uterine atony. Multiple interventions may attempt to control bleeding (medical, mechanical, surgical) but still require different levels of ability and skill and expertise of the health professional.
Defined PPH as blood loss greater than 500 ml after vaginal delivery. Postpartum hemorrhage is the leading cause of maternal mortality worldwide and second in Ecuador. It is responsible for 50% of bleeding childbirth and 4% of maternal deaths. This complication occurs after the delivery of the placenta, because the uterus (retraction) does not shrink, and therefore there was a continuous loss of blood from where the placenta was implanted. The aim of this study was to determine the number of patients with postpartum hemorrhage in the obstetric hospital Gynecology Enrique C. Sotomayor in the period from November to May 2014. A clinical trial data from patients who were treated at the above Hospital which ended their vaginal delivery had postpartum hemorrhage was performed; We found that patients who had higher rates of bleeding after childbirth multiparous patients were 50% and uterotonic used more and more effectively misoprostol was 52% and the major cause was uterine atony. Multiple interventions may attempt to control bleeding (medical, mechanical, surgical) but still require different levels of ability and skill and expertise of the health professional.
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Hemorragia posparto, Atonía uterina, Oxitócicos, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador