Manejo integral de la hemorragia obstétrica durante el primer trimestre de embarazo
Fecha
2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Introducción: La presente investigación aborda la temática del manejo integral de la hemorragia obstétrica durante los tres primeros meses del embarazo. Teniendo en cuenta que, la hemorragia obstétrica se define como el sangrado que ocurre durante cualquier etapa del embarazo.
Metodología: El presente trabajo de investigación posee un enfoque cualitativo, de tipo no experimental, de corte transversal y retrospectivo, dirigido a la evaluación a la determinación del manejo integral de la hemorragia obstétrica durante el primer trimestre de embarazo. El mismo que se llevará a cabo a través de la revisión de la historia clínica y la base de datos otorgados por el Hospital General IESS Babahoyo.
Resultados: En el presente estudio se identificó un 25% corresponde a pacientes de entre 26-30 años, un 38,31% de pacientes con sangrado ocurrido por la implantación, un 34,27% con aborto incompleto, un 17,74% con amenaza de aborto.
Dentro de los principales factores de riesgo identificados en el presente estudio el 66,13% se debe a enfermedades concomitantes, un 18,15% a cesárea previa, un 13,31% con una edad mayor a 40 años.
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Conclusión: Los parámetros para el logro del manejo integral de la hemorragia obstétrica durante el primer trimestre de embarazo deben estar ligado a la etiología de la HO, mejorar la calidad de la atención de las pacientes obstétricas que están en riesgo y promover el uso de la práctica clínica basada en el mejor conocimiento científico disponible, a favor de salvaguarda la integridad de las pacientes como del producto.
This research addresses the issue of comprehensive management of obstetric hemorrhage during the first three months of pregnancy. Bearing in mind that, obstetric hemorrhage is defined as bleeding that occurs during any stage of pregnancy. Methodology: The present research work has a qualitative, non-experimental, cross-sectional and retrospective approach, aimed at evaluating the determination of the comprehensive management of obstetric bleeding during the first trimester of pregnancy. The same that will be carried out through the review of the clinical history and the database provided by the General Hospital IESS Babahoyo. Results: In the present study, 25% correspond to patients between 26-30 years old, 38.31% of patients with bleeding occurred due to implantation, 34.27% with incomplete abortion, and 17.74% with threat of abortion. Among the main risk factors identified in the present study, 66.13% are due to concomitant diseases, 18.15% to previous cesarean section, and 13.31% with an age over 40 years. Conclusion: The parameters for achieving comprehensive management of obstetric bleeding during the first trimester of pregnancy should be linked to the xxii etiology of HO, improve the quality of care for obstetric patients who are at risk, and promote the use of clinical practice based on the best scientific knowledge available, in favor of safeguarding the integrity of the patients as well as the product.
This research addresses the issue of comprehensive management of obstetric hemorrhage during the first three months of pregnancy. Bearing in mind that, obstetric hemorrhage is defined as bleeding that occurs during any stage of pregnancy. Methodology: The present research work has a qualitative, non-experimental, cross-sectional and retrospective approach, aimed at evaluating the determination of the comprehensive management of obstetric bleeding during the first trimester of pregnancy. The same that will be carried out through the review of the clinical history and the database provided by the General Hospital IESS Babahoyo. Results: In the present study, 25% correspond to patients between 26-30 years old, 38.31% of patients with bleeding occurred due to implantation, 34.27% with incomplete abortion, and 17.74% with threat of abortion. Among the main risk factors identified in the present study, 66.13% are due to concomitant diseases, 18.15% to previous cesarean section, and 13.31% with an age over 40 years. Conclusion: The parameters for achieving comprehensive management of obstetric bleeding during the first trimester of pregnancy should be linked to the xxii etiology of HO, improve the quality of care for obstetric patients who are at risk, and promote the use of clinical practice based on the best scientific knowledge available, in favor of safeguarding the integrity of the patients as well as the product.
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Palabras clave
Hemorragia, Primer trimestre del embarazo, Aborto incompleto, Amenaza de aborto, Hospital General Babahoyo IESS, Cantón Babahoyo, Ecuador, Estudios retrospectivos