Causas de atonia uterina en el puerperio inmediato
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La atonía uterina es la dificultad de contracción del útero, ocurre en el 5% de partos. El objetivo del estudio fue determinar las causas de atonía uterina en el puerperio inmediato de pacientes atendidas en el Hospital Gineco-Obstétrico Pediátrico Universitario de Guayaquil, enero a junio del 2021. La metodología fue: observacional, descriptiva, corte transversal, modalidad cuantitativa, muestra 160 pacientes, el instrumento utilizado ficha de datos y análisis mediante SPSS. Los resultados fueron: antecedente personal, la anemia en el 27.5% y antecedente gineco-obstétrico la primiparidad y multiparidad con 44.4% respectivamente; causas de atonía uterina: macrosomía fetal como factor de sobredistensión uterina en 15%, trabajo de parto prolongado como factor de agotamiento muscular con el 18.1% y uso de uterotónicos como factor intraparto en el 38.1%, en los casos de retención de restos placentarios, shock hipovolémico y primiparidad. Como consecuencias maternas: hemorragia postparto en el 50.6% y transfusión sanguínea en el 8.8%.
Uterine atony is the difficulty of contracting the uterus, it occurs in 5% of deliveries. The objective of the study was to determine the causes of uterine atony in the immediate puerperium of patients treated at the Hospital Gineco-Obstétrico Pediátrico Universitario de Guayaquil, January to June 2021. The methodology was: observational, descriptive, cross-sectional, quantitative modality, sample 160 patients, the instrument used data sheet and analysis using SPSS. The results were: personal antecedents, anemia in 27.5% and gynecological-obstetric antecedents, primiparity and multiparity with 44.4%, respectively; causes of uterine atony: fetal macrosomia as a factor of uterine overdistention in 15%, prolonged labor as a muscle exhaustion factor with 18.1% and use of uterotonics as an intrapartum factor in 38.1%, in cases of retention of placental remains, hypovolemic shock and primiparity. As maternal consequences: postpartum hemorrhage in 50.6% and blood transfusion in 8.8%.
Uterine atony is the difficulty of contracting the uterus, it occurs in 5% of deliveries. The objective of the study was to determine the causes of uterine atony in the immediate puerperium of patients treated at the Hospital Gineco-Obstétrico Pediátrico Universitario de Guayaquil, January to June 2021. The methodology was: observational, descriptive, cross-sectional, quantitative modality, sample 160 patients, the instrument used data sheet and analysis using SPSS. The results were: personal antecedents, anemia in 27.5% and gynecological-obstetric antecedents, primiparity and multiparity with 44.4%, respectively; causes of uterine atony: fetal macrosomia as a factor of uterine overdistention in 15%, prolonged labor as a muscle exhaustion factor with 18.1% and use of uterotonics as an intrapartum factor in 38.1%, in cases of retention of placental remains, hypovolemic shock and primiparity. As maternal consequences: postpartum hemorrhage in 50.6% and blood transfusion in 8.8%.
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Hemorragía, Trabajo de parto, Paridad, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador