Factores asociados a la hemorragia postparto en el Servicio de Hospitalización
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La hemorragia post parto (HPP), es reconocida como la principal causa de
mortalidad materna a nivel mundial, manifestándose de manera significativa en países
de bajos recursos, ante lo cual Ecuador no está libre de su presencia pues esta patología
se ubica entre las tres primeras causas de mortalidad materna, con evidencia de un
incremento gradual siendo un problema identificado en la salud pública nacional. Por lo
que se realiza el presente estudio investigativo con el objetivo de determinar los
factores asociados a la hemorragia post parto en las puérperas atendidas en el Hospital
Gineco-Obstétrico Nueva Aurora Luz Elena Arismendi en el período de enero a
octubre 2016. Para su cumplimiento la investigación se rige por un diseño cuantitativo,
descriptivo y retrospectivo en una muestra conformada por 75 puérperas atendidas en la
Institución de Salud, teniendo como instrumento una ficha de recolección de datos de
las historias clínicas de dichas pacientes. Los resultados revelaron factores de riesgos de
la HPP, relacionados a la edad, paridad, etnia, presencia de anemia en el embarazo, el
parto prolongado a más de 4 horas, los pocos controles prenatales, la hipertensión
asociada al trastorno hipertensivo del embarazo con uso del sulfato de magnesio, así
como la presencia de atonía uterina, repercutiendo en la aparición de complicaciones
como la anemia, el shock hipovolémico y la muerte. Siendo la conclusión del estudio y
novedad científica el diseño de un protocolo en el cuidado post parto inmediato de
puérperas con hemorragia postparto del Hospital Gineco-Obstétrico Nueva Aurora Luz
Elena Arismendi
Postpartum haemorrhage (PPH) is recognized as the main cause of maternal mortality worldwide, manifesting significantly in low income countries, to which Ecuador is not free of its presence because this pathology is located in the first three Causes of maternal mortality, with evidence of a gradual increase being a problem identified in national public health. Therefore, the present study was carried out with the objective of determining the factors associated with postpartum haemorrhage in postpartum women treated at the Nueva Aurora Luz Elena Arismendi Gynecological Obstetric Hospital in the period from January to October 2016. For their compliance, the research Is governed by a quantitative, descriptive and retrospective design in a sample made up of 75 puerperas attended at the Health Institution, having as instrument a data collection form of the medical records of these patients. The results revealed risk factors for PPH, related to age, parity, ethnicity, presence of anemia in pregnancy, prolonged delivery to more than 4 hours, few prenatal controls, hypertension associated with hypertensive disorder of pregnancy with use Of magnesium sulfate, as well as the presence of uterine atony, with repercussions in the appearance of complications such as anemia, hypovolemic shock and death. The conclusion of the study and scientific novelty was the design of a protocol in the immediate postpartum care of postpartum women with postpartum hemorrhage at the Nueva Aurora Luz Gynecological Obstetrics Hospital Elena Arismendi.
Postpartum haemorrhage (PPH) is recognized as the main cause of maternal mortality worldwide, manifesting significantly in low income countries, to which Ecuador is not free of its presence because this pathology is located in the first three Causes of maternal mortality, with evidence of a gradual increase being a problem identified in national public health. Therefore, the present study was carried out with the objective of determining the factors associated with postpartum haemorrhage in postpartum women treated at the Nueva Aurora Luz Elena Arismendi Gynecological Obstetric Hospital in the period from January to October 2016. For their compliance, the research Is governed by a quantitative, descriptive and retrospective design in a sample made up of 75 puerperas attended at the Health Institution, having as instrument a data collection form of the medical records of these patients. The results revealed risk factors for PPH, related to age, parity, ethnicity, presence of anemia in pregnancy, prolonged delivery to more than 4 hours, few prenatal controls, hypertension associated with hypertensive disorder of pregnancy with use Of magnesium sulfate, as well as the presence of uterine atony, with repercussions in the appearance of complications such as anemia, hypovolemic shock and death. The conclusion of the study and scientific novelty was the design of a protocol in the immediate postpartum care of postpartum women with postpartum hemorrhage at the Nueva Aurora Luz Gynecological Obstetrics Hospital Elena Arismendi.
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HEMORRAGIA POSPARTO, HOSPITALIZACION, HOSPITAL GINECO-OBSTETRICO NUEVA AURORA LUZ ELENA ARISMENDI, CANTON QUITO, ECUADOR, FACTORES ASOCIADOS, REGISTROS MEDICOS