Hemorragia post-parto en adolescentes : perfil clínico y complicaciones en el Hospital Universitario de Guayaquil período de enero a junio del 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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La hemorragia posparto, que se define como la pérdida de más de 500 ml de sangre que sucede en el postparto inmediato y de 1000cc posterior a una intervención quirúrgica post cesárea. El grado de los hallazgos clínicos está determinado por la cantidad de pérdida sanguínea. La pérdida de sangre dará lugar a cambios en el estado de nivel de conciencia, a nivel de los signos vitales como la frecuencia cardiaca, la frecuencia respiratoria, la temperatura, la presión arterial, cambios en el estado de la piel y membranas mucosas, relleno capilar y diuresis. La hemorragia postparto es una de las principales emergencias obstétricas, siendo la principal causa de muerte materna en el mundo con un promedio de 17-40%, principalmente en países en vías de desarrollo o subdesarrollados como el nuestro. La importancia de estudiar la hemorragia postparto radica en que ésta representa un importante número en los índices de mortalidad materna en nuestro país; de acuerdo a estudios las principales causas de muerte postparto son: hemorragia (25%), sepsis (15%), enfermedades hipertensivas del embarazo (12%) y labor de parto prolongada (8%). La mayoría de los casos ocurren en el período postparto inmediato (dentro de las 24 horas del parto) y se deben a una atonía uterina. Muchas de las causas de la mortalidad materna son fácilmente previsibles a un costo bajo.
Postpartum haemorrhage, defined as the loss of more than 500 ml of blood occurring in the immediate postpartum and 1000 cc post-operative post-cesarean section. The degree of clinical findings is determined by the amount of blood loss. Blood loss will lead to changes in the level of consciousness level at vital signs level such as heart rate, respiratory rate, temperature, blood pressure, changes in skin condition and mucous membranes, filling Capillary and diuresis. Postpartum haemorrhage is one of the major obstetric emergencies, being the leading cause of maternal death in the world with an average of 17-40%, mainly in developing or underdeveloped countries such as ours. The importance of studying postpartum hemorrhage is that it represents an important number of maternal mortality rates in our country; According to studies, the main causes of postpartum death are hemorrhage (25%), sepsis (15%), hypertensive diseases of pregnancy (12%) and prolonged labor (8%). Most cases occur in the immediate postpartum period (within 24 hours of delivery) and are due to uterine atony. Many of the causes of maternal mortality are easily predictable at low cost.
Postpartum haemorrhage, defined as the loss of more than 500 ml of blood occurring in the immediate postpartum and 1000 cc post-operative post-cesarean section. The degree of clinical findings is determined by the amount of blood loss. Blood loss will lead to changes in the level of consciousness level at vital signs level such as heart rate, respiratory rate, temperature, blood pressure, changes in skin condition and mucous membranes, filling Capillary and diuresis. Postpartum haemorrhage is one of the major obstetric emergencies, being the leading cause of maternal death in the world with an average of 17-40%, mainly in developing or underdeveloped countries such as ours. The importance of studying postpartum hemorrhage is that it represents an important number of maternal mortality rates in our country; According to studies, the main causes of postpartum death are hemorrhage (25%), sepsis (15%), hypertensive diseases of pregnancy (12%) and prolonged labor (8%). Most cases occur in the immediate postpartum period (within 24 hours of delivery) and are due to uterine atony. Many of the causes of maternal mortality are easily predictable at low cost.
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Hemorragia posparto, Adolescente, Perfil clínico, Complicaciones, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador