Postpartum haemorrhage in puerperal women treated at the General Provincial Teaching Hospital of Ciego de Ávila
Abstract
Introduction: postpartum hemorrhage is one of the most feared obstetric complications and one of the three leading causes of maternal morbidity and mortality in the world.
Objective: to describe the characteristics of postpartum hemorrhage according to some clinical variables, volume of blood administered and surgical procedure applied in puerperal women who presented early postpartum haemorrhage.
Method: a transversal descriptive observational study was carried out in 101 puerperal women, attended at the General Provincial Teaching Hospital "Dr. Antonio Luaces Iraola" of Ciego de Ávila during 2013, who were transfused with blood products as part of the treatment of early postpartum haemorrhage.
Results: the main causes of bleeding were: uterine atony, ovular remains and alterations of placental insertion. In the latter cases were presented with greater hemodynamic deterioration. The uterine curettage and the suture of the tears of the canal of childbirth were the surgical procedures more practiced to treat the hemorrhage.
Conclusions: uterine atony, anomalies of placental insertion and ovular remains were the causes that produced the highest number of early postpartum haemorrhages. Among the puerperal women with alterations in placental insertion, there was a greater presence of clinical signs of shock and it was necessary to replace more volume as part of the treatment. The uterine curettage and the suture of the tears were the most practiced surgical proceduresDownloads
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