Differences in the degree of hemorrhagic shock in women with placental insertion anomalies before and during the COVID-19 pandemic

Miguel Ángel Nares Torices; José Antonio Hernández Pacheco; José Antonio Ramírez Calvo; Mildred Flores Cortés; Norma Patricia Becerra Navarro; Heidi Guadalupe Martínez Hueyopa; Elisa Madai Balladares Nava; Karla Estela Serna-Castellanos; Benjamín Brito Brito; Salvador Vila Herrera; Uriel Emmanuel Rangel Vargas; Sandra Verónica Auqui Valarezo; Javier Mota Calzada

2023, Number 1

Med Crit 2023; 37 (1)

Differences in the degree of hemorrhagic shock in women with placental insertion anomalies before and during the COVID-19 pandemic

Nares TMÁ, Hernández PJA, Ramírez CJA, Flores CM, Becerra NNP, Martínez HHG, Balladares NEM, Serna-Castellanos KE, Brito BB, Vila HS, Rangel VUE, Auqui VSV, Mota CJ

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How to cite this article

10.35366/109960

Language: Spanish
References: 14
Page: 31-34
PDF size: 175.34 Kb.

ABSTRACT

Introduction: previous studies have shown an increased incidence of all-cause postpartum hemorrhage during the COVID-19 pandemic. Placental accreta is a frequent cause of hemorrhagic shock. Objective: determine the severity of shock and the amount of bleeding during the COVID-19 pandemic in women diagnosed with placenta previa and placental accreta. Material and methods: in a comparative cohort study of women with placenta previa and accreta treated at the National Institute of Perinatology during the period from January 2017 to December 2019 group I (pre-pandemic) and from January 2020 to March 2022 group II (pandemic) the amount of hemorrhage and the class of hemorrhagic shock according to ATLS were compared between the groups. Results: 277 women were studied, 211 were from group I (pre COVID-19) and 66 from group II (COVID-19). A greater amount of bleeding was observed during the COVID pandemic versus the pre COVID phase (2,150.56 ± 1,910.08 mL vs 1,246.34 ± 1,494.1 mL) p = 0.001, there were differences in the proportions of severity of hemorrhagic shock in the pandemic phase for classes III and IV. Conclusion: an increase in the amount of bleeding and severity of shock was found during the COVID-19 pandemic.

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