Díaz-Aguilar FA, López-Contreras S, Vázquez-Rodríguez JG, Serrano-Rodríguez J, Méndez-Yebra MÁ, Flores-Meza MÁ

Language: Spanish
References: 18
Page: 81-89
PDF size: 323.00 Kb.

ABSTRACT

Obstetric hemorrhage is one of the main complications in women of childbearing age, and a cause of maternal mortality in 21.4% of cases.
Objective. To describe the medical-surgical management of major obstetric hemorrhage in postpartum patients admitted to the intensive care unit of the gynecology and obstetrics hospital N.3 “Dr. Víctor Manuel Espinosa De Los Reyes Sánchez” La Raza National Medical Center during the period 2020-2022.
Material and methods. Observational, retrospective, descriptive, cross-sectional and analytical study where all the records of the patients admitted to the intensive care unit were studied.
Selection criteria. Records of patients with obstetric hemorrhage and postpartum women. The variables were: Method of pregnancy resolution, delivery or cesarean section, types of medical or surgical treatment, and complications of obstetric hemorrhage.
Resources and feasibility. Information was collected from the files, of which statistical analysis was carried out in Excel books and the SPSS 25 program.
Results. 99 files were reviewed, finding an age range of 18 to 43 years. The most common method of birth was by cesarean section in 76.7% and by delivery in 21.7%. The amount of bleeding was found to range from 1000 to 6400 mL with a mean of 2950 mL. The risk factors were multiple pregnancy in 9.7%, history of obstetric hemorrhage 25.7%, macrosomia 13.7%, anomalous placental insertion 24.7%, retained placental remains 10.7% and trauma 17.7%.
Conclusions. The main causes of obstetric hemorrhage are tone and tissue, the medical management of choice is oxytocin and carbetocin, surgical treatment is initially conservative with dearterialization of uterine arteries and later obstetric hysterectomy, hypertensive disorders of pregnancy increased the amount of bleeding.

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