Hernández-López GD, Graciano-Gaytán L, Buensuseso-Alfaro JA, Mendoza-Escorza J, Zamora-Gómez E

Language: Spanish
References: 30
Page: 183-191
PDF size: 315.16 Kb.

ABSTRACT

Maternal mortality and morbidity remains a serious problem, since it’s estimated that in 2010 alone 287,000 women died of maternal causes. The obstetric patient admission to the Intensive Care Unit (ICU) in past decades represented less than 1% of ICU admissions, currently increasingly income, mainly during the postpartum period. Working diagnoses are, in order of frequency: obstetric hemorrhage (26-33%), hypertensive disorders, especially preeclampsia (21-42%), respiratory failure (10%) and sepsis (10%). The mortality rate is below 3%. Uterine atony is the most common cause, followed in order of frequency of placental debris retention and/or clots, bleeding secondary to cervical tears and episiotomies, perineal and/or vaginal. Puerperal haemorrhage represent one of the most important obstetric emergencies we face daily, hence the importance of providing optimal management for obtaining a positive perinatal outcome. Simultaneously with hemodynamic stabilization should seek to identify the cause of the bleeding in order to apply the appropriate treatment. The key to treatment lies in early detection of hemodynamic decompensation, signs of tissular hypoperfusion and onset of fluid guided by goals, thus preventing the development or perpetuation of hypovolemic shock and its consequences, all with a single purpose, to reduce maternal mortality and morbidity.

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