Postpartum hemorrhage

<p align="left"><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Postpartum hemorrhage is one of...

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Main Authors: Jorge Onasis Fernández Lombar, Reinaldo Elias Sierra, Karla Sucet Elias Armas, Iselkis Bayard Joseff
Format: Article
Language:Spanish
Published: Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) 2018-11-01
Series:Revista Cubana de Anestesiología y Reanimación
Subjects:
Online Access:http://revanestesia.sld.cu/index.php/anestRean/article/view/245
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spelling doaj-8af2c7abab234895bd568d82519ee1d92020-11-29T03:49:45ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182018-11-01182338Postpartum hemorrhageJorge Onasis Fernández Lombar0Reinaldo Elias Sierra1Karla Sucet Elias Armas2Iselkis Bayard Joseff3Hospital Dr. Agostinho NetoHospital Dr. Agostinho NetoFacultad de Medicina de GuantanamoFacultad de Medicina de Guantanamo<p align="left"><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Postpartum hemorrhage is one of the main causes of maternal mortality. <br /> <strong>Objective:</strong> To characterize postpartum hemorrhage. <br /> <strong>Methods:</strong> A descriptive, longitudinal and prospective study was carried out in the Anesthesiology and Resuscitation service of Dr. Agostinho Neto Hospital, between 2015 and 2017. The study population was made up by 65 patients. The following variables were studied: biological age, gestational age, type of hemorrhage, estimated amount of bleeding, etiology, hemodynamic and clinical laboratory variables, fluid resuscitation and blood products replacement, complications. We used empirical methods (document analysis, instruments for the collection of information), theoretical methods (analysis, synthesis, induction, deduction), and mathematical-statistical methods (percentage, mean, standard deviation and confidence intervals). <br /> <strong>Results:</strong> The average age of the patients was 24.2±6.2 years; the gestational age was 34.2±6.2 years; 73.8% completed the pregnancy by natural delivery, while the interval between delivery and the onset of postpartum hemorrhage was 2.46h±53 min. Uterine atony (61.5%) was the most common cause of hemorrhage. Shock was the most common complication (100%), which conditioned the use of high volumes of replacement fluids and blood products. Hysterectomy and ligation of hypogastric arteries was the most used surgical technique (52.3%). <strong><br /> Conclusions:</strong> During the study period, postpartum hemorrhage was an important cause of morbidity and mortality in the Anesthesiology and Resuscitation service of Dr. Agostinho Neto Hospital. </span></span></p>http://revanestesia.sld.cu/index.php/anestRean/article/view/245emorragia obstétricahemorragia pospartocoagulopatías
collection DOAJ
language Spanish
format Article
sources DOAJ
author Jorge Onasis Fernández Lombar
Reinaldo Elias Sierra
Karla Sucet Elias Armas
Iselkis Bayard Joseff
spellingShingle Jorge Onasis Fernández Lombar
Reinaldo Elias Sierra
Karla Sucet Elias Armas
Iselkis Bayard Joseff
Postpartum hemorrhage
Revista Cubana de Anestesiología y Reanimación
emorragia obstétrica
hemorragia posparto
coagulopatías
author_facet Jorge Onasis Fernández Lombar
Reinaldo Elias Sierra
Karla Sucet Elias Armas
Iselkis Bayard Joseff
author_sort Jorge Onasis Fernández Lombar
title Postpartum hemorrhage
title_short Postpartum hemorrhage
title_full Postpartum hemorrhage
title_fullStr Postpartum hemorrhage
title_full_unstemmed Postpartum hemorrhage
title_sort postpartum hemorrhage
publisher Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
series Revista Cubana de Anestesiología y Reanimación
issn 1726-6718
publishDate 2018-11-01
description <p align="left"><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Postpartum hemorrhage is one of the main causes of maternal mortality. <br /> <strong>Objective:</strong> To characterize postpartum hemorrhage. <br /> <strong>Methods:</strong> A descriptive, longitudinal and prospective study was carried out in the Anesthesiology and Resuscitation service of Dr. Agostinho Neto Hospital, between 2015 and 2017. The study population was made up by 65 patients. The following variables were studied: biological age, gestational age, type of hemorrhage, estimated amount of bleeding, etiology, hemodynamic and clinical laboratory variables, fluid resuscitation and blood products replacement, complications. We used empirical methods (document analysis, instruments for the collection of information), theoretical methods (analysis, synthesis, induction, deduction), and mathematical-statistical methods (percentage, mean, standard deviation and confidence intervals). <br /> <strong>Results:</strong> The average age of the patients was 24.2±6.2 years; the gestational age was 34.2±6.2 years; 73.8% completed the pregnancy by natural delivery, while the interval between delivery and the onset of postpartum hemorrhage was 2.46h±53 min. Uterine atony (61.5%) was the most common cause of hemorrhage. Shock was the most common complication (100%), which conditioned the use of high volumes of replacement fluids and blood products. Hysterectomy and ligation of hypogastric arteries was the most used surgical technique (52.3%). <strong><br /> Conclusions:</strong> During the study period, postpartum hemorrhage was an important cause of morbidity and mortality in the Anesthesiology and Resuscitation service of Dr. Agostinho Neto Hospital. </span></span></p>
topic emorragia obstétrica
hemorragia posparto
coagulopatías
url http://revanestesia.sld.cu/index.php/anestRean/article/view/245
work_keys_str_mv AT jorgeonasisfernandezlombar postpartumhemorrhage
AT reinaldoeliassierra postpartumhemorrhage
AT karlasuceteliasarmas postpartumhemorrhage
AT iselkisbayardjoseff postpartumhemorrhage
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