Perioperative behavior for postpartum hemorrhage, at "Dr. Luis Díaz Soto" Central Military Hospital

• Main Authors: Leira Camejo León, Ana Teresa Echevarría Hernández, Anadis Segura Fernández
• Format: Article
• Language: Spanish
• Published: Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) 2017-05-01
• Series: Revista Cubana de Anestesiología y Reanimación
• Subjects: hemorragia posparto; emergencia obstétrica; muerte materna; anestesia general orotraqueal; prevención
• Online Access: http://www.revanestesia.sld.cu/index.php/anestRean/article/view/151

<p><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Postpartum haemorrhage is the leading cause for maternal mortality worldwide, but it can be prevented if treated properly. <br /> <strong>Objective:</strong> To describe the perioperative behavior of patients with postpartum haemorrhage treated at Dr. Luis Díaz Soto Central Military Hospital from January 2013 to September 2014. <br /> </span><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Methods:</strong> A descriptive, longitudinal and prospective observational study was performed. The sample consisted of 57 patients with a diagnosis of postpartum haemorrhage and who required the anesthesiologist intervention. As a preventive measure, central and peripheral venous channels were opened and vital support measures were taken to counteract complications. <br /> <strong>Results:</strong> Uterine atony was the most frequent cause of postpartum hemorrhage in young, middle-aged, white and nulliparous patients. The main complications were hypovolemic shock and metabolic acidosis. <br /> <strong>Conclusions: </strong> Timely therapeutic measures improve the evolution of patients with postpartum hemorrhage, while general orotracheal anesthesia is the safest method for their comprehensive treatment. </span></p>