Evaluación de la asociación entre hemorragia posparto primaria y sobre distención uterina en el Hospital Universitario de Santander

La hemorragia posparto es una de las principales causas de morbimortalidad materna a nivel mundial, la identificación de factores de riesgo tales como sobredistensión uterina como factor determinante con el propósito de intentar predecir este evento permitiría establecer estrategias de prevención co...

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Autores:
Cala Sarmiento, Cesar Felipe
Tipo de recurso:
http://purl.org/coar/version/c_b1a7d7d4d402bcce
Fecha de publicación:
2016
Institución:
Universidad Industrial de Santander
Repositorio:
Repositorio UIS
Idioma:
spa
OAI Identifier:
oai:noesis.uis.edu.co:20.500.14071/33910
Acceso en línea:
https://noesis.uis.edu.co/handle/20.500.14071/33910
https://noesis.uis.edu.co
Palabra clave:
Hemorragia Posparto
Factores De Riesgo
Mortalidad Materna.
The postpartum hemorrhage is a major cause of maternal morbidity and mortality worldwide
identifying risk factors such as uterine distention as a determining factor for the purpose trying to predict this event would establish prevention strategies in order to reduce maternal mortality rates. Objective: To evaluate the association between postpartum bleeding and uterine overdistension
associated sociodemographic factors and outcomes at the University Hospital of Santander. Results: A total of 123 patients (41 cases and 82 controls)
pregnant with cared for delivery in the institution during 2014 were analyzed. The most common cause of postpartum hemorrhage was uterine atonia
no significant difference was presented in relation to sociodemographic factors. Preeclampsia was associated with higher frequency of postpartum hemorrhage with no significant statistical difference. Uterine overdistension represented by twin pregnancy
polyhydramnios and macrosomia presented a direct relation with the postpartum hemorrhage (OR: 19.5)
difference that remains after the logistic regression model. The postpartum hemorrhage patients who have nearly 20 times more likely to present with uterine distention confirming the initial hypothesis of the study. The approach and strengthening prevention strategies once identified with uterine distension factor in our population; in order to positively impact maternal mortality and morbidity rates require way
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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)