Characterization of the severe obstetric hemorrhagic in intensive therapy
Keywords:
DeCS, Obstetric hemorrhage, ectopic pregnancy, uterine atony, ShockAbstract
Introduction: severe obstetric bleeding is one of the most feared complications and it is one of the three leading causes of maternal mortality in the world.
Objective: to characterize severe obstetric hemorrhage in the intensive care unit at Abel Santamaria Cuadrado General Teaching Hospital from January 2014 to December 2015.
Methods: a descriptive and retrospective study was conducted with women after giving birth who suffered from severe obstetric hemorrhage; and admitted to the intensive care unit. The target group comprised 126 seriously-ill women after giving birth; a sample of 37 patients with obstetric hemorrhage was chosen for using statistical processing and the percentage, mean and standard deviation.
Results: an average age of 29.5 years, the gestation period where there were more bleeding, in the period between the weeks 37- 41.6 weeks (81.08%), multigravid women bled more, the stay in intensive care unit increased from 1 to 5 days (81.08%), mortality due to hemorrhage accounted 2.70%, uterine atony was the first cause (75.67%), there was a relationship between shock, base deficit, dilutional coagulopathy and need for resuscitation with fluids and blood products. The most frequent complications were hypovolemic shock (100%), metabolic acidosis (56.76%), the hyperchloraemia (83.78%), infertility (54.05%) and massive transfusion (78.38%).There was a 45.94% of reoperation for hemoperitoneum.
Conclusions: severe obstetric hemorrhage remains the leading cause of preventable and maternal complications; hence the multidisciplinary work was aimed at treating its consequences representing the key association to prevent the death of a mother.
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