medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2024, Number 09

<< Back Next >>

Ginecol Obstet Mex 2024; 92 (09)

Causes associated with primary postpartum hemorrhage in Andean women in Peru

Muñoz TRJ, Córdova MTI, Mendoza VJ, Toral SEJ, Carbajal MH, Márquez CJF

Language: Spanish
References: 51
Page: 364-374
PDF size: 238.13 Kb.


ABSTRACT

Objective: To determine the sociodemographic and obstetric factors associated with primary postpartum hemorrhage.
Materials and Methods: Retrospective case-control study conducted from January to December 2021 in postpartum patients at the Chilca Health Center, Huancayo Province, Junín Department, Peru. Cases: patients with primary postpartum hemorrhage. Controls: patients without hemorrhage, randomly selected in a 1:3 ratio. Logistic regression analysis was performed with a confidence level of 95%.
Results: We pooled 56 cases and 168 controls selected from a universe of 764 patients. The prevalence of primary postpartum hemorrhage in the Chilca Health Center was 33.3%. The characteristics of the group of cases and controls were different; for example, among the sociodemographic factors, women ≥ 35 years of age were almost twice as common in the group of women with primary postpartum hemorrhage as in the group without hemorrhage. Obstetric factors included antepartum fetal macrosomia (MR = 4.86; 95%CI: 1.24-19.03), intrapartum grade III-IV rupture (MR = 24.94; 95%CI: 9.19-67.67), and postpartum retained placental abruption (MR = 18.36; 95%CI: 4.98-67.59).
Conclusions: Sociodemographic factors showed that women aged ≥ 35 years were almost twice as likely to have postpartum primary hemorrhage compared to the group without hemorrhage. Regarding obstetric factors, about 30% of women with more than four antenatal visits had postpartum primary hemorrhage.


REFERENCES

  1. Say L, Chou D, Gemmill A, et al. Global causes of maternaldeath: a WHO systematic analysis. Lancet 2014; 2 (6): e323-e33. Global causes of maternal death: a WHO systematicanalysis - The Lancet Global Health

  2. Grandi C. Mortalidad neonatal en el marco de los Objetivosde Desarrollo del Milenio y nuevos objetivos post-2015.Archivos Argentinos de Pediatría 2018; 116 (4): 238-40.mL0002.pdf(mecon.gob.ar)

  3. World Health Organization. WHO RecommendationsUterotonics for the Prevention of Postpartum Haemorrhage.World Health Organization 2018. https://iris.who.int/bitstream/handle/10665/277283/WHO-RHR-18.34-eng.pdf

  4. Ejecutivo C. Estrategia Mundial para la Salud de la Mujer, elNiño y el Adolescente (2016-2030): desarrollo en la primerainfancia: informe del Director General. Organización Mundialde la Salud 2017. B142_19-sp.pdf (who.int)

  5. Organización Panamericana de la Salud. Iniciativa de laOPS/OMS busca reducir las muertes maternas por hemorragiasen países de las Américas. 2015. https://www.intramed.net/contenidover.asp?contenidoid=86530

  6. Organización Mundial de la Salud. 2015. https://iris.paho.org/bitstream/handle/10665.2/54207/boletinhemorragias_spa. pdf?sequence=1&isAllowed=y.

  7. Organización Mundial de la Salud. Mortalidad materna2019. http://www.who.int/mediacentre/factsheets/fs348/es/.

  8. Soares DT, Couto TM, Martins RD, et al. Sociodemographicand Clinical Factors Associated with PostpartumHemorrhage in a Maternity Ward. Aquichan 2021; 21 (2).2027-5374-aqui-21-02-e2127.pdf (scielo.org.co)

  9. López-García LF, Ruiz-Femández DP, Zambrano-Cerón CG,et al. Incidence of postpartum hemorrhage based on theuse of uterotonics. Maternal outcomes in an intermediatecomplexity hospital in Bogotá, Colombia, 2016. Rev ColombObstet Ginecol 2017; 68 (3): 218-27. 0034-7434-rcog-68-03-00218.pdf (scielo.org.co)

  10. Organización Mundial de la Salud. Boletín epidemiológicodel Perú 2019. boletin_202419_20_163956.pdf (dge.gob.pe)

  11. Diresa - Junín. Epidemiología DIRESA Junín. Boletín epidemiológicoregión Junín. 2022. Boletín Epidemiológico N08-2023 | DIRESA JUNÍN - Dirección Regional de Salud deJunín - 2024 (diresajunin.gob.pe)

  12. Fumero SR, González CC, Chavarría AG. Hemorragia pospartoprimaria: diagnóstico y manejo oportuno. Rev médsinerg 2020; 5 (6): e512. https://revistamedicasinergia.com/index.php/rms/article/view/512

  13. Nigussie J, Girma B, Molla A, et al. Magnitude of postpartumhemorrhage and its associated factors in Ethiopia: asystematic review and meta-analysis. Reproductive Health2022; 19 (1): 1-13. https://doi.org/10.1186/s12978-022-01360-7

  14. Devi KP, Singh LR, Singh LB, et al. Postpartum hemorrhageand maternal deaths in North East India. Open Journalof Obstetrics and Gynecology 2015; 5 (11): 635-38. PostpartumHemorrhage and Maternal Deaths in North EastIndia (scirp.org)

  15. Elkhoudri N, Amor H, Baali A. Self-reported postpartummorbidity: prevalence and determinants among womenin Marrakesh, Morocco. Reprod Health 2015; 12 (1): 1-5.Self-reported postpartum morbidity: prevalence anddeterminants among women in Marrakesh, Morocco |Reproductive Health (springer.com)

  16. Mesfin S, Dheresa M, Fage SG, et al. Assessment of postpartumhemorrhage in a university hospital in EasternEthiopia: a cross-sectional study. International Journal ofWomen's Health 2021; 13: 663. Full article: Assessment ofPostpartum Hemorrhage in a University Hospital in EasternEthiopia: A Cross-Sectional Study (tandfonline.com)

  17. Linde LE, Rasmussen S, Moster D, et al. Risk factors andrecurrence of cause-specific postpartum hemorrhage: Apopulation-based study. Plos one 2022; 17 (10): e0275879.Risk factors and recurrence of cause-specific postpartumhemorrhage: A population-based study | PLOS ONE

  18. Kodan LR, Verschueren KJ, Prüst ZD, et al. Postpartumhemorrhage in Suriname: A national descriptive study ofhospital births and an audit of case management. PloSone 2020; 15 (12): e0244087. Postpartum hemorrhage inSuriname: A national descriptive study of hospital birthsand an audit of case management | PLOS ONE

  19. Borovac-Pinheiro A, Ribeiro FM, Pacagnella RC. Risk Factorsfor postpartum hemorrhage and its severe formswith blood loss evaluated objectively-a prospective cohortstudy. Rev Bras Ginecol Obstet 2021; 43 (02): 113-18.Thieme E-Journals - Revista Brasileira de Ginecologia eObstetrícia / RBGO Gynecology and Obstetrics / Full Text(thieme-connect.com)

  20. Crespo Antepara D, Mendieta Toledo LB. Context of hemorrhages,in the immediate puerperium. Mem Inst InvestigCienc Salud 2019: 5-9. 1812-9528-iics-17-03-5.pdf (una.py)

  21. Bazirete O, Nzayirambaho M, Umubyeyi A, et al. Risk factorsfor postpartum haemorrhage in the Northern Provinceof Rwanda: A case control study. PloS one 2022; 17 (2):e0263731. Risk factors for postpartum haemorrhage inthe Northern Province of Rwanda: A case control study| PLOS ONE

  22. Cuba-Fuentes MS, Romero-Albino Z, Dominguez R, et al.Dimensiones claves para fortalecer la atención primaria enel Perú a cuarenta años de Alma Ata. An Fac med 2018;79 (4): 346-50. http://www.scielo.org.pe/pdf/afm/v79n4/a13v79n4.pdf

  23. Inga-Berrospi F, Rodríguez CA. Avances en el desarrollo delos recursos humanos en salud en el Perú y su importanciaen la calidad de atención. Rev peru med exp salud publica2019; 36 (2): 312-18. a21v36n2.pdf (scielo.org.pe)

  24. Del Carmen Sara, JC. Lineamientos y estrategias paramejorar la calidad de la atención en los servicios desalud. Rev peru med exp salud publica 2019; 36(2): 288-295. https://www.scielosp.org/article/rpmesp/2019.v36n2/288-295/es/

  25. Velásquez T, Ríos G, Serra NI, et al. Encuentros entre el sistemadominante de salud y otros sistemas de salud en el Perú(2000-2012). Revista del Instituto Riva-Agüero 2019; 4 (1):339-52. https://doi.org/10.18800/revistaira.201901.008

  26. Alcalde-Rabanal JE, Lazo-González O, Nigenda G. Sistemade salud de Perú. Salud Pública de México 2011; 53 (suppl2): s243-s54. 19.pdf (scielosp.org)

  27. Soto A, Cvetkovich A. Estudios de casos y controles. RevFac Med Hum 2020; 20 (1): 138-43. http://www.scielo.org.pe/pdf/rfmh/v20n1/2308-0531-rfmh-20-01-138.pdf

  28. Argimon J, Jiménez J. Estudios de casos y controles. Métodosde investigación clínica y epidemiológica. 3rd ed.Barcelona: Elsevier 2004: 76-89. Métodos de investigaciónclínica y epidemiológica - Josep Maria Argimon Pallàs, JosepJiménez Villa - Google Libros

  29. Manterola C, Otzen T. Los sesgos en investigación clínica.Int J Morphol 2015; 33 (3): 1156-64. art56.pdf (scielo.cl)

  30. Ponce de León-Galarza MY. Indicadores clínico-epidemiológicosmaterno-fetales de atonía uterina en puérperaspost cesárea primaria en una clínica privada de agosto2017-agosto 2018. Rev Fac Med Hum 2019; 19 (2): 82-8.Indicadores clínico-epidemiológicos materno-fetales deatonía uterina en puérperas post cesárea primaria en unaclínica privada de agosto 2017 - agosto 2018 (scielo.org.pe)

  31. Távara A, Núñez M, Tresierra MÁ. Factores asociados aatonía uterina. Rev peru ginecol obstet 2022; 68 (2): 00005.http://dx.doi.org/10.31403/rpgo.v68i2424

  32. Ll C. Sociedad Española de Ginecología y Obstetricia(SEGO). Protocolos asistenciales en obstetricia. Infecciónurinaria y embarazo. Barcelona: Ediciones Mayo, 2004.https://www.sanidad.gob.es/biblioPublic/publicaciones/docs/vol29_2InfecUrinariaEmbarazo.pdf

  33. Quezada-Robles A, Quispe-Sarmiento F, Bendezu-QuispeG, et al. Fetal macrosomia and postpartum hemorrhage inLatin American and Caribbean Region: systematic reviewand meta-analysis. Rev Bras Ginecol Obstet 2023; 45 (11):e706-e723. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686756/

  34. Araujo Júnior E, Peixoto AB, Zamarian AC, et al. Macrosomia.Best practice & Research Clinical Obstetrics &Gynaecology 2017; 38: 83-96. http://doi.org/10.1016/j.bpobgyn.2016.08.003.

  35. Reyes OA. Riesgo de hemorragia posparto en la pacientegran multípara: estudio retrospectivo observacional. Clínicae Investigación en Ginecología y Obstetricia. 2011; 38(5): 169-72. https://sci-hub.se/https://doi.org/10.1016/j.gine.2010.01.002

  36. Karlsson H, Pérez Sanz C. Hemorragia postparto. AnalesSis San Navarra 2009; 32: 159-67. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1137-66272009000200014&lng=es

  37. Aragonés D, Barrios J, Franco DU, et al. Frecuencia dehemorragia obstétrica posparto en pacientes del HospitalRural Coscomatepec Prospera. Medicina general 2017; 6(5): 1. https://mgyf.org/frecuencia-hemorragia-obstetricaposparto-pacientes-del-hospital-rural-coscomatepecprospera

  38. Román-Soto JM, Oyola-García AE, Quispe-Ilanzo MP.Factores de riesgo de hemorragia primaria posparto.Rev Cubana Med Gen Integr 2019; 35 (1). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252019000100004&lng=es

  39. World Health O. Intrapartum care for a positivechildbirth experience. Geneva: World Health Organization2018: 212. https://iris.who.int/bitstream/handle/10665/260178/?sequence=1

  40. Silvares EÁ, Lavandeira SG, Cid PR, et al. Hemorragia pospartosecundaria o tardía. Prog Obstet Ginecol 2016; 59(1): 7-12. 03_OR_00081_Alvarez_esp.pdf (sego.es)

  41. Galindo Fago A, Villarroya Lacilla MM. Promoción de la lactanciamaterna en España y efectos en las madres y reciénnacidos. 2012. https://zaguan.unizar.es/record/7382/files/TAZ-TFG-2012-207.pdf

  42. Ponce-Pilozo MJ, Zapata-Mata MA, Cárdenas-Chávez AB, etal. Manejo de la hemorragia severa post-parto por atoníauterina. Domino de las Ciencias 2021; 7 (4): 1128-46. Vistade Manejo de la hemorragia severa post-parto por atoníauterina (dominiodelasciencias.com)

  43. Borges Damas L, Sixto Pérez A, Sánchez Machado R.Concepción integral del cuidado humanizado a la mujerdurante el trabajo de parto y parto. Rev Cubana Enfermer2018; 34 (3). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192018000300016&lng=es.

  44. Healy M, Nyman V, Spence D, et al. How do midwivesfacilitate women to give birth during physiological secondstage of labour? A systematic review. PloS one 2020; 15 (7):e0226502. How do midwives facilitate women to give birthduring physiological second stage of labour? A systematicreview | PLOS ONE

  45. Benítez González Y, Verdecia Ramírez M. Presentación deuna paciente con desgarro perineal obstétrico. CCM 2017;21: 583-90. Presentación de una paciente con desgarroperineal obstétrico (sld.cu)

  46. Wilson AN, Homer CSE. Third‐and fourth‐degree tears: Areview of the current evidence for prevention and management.Aust N Z J Obstet Gynaecol 2020; 60 (2): 175-182.https://doi.org/10.1111/ajo.13127

  47. INEI. Encuesta demográfica y de salud familiar. Lima P,editor. 2021. https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1838/

  48. Castiblanco Montañez RA, Coronado Veloza CM, et al.Hemorragia posparto: intervenciones y tratamiento delprofesional de enfermería para prevenir shock hipovolémico.Rev Cuid 2022; 13 (1): e2075. http://dx.doi.org/10.15649/cuidarte.2075

  49. Habitamu D, Goshu YA, Zeleke LB. The magnitude and associatedfactors of postpartum hemorrhage among motherswho delivered at Debre Tabor general hospital 2018. BMC2019; 12 (1): 1-6. The magnitude and associated factors ofpostpartum hemorrhage among mothers who delivered atDebre Tabor general hospital 2018 | BMC Research Notes(springer.com)

  50. Ataullakhanov FI, Koltsova EM, Balandina AN, etal. Classic and global hemostasis testing in pregnancyand during pregnancy complications. SeminThromb Hemost 2016; 42 (7): 696-716. https://doi.org/10.1055/s-0036-1592303.

  51. Organización Mundial de la Salud. Atención prenatal reenfocada.2016; 1: 10-5. https://iris.who.int/bitstream/handle/10665/250802/WHO-RHR-16.12-spa.pdf?sequence=1




2020     |     www.medigraphic.com