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2015, Number 2

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Rev Med Inst Mex Seguro Soc 2015; 53 (2)

Immediate Response team. 59 cases with obstetric hemorrhage

Martínez-Rodríguez ÓA, Portillo-Durán J, Tamés-Reyeros JÁ, Martínez-Chéquer JC, Carranza-Lira S
Full text How to cite this article

Language: Spanish
References: 9
Page: 132-135
PDF size: 205.07 Kb.


Key words:

Obstetrics, Hemorrhage, Emergency medical services.

ABSTRACT

Background: The lack of diagnosis as well as an appropriate medical and/or surgical treatment, due to an ineffi cient work team, contributes to the mortality associated to obstetric hemorrhage. The aim of this article is to analyze 59 cases in which the immediate response team (ERI) was implemented in patient with obstetric hemorrhage.
Methodology: Retrospective / prospective, observational, traverse and descriptive study in which 59 cases with obstetric hemorrhage and their attention by means of ERI.
Results: 59 patients with the diagnosis of obstetric hemorrhage were studied. The mean age of patients was 30.2 ± 6.8 years. The main reason that originated the obstetric hemorrhage, was abruption placenta followed by uterine atony. The place in which where the ERI was more frequently implemented was the expulsion room and in 93.2 % of the cases the doctor was who begin it. In 71.2 % it was not necessary to transfuse globular package. Only one surgery was carried out in 52.5 % of the cases and two in 28.8 %. The 90.1 % of women didn’t pass to intensive care unit, 8.5 % went in, and 1.7 % was transferred.
Conclusions: According to the results obtained in this study the application of ERI was in a correct, integrated and standardized way.


REFERENCES

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  4. Wright JD, Herzog TJ, Shah M, Bonanno C, Lewin SN, Cleary K, et al. Regionalization of care for obstetric hemorrhage and its effect on maternal mortality. Obstet Gynecol 2010;115(6):1194-200.

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  6. Gosman GG, Baldisseri MR, Stein KL, Nelson TA, Pedaline SH, Waters JH, et al Introduction of an obstetric- specifi c medical emergency team for obstetric crises: implementation and experience. Am J Obstet Gynecol 2008;198:367.e1-367.e7.

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  8. Palacios-Jaraquemada JM. Effi cacy of surgical techniques to control obstetric hemorrhage: analysis of 539 cases. Acta Obstet Gynecol Scand 2011;90(9):1036-42.

  9. Ruiz-Rosas RA, Cruz-Cruz PR, Aguilar-Sánchez L, Veloz-Martínez MG. Mortalidad materna. En: Tena- Alavez G, ed. Editoral Alfi l SA de CV:México. 2013;pp 89-111.




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Rev Med Inst Mex Seguro Soc. 2015;53