Echeverría-Miranda CA, Sandoval-Rodríguez E, Gómez Bravo-Topete E, Vázquez-de Anda GF, Rodríguez-Roldán M, Briones-Garduño JC

Language: Spanish
References: 6
Page: 125-128
PDF size: 269.06 Kb.

ABSTRACT

Introduction: In recent years there have been articles that have been proposed to prevent and/or reduce maternal and perinatal mortality, leading to establish hospital strategies to implement an immediate response team (ERI), through three actions: A) identify, B) treating and C) move. Objective: Present the case of a 39 year old woman in whom a pregnancy of 34-35 weeks was diagnosed with obstetric hemorrhage abruptio placenta abruption (abruptio placenta), in which the ERI HGO IMSS No. 221 was successfully active. Presentation of the case: We report the case of a patient of 39 years with 34-35 weeks gestation pregnancy, obstetric hemorrhage secondary to abruptio placenta abruption, underwent surgery for termination of pregnancy as emergency obstetric. Taking as findings: multiple adhesions, placenta 100% detached, amniotic fluid hematico 100%, umbilical cord with dark coloration blood count, multiple fibroids in anterior and posterior intramural and multiple fibroids in uterine serous with severe endometriosis, uresis 200 mL and 3,000 cm³ bleeding. Getting a newborn at 16:40 hrs woman weighing 2,250 grams, Apgar 6-7 size 47 cm and a Capurro of 36 weeks of gestation. Patient is transferred to the Intensive Care Unit (ICU) and the newborn Neonatal Intensive Care Unit (NICU). After a year of monitoring the patient and her daughter are healthy. Conclusions: Timely and effective activation of the ERI to emergency obstetric (Mater Code) saves lives, preserving the integrity of the maternal-fetal binomial.

REFERENCES

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