2016, Number 12
Ginecol Obstet Mex 2016; 84 (12)
Hernández-Morales MA, García-de la Torre JI
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ABSTRACTBackground: Obstetric hemorrhage is one of the leading causes of maternal morbidity and mortality in the world, in developing countries it is the first. It´s defined by a blood loss greater than 500cc in childbirth and 1000cc in cesarean section; however there are different parameters that allow us to diagnose these patients. Major causes are uterine atony, retained placental tissue, trauma, and coagulopathy. It is important to know that 80% of are preventable.
Objetive: To determine risk factors for obstetric hemorrhage in patients treated at University Hospital in Saltillo.
Methods: Prospective, descriptive and comparative study carried out in patients attended at the Hospital Universitario de Saltillo (Mexico) between March 2014 and March 2015. The patients studied were divided into two groups: with bleeding (problem group) and without (control group), and subdivided according to the path of birth: birth or cesarean section.
Results: There were a total of 371 patients of which is reported as followed, 312 patients in control, 59 in group problem. An incidence of 16% of obstetric hemorrhage was observed in the population, of which conducting labor, was the most important risk factor (20% vs. 9 p= 0.0044)
Conclusions: Risk factors associated with obstetric hemorrhage are identifiable from the first contact; however, it has been overlooked, that the most important risk factor for hemorrhage in our institution is interventionism and indiscriminate use of oxytocin.