Abstract

CRESPO ANTEPARA, Delia  and  MENDIETA TOLEDO, Lenin Byron. Context of hemorrhages, in the immediate puerperium. Mem. Inst. Investig. Cienc. Salud [online]. 2019, vol.17, n.3, pp.5-9. ISSN 1812-9528.  https://doi.org/10.18004/mem.iics/1812-9528/2019.017.03.05-009.

Postpartum hemorrhage is one of the obstetric complications most feared by obstetricians worldwide, and may cause the death of puerperal women. The objective of this study was to determine the causes of hemorrhages and the pathologies associated with these in the patients treated at the Enrique C. Sotomayor Obstetric Hospital of Guayaquil, Ecuador in the period 2016 - 2018 and that were in their immediate puerperium. The women who attended in that period were 528 women, 160 of them presented hemorrhages in the immediate puerperium. Hemorrhages by pelvic floor tearing represented 48.75% and 35% were associated to bruises in the floor walls, those caused by retention of placental remains constituted 26.25% and 20% presented accretism and finally those caused by uterine atony were 25% while 25% corresponded to coagulopathies. We concluded that the postpartum hemorrhages by tearing of the pelvic floor are the cause with the highest percentage; in contrast to other studies, which indicate that uterine aton is the most frequent cause of immediate postpartum hemorrhage.

Keywords : Postpartum hemorrhage; causes; associated pathologies.

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