Causas de hemorragia postparto

Postpartum hemorrhage (PPH) is considered an obstetric emergency and is one of the top five causes of maternal mortality worldwide and the leading cause of maternal mortality in low-income countries. Postpartum hemorrhage is the second leading cause of maternal death in Ecuador. Therefore, it is pro...

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Bibliographic Details
Main Authors: Astudillo Córdova, Madeline Carolina, Landín Ramírez, Tania Melissa, Vélez Vera, Andrea Jeanette, Villavicencio Briones, Wendy Vanessa
Format: Article
Language:Spanish
Published: 2021
Subjects:
Online Access:https://dialnet.unirioja.es/servlet/oaiart?codigo=7941093
Source:RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 1, 2021, pags. 191-206
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Summary: Postpartum hemorrhage (PPH) is considered an obstetric emergency and is one of the top five causes of maternal mortality worldwide and the leading cause of maternal mortality in low-income countries. Postpartum hemorrhage is the second leading cause of maternal death in Ecuador. Therefore, it is proposed to make a compendium of the causes of Maternal Hemorrhages and thus provide an update on the subject available for the medical field in general, under the premise that this obstetric complication has not been given the necessary importance to understand it as a real one. medical emergency. Considering the available technological search tools, it is necessary to find the scientific publications that will allow us to address, in an updated way, the causes of Postpartum Hemorrhage. In the bibliographic review of death we have found, mainly that death is completely avoidable if there is a timely diagnosis and an estimate since PPH is an emergency to be treated as such. Last but not least, this female complication does not have current statistical data. A study indicates the most frequent causes: uterine atony, trauma / laceration, retention of post-conception placental challenges and coagulation disorders. Some authors consider uterine atony as the most frequent cause; responsible for 50 to 70% of postpartum hemorrhages and 4% of all maternal deaths. Also, the tear of the pelvic floor is a cause to take into consideration, since it is accompanied by a denervation of the pelvic floor muscles due to damage to the pudendal and sacral nerves, as a result of vaginal births, which could be due to the instrumentation used in delivery care.