Browsing by Author "Lasso Reino, Gabriela Karina"

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    Cumplimiento del protocolo de manejo de la paciente con hemorragia obstétrica, Hospital Vicente Corral Moscoso, de enero a diciembre de 2018, Cuenca 2019
    (2019-06-28) Lasso Reino, Gabriela Karina; Maldonado Pérez, Michelle Patricia; Orellana Orellana, Mercy del Cisne
    Background: obstetric hemorrhage or bleeding during pregnancy, childbirth or puerperium is a medical emergency that requires immediate action, requires multidisciplinary management, based on standard procedures in order to reduce maternal mortality Objective: a descriptive, retrospective, cross-sectional study, carried out with data taken from clinical histories with obstetric hemorrhage diagnosis and that met the selection criteria, gynecology and obstetrics service. Methodology: a descriptive, retrospective, cross-sectional study, carried out with data taken from clinical histories with obstetric hemorrhage diagnosis and that met the selection criteria, gynecology and obstetrics service. Results: in 2018 4776 births were attended; 230 (4.82%) presented obstetric hemorrhage, 51.3% occurred in women between 18 - 25 years, 39.1% free union, 37.0% primigraves; 43.5% nulliparous, 74.3% full-term pregnancy and 10% cesarean section. 9 clinical management actions were execute in 100% compliance emergency; 18 actions in hospitalization: 7 of clinical order in which there was no record and 11 surgical procedures; with compliance of 74.3%. For this, it has been confirmed that the actions are maintained in each case, have been made, in the case that they have not been accomplish, except in cases where it is not applied. Conclusions: The compliance level of the protocol was lower than the recommendation of the Ministry of Health (91.6%).