Prevalencia de hemorragia posparto y factores asociados al uso de oxitocina en labor de parto, Hospital José Carrasco Arteaga, Enero – Diciembre 2019

Abstract

Background: According to the World Health Organization (WHO), postpartum hemorrhage is the cause of 25-30% of direct maternal deaths. In developing countries, about 99% of deaths are related to pregnancy, childbirth or the puerperium. In Ecuador, postpartum hemorrhage is considered the second cause of maternal death. Although postpartum hemorrhage by itself is severe, it is even more serious if it is associated with other pathologies of the pregnant woman. (1) Objective: To determinate the prevalence of postpartum hemorrhage and factors associated with the use of oxytocin in labor, at the “Hospital José Carrasco Arteaga”, from January to December 2019. Methodology: It is a cross-sectional and analytical investigation of the medical records of women who have used oxytocin in labor from January to December 2019 at the “Hospital José Carrasco Arteaga”. A form was used to collect data (Annex 2) from the patients' medical records, which are specified in tables and graphs using the prevalence, 95% confidence interval and odds ratio as statistical measures of analysis. Results: A total of 248 patients who were attended for childbirth conducted and / or induced at the “Hospital José Carrasco Arteaga”, 15 patients had postpartum hemorrhage (6.05%). The factors associated with a statistical relationship for postpartum hemorrhage were: hypertensive disorders of pregnancy (OR 3,661; 95% CI 1,116 - 11,490; p = 0.01) and gestational diabetes (OR 8,808; 95% CI 1,475 - 52,594; p = 0.005). Conclusions: Postpartum hemorrhage has a prevalence of 6,05% and the factors associated are: hypertensive disorders of pregnancy and gestational diabetes.