Determinación del sangrado durante el parto y factores asociados a hemorragia, Hospital Vicente Corral Moscoso, Cuenca-Ecuador

Abstract

Background: Bleeding intrapartum / postpartum is one of the three leading causes of maternal mortality. Statistics indicate that up to 8% of deaths are due to hemorrhage. Objective: To determine the prevalence of intrapartum hemorrhage and associated factors in Vicente Corral Moscoso Hospital.

Methods: Cross-sectional study of prevalence, held at the Vicente Corral Moscoso Hospital, with 409 parturients, 2012.

Hypothesis: intrapartum hemorrhage is more common when associated factors such as multiparity, dystocia conducted, using magnesium sulfate, birth weight greater than 3500 grams, pre-existing anemia, episiotomy, prolonged active phase, delivery driving at or above 4 hours.

Results: The average blood loss was 340.63 ml. The prevalence of hemorrhage was 9%. Associated factors were conducted dystocia RP 3.58, 95% CI (1.97-6.48) p 0.000; magnesium sulfate use RP 3.69, 95% CI (1.45-7.50) p 0022; newborn weighing more than 3500 grams, PR 3.34, 95% CI (1.81-6.02) p 0.000; anemia PR 2.34, 95% CI (1.27-4.28) p 0012; delivery driving at or above 3.63 RP 4 hours, 95% (1490-6926) p 0.014.

Conclusions: The prevalence of intrapartum hemorrhage in our study is similar to that reported in the international literature, demonstrating an association with factors initially raised except multiparity, episiotomy and prolonged active phase.