Evaluación de la utilidad de aplicación móvil para valoración del grado de pérdida hemática y shock en pacientes postparto del Hospital José Carrasco Arteaga Cuenca 2024

Abstract

Background: Globally, postpartum hemorrhage (PPH) occurs in 5–15% of deliveries and accounts for 25–30% of maternal deaths. In Ecuador, during 2021, PPH represented 7.78% of maternal mortality causes. Timely detection, availability of appropriate resources, and adequate response are crucial to preventing severe maternal morbidity and mortality. Objectives: To evaluate the utility of a mobile application in assessing the degree of blood loss and shock in postpartum patients at José Carrasco Arteaga Hospital, Cuenca, 2024. Methods: A descriptive study was conducted. Information was collected through surveys. Data were recorded in Excel, entered into the mobile application, and analyzed using SPSS. Results were classified as absent, mild, moderate, or severe postpartum hemorrhage based on clinical history, and as compensated, mild, moderate, or severe shock according to the mobile application. Results: Among 150 patients, 39.3% were aged 30–35 years, 80.7% resided in urban areas, 60.7% were privately employed, 46.7% were married, 52.7% had higher education, and 36.7% reported one pregnancy. Based on clinical history, 89.3% of patients did not present with hemorrhage, while 10.7% experienced postpartum hemorrhage. Regarding shock severity, a large percentage showed no signs of shock postpartum or at 01h00, 01h30, and 02h00. Similarly, the mobile application yielded comparable results, registering most cases as compensated shock. Conclusions: The mobile application demonstrated a high capability to identify cases of postpartum shock compared to clinical records, particularly in mild, moderate, and severe shock categories. This highlights its utility as a complementary technological tool in clinical settings to improve the detection and management of postpartum complications.