Complicaciones maternas en primigestas de 13 a 38 años durante el puerperio quirúrgico inmediato en el Hospital General Guasmo Sur en el periodo de enero 2017 - enero 2018.

Abstract

Cesarean section is one of the most frequently performed surgical procedures worldwide. In Ecuador, 49% of deliveries are carried out by this technique. It is a procedure that consists in the extraction of the fetus through a uterine incision. However, like any surgical procedure there is the possibility of developing complications. Among the most frequent are: hemorrhages, hypotonia or uterine atony, coagulation disorders, placental retention, bladder balloon, hematoma, lower limbs thrombosis, infections and even death. The objective of our study was to determine the frequent maternal complications during the immediate surgical puerperium in primiparous patients from 13 to 38 years old in the Hospital General Guasmo Sur from January 2017 to January 2018. For which of a population of 795 people, a random sample of 100 individuals was taken to estimate the results. With the results collected, we were able to establish that the 42% of patients did not present any complication. However, about 58% of the patients who did have complications, the three most frequent were cystitis, vaginitis and endometritis; occupying 11%, 10%, and 9% respectively. Other complications that occurred in less than 7% were postpartum depression, mastitis, salpingitis, puerperal psoriasis, birth canal tearing, and finally uterine atony. So, we can conclude that beside the statistics at our country show uterine atony as the main complication during the immediate surgical post-partum period, in our research postpartum cystitis occupied the first place.