Prevalencia de histerectomía en hemorragia postparto en el Hospital de la Mujer Alfredo G. Paulson en el período octubre 2015 - octubre 2018.

Abstract

The main objective was to determine the prevalence of hysterectomies in pregnant women who presented postpartum hemorrhage, through a descriptive, retrospective study, from 172 cases of early and late postpartum hemorrhage, through their medical records collected at the Hospital Alfredo G Paulson between october 2015 and october 2018, who met inclusion criteria (immediate postpartum haemorrhage, secondary or late postpartum hemorrhage, hysterectomy between 15 and 44 years). Among the results obtained were 115 cases corresponding to early postpartum haemorrhage and 57 cases to late postpartum hemorrhage, of which 28 hysterectomies were performed in women with satisfied parity; as a last emerging resource to save the life of the mother. Among the main causes obtained was first 69,8% uterine atony followed by obstetric trauma 18%, tissue retention 11%, postpartum hemorrhage was strongly associated with prior uterine scar or previous cesareans 29,7% and 18,6% placenta previa.