Técnica de b-lynch para disminuir la mortalidad materna en la hemorragia postparto con atonía uterina en el año 2018 -2019.

Abstract

Introduction: Uterine atony is defined as the lack of contraction of the myometrial cells of the uterus during childbirth, is the most common cause of maternal mortality worldwide due to its complications, and the second most important cause of maternal death in Ecuador. The uterine atony represents 70% frequency. Of these, approximately 20% of cases can perform surgical techniques such as the B-Lynch technique to reduce maternal mortality. Objective: To determine the efficacy of the B-Lynch technique to avoid postpartum hemorrhage with uterine atony in patients of the University Hospital of Guayaquil from 2018-2019. Material and methods: Observational, descriptive and prospective study, carried out in the area of Obstetrician-Gynecologist of the University Hospital of, Guayaquil, from January 2018 to January 2019, for the study of patients with postpartum hemorrhage with uterine atony subjected to B technique. -Lynch. Results: Of the 150 cases analyzed, 140 were performed using the B-Lynch technique, in the contingency table all 10 cases of hysterectomy can be observed, while 7 of the cases of B-Lynch had a hysterectomy, reaching a Del 94.7% for cases of uterine atony. This result is verified by the Chi square test where the asymptotic significance of two faces is evidenced, this being less than 0.05, which shows that the B-Lynch technique is related to hysterectomy, that is, the application of the technology eliminates the possibility of hysterectomy with 94.7% of results, which is positive for the present study Conclusions: The use of the surgical technique B-Lynch showed that 94.74% is effective with respect to not using hysterectomy, however in patients who did not apply the B-Lynch technique they had a 100% application of hysterectomy , therefore it is considered that the technique is effective.