Identificación de las etiologías hemorragicas Post-Parto en mujeres mayores a 25 años del hospital General IESS Babahoyo del área de Gineco-obstetricia en el año 2023-2024 .

Abstract

Postpartum hemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality worldwide, associated with risk factors such as advanced age, high parity, and pre-existing medical conditions. This study aims to identify postpartum hemorrhagic etiologies in women over 25 years old treated at the General IESS Hospital in Babahoyo during the 2023-2024 period. The methodology used was observational, descriptive, retrospective, and cross-sectional, analyzing medical records of patients who experienced PPH. The results revealed that most PPH cases occurred in women aged between 35 and 45, with uterine atony being the leading cause, followed by coagulopathies and placental retention. Additionally, a significant relationship between hypertension, diabetes, and postpartum hemorrhagic complications was observed. These findings highlight the importance of personalized clinical management strategies and the adaptation of specific protocols for the Ecuadorian context. In conclusion, early identification of risk factors and proper management can reduce the morbidity and mortality associated with PPH, improving maternal health outcomes at the General IESS Hospital in Babahoyo.