Factores de riesgo de hemorragia post parto en primigestas de 15 años a 25 años del Hospital General Monte Sinaí en el periodo 2022 a 2023.

Abstract

Postpartum hemorrhage is a serious complication that can put the mother's life at risk after childbirth. This problem is particularly relevant in the context of primigravidas, that is, women who are giving birth for the first time. Risk factors associated with postpartum hemorrhage can vary significantly depending on age and specific obstetric conditions. Objective: Characterize the risk factors for postpartum hemorrhage in primigravida patients aged 15 to 25 years at the Monte Sinai general hospital 2020-2022. Methodology: This is a descriptive, observational, cross-sectional and retrospective study. This characterized the main risk factors for postpartum hemorrhage in primigravida patients. Results: In our population, only 100 patients were found after the correct use of the exclusion and inclusion criteria, of which 100% were primigravida, in the same way 46% had premature births and 54% of births were full term. in which 41% were delivered vaginally and 59% were delivered by cesarean section. Among the main risk factors is preeclampsia with 17%, followed by uterine atony with 16%; previous surgeries 15%. The severity of postpartum hemorrhage was classified according to the volume loss in which 45% was lost between 1001 to 1500 ml; followed by a loss of 34% between 1501 to 2000ml and finally 16% obtained a loss greater than 2000ml. Among the risk factor and severity of hemorrhage, uterine atony occurred in 31.3% of patients with a loss > 2000 ml of blood. Conclusions: Understanding these risk factors is crucial for the prevention and effective management of this complication.