Caracterización de hemorragia postparto en pacientes de 18 a 35 años atendidas en el Hospital León Becerra de Milagro de enero del 2023 a mayo del 2024.

Abstract

Introduction: Postpartum hemorrhage, the leading cause of maternal mortality in the region, is defined as a blood loss ≥500 ml after vaginal delivery or ≥1000 ml after cesarean section. Its risk factors include multiparity, prolonged labor, preeclampsia, and deficiencies in the health system. Objective: To determine the characteristics of postpartum hemorrhage in patients aged 18 to 35 years attended at the León Becerra Hospital in Milagro from January 2023 to May 2024. Methodology: This study had an observational, descriptive, cross- sectional, and retrospective design. Results: The results identified 100 postpartum women with a diagnosis of postpartum hemorrhage, with the late form being the most prevalent (53%). Most were primiparous (39%), with a history of previous cesarean section in 55% and high obstetric risk in 42%. The most frequent cause was placental debris (33%), and the most common complication was anemia (26%). In addition, 32% of patients had less than two prenatal controls. Conclusions: Late postpartum hemorrhage predominated among puerperal women, with retained placental debris as the main cause, reflecting shortcomings in the management of delivery and immediate postnatal follow-up; anemia was the most frequent complication, evidencing the clinical consequences of uncontrolled blood loss.