Examinando por Materia "Hemorragia postparto"

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  • Miniatura
    ÍtemAcceso abierto
    Characteristics and factors associated with Uterine Atony in postpartum cesarean women in a Social Security Hospital, 2018- 2023
    (Universidad Privada Norbert Wiener, 2024-08-10) Ayala Caballero, Geraldine Andrea; Espinoza Pacheco, Jorge Luis
    Objective: To determine the factors associated with uterine atony in cesarean postpartum women at Hospital Suárez Angamos III during the period 2018 to 2023. Material and methods: Quantitative, analytical observational case-control study. The sample size was 144, with uterine atony as the outcome variable and sociodemographic, clinical, and laboratory covariates. A data collection sheet was used, along with descriptive and analytical statistics, calculating the crude and adjusted Odds Ratio (OR) with a significance level of p<0.05. Results: 29.17% (n=14) were over 35 years old, the median blood loss volume was 800cc (IQR: 500-2700), 62.5% (n=30) had comorbidities, 72.92% (n=35) had adequate prenatal care, 25% (n=12) had a long inter-pregnancy interval, 8.33% (n=4) had a history of uterine atony, 50% (n=24) had multiparity, 56.25% (n=27) had previous severe preeclampsia, 91.67% (n=44) had thrombocytopenia, and 79.17% (n=38) had anemia. In the crude and adjusted models using Poisson regression, no statistically significant association with uterine atony was reported. Conclusion: No statistically significant associations were found between uterine atony and sociodemographic, clinical, or laboratory factors in cesarean postpartum women.
  • Miniatura
    ÍtemAcceso abierto
    Factors associated with postpartum hemorrhage in immediate postpartum women treated at the National Hospital Guillermo Almenara Irigoyen, 2020
    (Universidad Privada Norbert Wiener, 2022-12-01) Sanchez Rodríguez, Ena Del Pilar; Sanz Ramirez, Ana María
    Objective: To determine the factors associated with postpartum hemorrhage in puerperal women attended at the Hospital Nacional Guillermo Almenara Irigoyen in 2020. Method: The proposed study was a retrospective analytical cross-sectional study with a non-experimental design of cases and controls. The sample consisted of 406 immediate puerperal women, with 203 cases and 203 controls. Results: The sociodemographic factors that had a significant association with postpartum hemorrhage were age (p=0.009) (OR=2.4) and occupation (p=0.021) (OR=1.9). The obstetric factors that had a significant association with postpartum hemorrhage were uncontrolled pregnancies (0.000) (OR=4.1), multiparity (0.016) (OR=3.5), anemia during pregnancy (0.012) (OR=2.2), cesarean section (0.001) (OR=5.2), prolonged labor (0.000) (OR=6.8), retained placental remnants (0.022) (OR=4.2), uterine rupture (0.000) (OR=3.3), uterine atony (0.014) (OR=5.4), perineal tear (0.000) (OR=2.3), and uterine inversion (0.004) (OR=4.8). Conclusion: The study concludes that there are sociodemographic and obstetric factors associated with postpartum hemorrhage in puerperal women.