Demographic characterization, risk factors and outcomes in patients with postpartum hemorrhage, 2016 - 2022 in a referral hospital in southern Colombia
DOI:
https://doi.org/10.61182/rnavmed.v10n1a1Keywords:
Postpartum hemorrhage, Risk Factors, Morbidity, HysterectomyAbstract
Objective: To present the demographic profile, the interventions applied and maternal outcomes in women who experienced postpartum hemorrhage in a medium complexity hospital in Neiva, Colombia.
Methods: A descriptive, cross-sectional, retrospective cohort study was conducted, involving 142 postpartum women with a diagnosis of postpartum hemorrhage, attended in a public health institution between January 2016 and December 2022. The sampling was non-probabilistic by convenience, and the information was obtained by reviewing clinical records as a secondary source.
Results: A considerable proportion of the patients (42%) were between 19 and 25 years old. Vaginal delivery was used in 59.7% of the cases. The main cause of postpartum hemorrhage was uterine atony, responsible for 65% of the cases. Red blood cell transfusion was required in 57% of the patients. Fifty-seven percent also required admission to an ICU; however, 35% were admitted because of the concomitant presence of severe preeclampsia, treated with magnesium sulfate, and all of them experienced PPH due to atony. Only 18% of cases required surgical intervention, and a total of 21 patients underwent hysterectomy, of whom 7 initially received conservative surgical management. No maternal mortality was reported.
Conclusions: uterine atony was the most common cause of postpartum hemorrhage; the main risk factors for an adverse outcome, such as hysterectomy, included placenta previa, placental accreta, and deliveries attended at that health care center.
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