Propuesta de mejora para el manejo básico integral de la hemorragia obstétrica postparto

La mortalidad materna es uno de los indicadores más preocupantes a nivel mundial y la hemorragia obstétrica es la primera causa por lo tanto aumenta el ingreso de pacientes a la Unidad de Cuidados Intensivos según la Organización Mundial de la Salud. En naciones en vías de desarrollo se coloca en uno de los primeros lugares en Salud Pública a nivel mundial. Se calcula que al año mueren 140,000 mujeres a causa de hemorragia posterior al parto. En México la razón de mortalidad materna es de 32.0 defunciones por cada 100 mil nacimientos y la primordial causa es por hemorragia obstétrica. Dentro de los principales estados con mayor índice de mortalidad están: Estado de México, Chiapas, Veracruz y Guanajuato, es de suma importancia mencionar que una muerte por hemorragia obstétrica es prevenible y debe evitarse. El 28.38% de pacientes que ingresaron al hospital de ginecología de Morelos presentó hemorragia obstétrica confirmando la alta incidencia de este evento obstétrico. De un total de ingresos a terapia por 458 pacientes 130 presentaron hemorragia.

The World Health Organization has Maternal death as one of the most worldwide concerning indicators, being obstetric hemorrhage its main cause, having therefore an increase in the admission of patients to the Intensive Care Unit. In developing countries, hemorrhage after vaginal birth or c-section is one of the first causes of death in women, becoming one of the main problems of Public Health all over the planet. It is estimated that about 140,000 women die because of hemorrhage during delivery care. In México the maternal mortality ratio is 32.0 deaths per 100 thousand births, and the main cause is obstetric hemorrhage. The States with the higher index of mortality are Estado de Mexico, Chiapas, Veracruz and Guanajuato. It is very important to mention that a death because of hemorrhage during delivery care can and must be prevented. The 28.38% of the patients that were attended at the obstetrics and gynecology hospital in Morelos had presented an obstetric hemorrhage, being the affirmation of the high incidence of this problem. 130 from 458 patients that were admitted to Intensive Care Unit, were diagnosed with massive blood loss during postpartum or c-section.