Published date: Sep 09 2021

Journal Title: ESPOCH Congresses: The Ecuadorian Journal of S.T.E.A.M.

Issue title: Volume 1, Issue 6

Pages: 1538–1548

DOI: 10.18502/espoch.v1i6.9641

Lino Arturo Rojas Pérezlinoarojas@hotmail.comFacultad de Salud Pública, Carrera de Medicina, Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador

Lino Arturo Rojas CruzFacultad de Salud Pública, Carrera de Medicina, Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador

María Daniela Villagómez VegaProSalud Medical Center, Jacinto Gonzales 1951 y Rey Cacha, Riobamba, Ecuador

Augusto Ernesto Rojas CruzProSalud Medical Center, Jacinto Gonzales 1951 y Rey Cacha, Riobamba, Ecuador

Andrés Eduardo Rojas CruzProSalud Medical Center, Jacinto Gonzales 1951 y Rey Cacha, Riobamba, Ecuador

Introduction: Postpartum hemorrhage is blood loss greater than 500 mL after a normal delivery or more than 1000 mL after a cesarean section, or any postpartum bleeding regardless of the amount causing hemodynamic instability. The uterine blood flow in a term pregnancy is approximately 500 to 700 mL/min, for this reason, a patient who presents this complication, in a few minutes, can be drained and compromise her life. Objective: To determine the efficacy of the intrauterine compression, balloon in the management of postpartum hemorrhage due to hypotonia or uterine atony, at the General Teaching Provincial Hospital of Riobamba from October 2015 to September 2016. Methodology: The effectiveness of the use of the intrauterine compression balloon after the failure of pharmacological management was analyzed and statistical evaluation was applied to determine the efficacy of this method for the management of this pathology. Results: It was placed in 23 patients who presented postpartum hemorrhage due to hypotonia or uterine atony, and it had an effectiveness of 94.4% after a vaginal delivery and 80% after a cesarean section. Reaffirming that it is an excellent option in the management of this type of complications. Conclusions: Postpartum hemorrhage is the second cause of maternal death nationwide, technical and timely action will help reduce maternal morbidity and mortality that this pathology can present; the use of the intrauterine hydrostatic compression balloon is an excellent alternative prior to the surgical management of this pathology.

Keywords: postpartum hemorrhage, uterine bleeding, uterine tamponade with balloon.

RESUMEN

Introducción: La hemorragia posparto es la pérdida sanguínea mayor de 500 mL luego de un parto normal o más de 1000 mL luego de una cesárea, o cualquier sangrado posparto independientemente de la cantidad que cause inestabilidad hemodinámica. El riego sanguíneo uterino en un embarazo a término es de aproximadamente 500 a 700 mL/min por tal motivo, una paciente que presente esta complicación, en pocos minutos puede quedar exangüe y comprometer si vida. Objetivo: Determinar la eficacia del balón de compresión intrauterino en el manejo de la hemorragia posparto por hipotonía o atonía uterina, en el Hospital Provincial General Docente de Riobamba de Octubre del 2015 a septiembre del 2016. Metodología: Se analizó la efectividad del uso del balón de compresión intrauterina luego del fracaso del manejo farmacológico y se aplicó la evaluación estadística para determinar la eficacia de este método para el manejo de esta patología. Resultados: Se colocó en 23 pacientes que presentaron hemorragia posparto por hipotonía o atonía uterina, y se tuvo una efectividad del 94.4 por ciento luego de un parto vaginal y del 80% luego de una cesárea. Reafirmando que es una excelente opción en el manejo de este tipo de complicaciones. Conclusiones: La hemorragia posparto es la segunda causa de muerte materna a nivel nacional, el accionar técnico y oportuno ayudará a disminuir la morbimortalidad materna que puede presentar esta patología; la utilización del balón de compresión hidrostático intrauterino es una excelente alternativa previo al manejo quirúrgico de esta patología.

Palabras clave: hemorragia posparto, hemorragia uterina, taponamiento uterino con balón.

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