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Atonía uterina post parto eutócico simple
| dc.contributor.advisor | Muñoz, Lilian | |
| dc.contributor.author | Riquero Carvajal, Jeniffer Alexandra | |
| dc.date.accessioned | 2020-09-29T20:10:29Z | |
| dc.date.available | 2020-09-29T20:10:29Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8408 | |
| dc.description | The postpartum hemorrhage is one of the main causes of obstetrics emergencies. The maternal mortality rate due to hemorrhages ranges from 30% to 50%. The most important risk factors are advanced maternal age and chronic pathologies. It is universally defined as haematic loss above 500 ml following a vaginal delivery or above 1,000 ml following a caesarean. An early postpartum haemorrhage (EPH) is one that occurs during the first 24 hours following delivery and is generally the most serious.The late is what happens after 24 hours after delivery until 6 weeks after it. The causes of PPH include uterine atony, traumas/ lacerations, retention of products of conception and coagulation disorders, the most frequent being atony and the latter can occur due to different factors of which one of them was the factor that triggered the hemorrhage in the present case. Multiparity is associated with an increase in fibrous tissue that can interfere with muscle contraction, since uterine over- distention exhausts the tone of muscle fibers, which is why a multiparous uterus is more prone to atony. It can be prevented by an active mangement of the third stage of labour and its treatment goes from the use of uterotonics drugs to an emergency hysterectomy. | es_ES |
| dc.description | The postpartum hemorrhage is one of the main causes of obstetrics emergencies. The maternal mortality rate due to hemorrhages ranges from 30% to 50%. The most important risk factors are advanced maternal age and chronic pathologies. It is universally defined as haematic loss above 500 ml following a vaginal delivery or above 1,000 ml following a caesarean. An early postpartum haemorrhage (EPH) is one that occurs during the first 24 hours following delivery and is generally the most serious.The late is what happens after 24 hours after delivery until 6 weeks after it. The causes of PPH include uterine atony, traumas/ lacerations, retention of products of conception and coagulation disorders, the most frequent being atony and the latter can occur due to different factors of which one of them was the factor that triggered the hemorrhage in the present case. Multiparity is associated with an increase in fibrous tissue that can interfere with muscle contraction, since uterine over- distention exhausts the tone of muscle fibers, which is why a multiparous uterus is more prone to atony. It can be prevented by an active mangement of the third stage of labour and its treatment goes from the use of uterotonics drugs to an emergency hysterectomy. | es_ES |
| dc.description.abstract | La hemorragia postparto es una de las principales emergencias obstétricas. La tasa de mortalidad materna por hemorragias oscila entre 30 y 50%. Los factores de riesgo más importantes son: edad materna avanzada y enfermedades crónicas. Universalmente se define como la pérdida hemática superior a 500 ml tras un parto vaginal o a 1.000 ml tras una cesárea. La hemorragia postparto precoz (HPP) es aquella que ocurre durante las primeras 24 horas tras el parto y es generalmente la más grave. La tardía es la que acontece después de 24 horas tras el parto hasta 6 semanas tras el mismo. Las causas de HPP incluyen atonía uterina, traumas/laceraciones, retención de productos de la concepción y alteraciones de la coagulación, siendo la más frecuente la atonía y esta última puede darse por diferentes factores de los cuales uno de ellos fue el factor que desencadenó la hemorragia en el presente caso. La multiparidad se asocia al incremento del tejido fibroso que puede interferir en la contracción muscular, ya que la sobre distensión uterina agota el tono de las fibras musculares por eso un útero de multípara tiene mayor tendencia a atonía. Su prevención se basa en el manejo activo del trabajo de parto y el tratamiento va desde el uso de terapias farmacológicas con uterotónicos hasta la histerectomía de urgencia. | es_ES |
| dc.format.extent | 48 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2020 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Hemorragia Postparto | es_ES |
| dc.subject | Multiparidad | es_ES |
| dc.subject | Atonia Uterina | es_ES |
| dc.subject | Uterotònicos | es_ES |
| dc.subject | Pérdida Hemática | es_ES |
| dc.title | Atonía uterina post parto eutócico simple | es_ES |
| dc.type | bachelorThesis | es_ES |
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