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Conducta obstétrica en multípara de 29 años de edad con 37.3 semanas de gestación y shock hipovolémico
| dc.contributor.advisor | Martínez Álvarez, Marlon | |
| dc.contributor.author | Zambrano Caizaluisa, Narcisa Thalia | |
| dc.date.accessioned | 2021-06-02T14:33:27Z | |
| dc.date.available | 2021-06-02T14:33:27Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/9414 | |
| dc.description | Hypovolemic shock is a serious complication of postpartum hemorrhage that increases maternal morbidity and mortality both globally and locally, which is why it is considered one of the main public health problems, in 2019, there were 123 deaths that represent a maternal mortality ratio of 37.0 per 100,000 live births. Reason why the writing of this report is motivated based on the case of a 29-year-old patient with a 37.3-week pregnancy who went to the Hospital Sagrado Corazón de Jesús for delivery care that was complicated by placental retention and arrived a Hypovolemic Shock. This study is based on the descriptive, observational, qualitative and clinical method, in order to analyze the different predisposing factors which led to a pathological delivery. It is concluded that these factors, such as a history of placental retention in previous deliveries, multiparity, insufficient controls and added pathologies lead to the aforementioned complications. It is recommended during the anamnesis to consult relevant data regarding the previous delivery, in addition to studying the cases related to the main causes of postpartum hemorrhage at the Sagrado Corazón de Jesús hospital, since obstetric hemorrhage is the main cause of maternal death and The hospital unit does not have a blood bank, in addition to the optimal training of the professional in order to maintain an active obstetric behavior, timely and according to the case. | es_ES |
| dc.description | Hypovolemic shock is a serious complication of postpartum hemorrhage that increases maternal morbidity and mortality both globally and locally, which is why it is considered one of the main public health problems, in 2019, there were 123 deaths that represent a maternal mortality ratio of 37.0 per 100,000 live births. Reason why the writing of this report is motivated based on the case of a 29-year-old patient with a 37.3-week pregnancy who went to the Hospital Sagrado Corazón de Jesús for delivery care that was complicated by placental retention and arrived a Hypovolemic Shock. This study is based on the descriptive, observational, qualitative and clinical method, in order to analyze the different predisposing factors which led to a pathological delivery. It is concluded that these factors, such as a history of placental retention in previous deliveries, multiparity, insufficient controls and added pathologies lead to the aforementioned complications. It is recommended during the anamnesis to consult relevant data regarding the previous delivery, in addition to studying the cases related to the main causes of postpartum hemorrhage at the Sagrado Corazón de Jesús hospital, since obstetric hemorrhage is the main cause of maternal death and The hospital unit does not have a blood bank, in addition to the optimal training of the professional in order to maintain an active obstetric behavior, timely and according to the case. | es_ES |
| dc.description.abstract | El shock Hipovolémico es una complicación grave de la hemorragia posparto que aumenta la morbilidad y mortalidad materna tanto a nivel mundial como local, por lo que es considerado uno de los principales problemas de salud pública, en el año 2019, se registra 123 defunciones que representan una razón de mortalidad materna de 37,0 por cada 100.000 nacidos vivos. Razón por la cual se motiva la redacción de este informe en base al caso de una paciente de 29 años de edad con embarazo de 37.3 semanas de gestación que acudió al Hospital Sagrado Corazón de Jesús por atención de parto que se complicó por retención placentaria y llego a Shock Hipovolémico. Este estudio está basado en el método descriptivo, observacional, cualitativo y clínico, con el fin de analizar los diferentes factores predisponentes el cual llevo a un alumbramiento patológico. Se llega a la conclusión que estos factores como son antecedentes de retención placentaria en partos anteriores, multiparidad, controles insuficientes y patologías agregadas conllevan a las complicaciones mencionadas. Se recomienda durante la anamnesis consultar sobre datos relevantes referentes al parto anterior, además, de estudiar los casos relacionados con las principales causas de hemorragia del postparto en el hospital Sagrado Corazón de Jesús ya que la hemorragia obstétrica es la principal causa de muerte materna y la unidad hospitalaria no cuenta con banco de sangre, además de la capacitación óptima del profesional para así mantener una conducta obstétrica activa, oportuna y acorde al caso. | es_ES |
| dc.format.extent | 34 p | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2021 | 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 | Retención Placentaria | es_ES |
| dc.subject | Shock Hipovolemico | es_ES |
| dc.subject | Hemorragia | es_ES |
| dc.title | Conducta obstétrica en multípara de 29 años de edad con 37.3 semanas de gestación y shock hipovolémico | es_ES |
| dc.type | bachelorThesis | es_ES |
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