Prevalence and epidemiological profile of puerperas with postpartum hemorrhage. Ayacucho 2000-2015 ; Prevalencia y perfil epidemiológico de puérperas con hemorragia postparto. Ayacucho 2000-2015

Postpartum hemorrhage continues to be the first cause of maternal death in the world, adding risk factors that can complicate this pathology and in our means the high indicators of poverty constitutes situations encouraging. Objective: Establish the prevalence and epidemiological profile of puerperas with immediate postpartum hemorrhage attended at the Regional Hospital of Ayacucho during sixteen years (2000 - 2015), making use of the analytical observational design case control in the population of puerperas with postpartum hemorrhage, constituted for 932 cases and 2,779 controls of a total of 42,594 births attended in that period. Results: We found a postpartum hemorrhage prevalence of 2.19%. The main cause was the uterine atony, both in vaginal deliveries and caesarean sections. There is association between postpartum haemorrhage with abnormality of the dynamics of labor, childbirth prolonged, fetal macrosomia, severe pre-eclampsia and premature placenta detachment. Logistic regression analysis confirmed the association found in two-dimensional analysis for severe preeclampsia (p = 0.000 0 <0.05, OR = 1.96, 95%CI: 1.37, 2.81, considering it as factors associat>with postpartum hemorrhage. Conclusion: The results obtained from a sixteen year evaluation constitutes relevant information to adopt strategies as the development of detailed protocols of pathologies associated with postpartum hemorrhages, such as severe preclampsia, premature placenta detachment, prolonged labor and fetal macrosomia ; La hemorragia postparto sigue siendo la primera causa de muerte materna en el mundo, sumándose factores de riesgo que pueden complicar esta patología y en nuestro medio los elevados índices de pobreza constituyen situaciones favorecedoras. Objetivo: Establecer la prevalencia y el perfil epidemiológico de las puérperas con hemorragia post parto inmediata atendidas en el Hospital Regional de Ayacucho durante dieciséis años (2000 -2015), haciendo uso del diseño observacional analítico caso- control en la población de ...