76 results on '"POSTPARTUM hemorrhage"'
Search Results
2. Prevención de hemorragia posparto durante la cesárea mediante ligadura de las arterias uterinas en pacientes con factores de riesgo.
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Nucamendi Solis, Edgar, Chávez Reyes, José Manuel, Long Morales, Nataly Jazmín, Hernández Gamboa, Luis Ernesto, and López Cancino, Sury Antonio
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UTERINE artery ,POSTPARTUM hemorrhage ,CESAREAN section ,PREGNANCY ,HEMATOCRIT ,HEMOGLOBINS ,SURGICAL blood loss ,ABORTION - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
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3. Manejo de la hemorragia posparto en una paciente con útero bicorne con la sutura B-Lynch. Reporte de caso y revisión de la literatura.
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Rueda-Monsalbe, Amanecer, Edison Sanabria-Castelblanco, Jhon, and Ángel Montañez-Aldana, Miguel
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CESAREAN section , *BICORNUATE uterus , *POSTPARTUM hemorrhage , *LITERATURE reviews , *OPERATIVE surgery , *PERIPARTUM cardiomyopathy , *UTERINE hemorrhage - Abstract
Objectives: To describe the use of the B-Lynch suture in a case of postpartum hemorrhage of a woman with bicornuate uterus, and to carry out a review of the literature on PPH control strategies in patients with müllerian anomalies, maternal outcomes in terms of hemorrhage control, as well as early and late complications. Material and methods: Case report of a patient with bicornuate uterus who presented to a regional referral hospital with postpartum hemorrhage following a cesarean section, which was successfully controlled using the B-Lynch suture. A search was conducted in the PubMed, Embase, Medline, Google Scholar and LILACS databases. The MeSh terms used were: "Uterine Atony," "Postpartum Hemorrhage," "Immediate Postpartum Hemorrhage," "Bicornuate Uterus," "Müllerian Anomalies," "Müllerian Duct Abnormalities". Case reports and case series of patients with müllerian malformations and PPH not responding to initial pharmacological management in whom conservative surgical procedures were used to control bleeding were included. A narrative analysis of the findings was carried out based on study characteristics, techniques used and complications. Results: Five studies were selected, 4 case reports and 1 case series which included 12 women with uterine malformations who developed PPH and in whom surgical management (uterine compression sutures) or devices (intrauterine balloon) were used for hemorrhage control. Bleeding was successfully controlled in 11 cases, with hysterectomy required only in one case (8.3 %). No long-term complications were reported. Conclusions: The literature on PPH management in women with müllerian uterine malformations is limited to case reports in which either compression sutures or medical devices such as intrauterine balloons were used. The B-Lynch-type compression suture appears to be a good option for controlling PPH in these women in order to preserve fertility, with a low rate of complications. Further documentation of these types of cases is needed in order to build the evidence regarding the usefulness of this technique for controlling postpartum uterine bleeding in this population. [ABSTRACT FROM AUTHOR]
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- 2023
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4. MORBILIDAD MATERNA EXTREMADAMENTE GRAVE. UNA APROXIMACIÓN ACTUAL.
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Hernández-Cabrera, Yoan, Antonio Sosa-Osorio, Alberto, and Alberto Rodríguez-Duarte, Luis
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HYPERTENSION in pregnancy ,MEDICAL quality control ,MATERNAL health services ,POSTPARTUM hemorrhage ,AGE distribution ,DISEASES ,ABORTION ,PREGNANCY complications ,ANEMIA ,MATERNAL mortality ,CESAREAN section ,PRENATAL care ,DISEASE complications - Abstract
Copyright of Revista Peruana de Investigación Materno Perinatal is the property of Peruvian Journal of Maternal Perinatal Research / Revista Peruana de Investigacion Materno Perinatal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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5. Actualización sobre el síndrome de HELLP.
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Mayorga-Garcés, Alejandro, Chaguaro-Torres, Melina, and Paredes-Vásquez, Brayan
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DISSEMINATED intravascular coagulation ,ONLINE information services ,NAUSEA ,POSTPARTUM hemorrhage ,HEMOLYSIS & hemolysins ,BLOOD transfusion ,SYSTEMATIC reviews ,VOMITING ,BLOOD coagulation disorders ,THROMBOCYTOPENIA ,ABDOMINAL pain ,MEDLINE ,HELLP syndrome ,ALANINE aminotransferase ,ASPARTATE aminotransferase ,DISEASE risk factors ,DISEASE complications ,SYMPTOMS - Abstract
Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
6. Desenlaces maternos según el tipo de placenta previa en un hospital de alta complejidad en Cali, Colombia. Estudio de cohorte retrospectivo.
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Fernanda Argote-Ríos, Diana, Fernanda Zapata-Salazar, Luisa, Martínez-Ruíz, Diana, Ernesto Sinisterra-Díaz, Stiven, Sarria-Ortiz, Daniela, and José Nieto-Calvache, Albaro
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PLACENTA accreta , *POSTPARTUM hemorrhage , *PREGNANCY complications , *MATERNAL age , *PUERPERAL disorders , *PRENATAL diagnosis , *POSTPARTUM contraception , *PLACENTA praevia - Abstract
Objectives: To describe the frequency of maternal complications in pregnant women with major or minor placenta previa (PP), and to assess a potential association between PP type and the presence of severe maternal bleeding and other associated outcomes. Material and methods: Retrospective descriptive cohort. The study included pregnant women with 20 weeks of gestation or more and a confirmed diagnosis of placenta previa who were seen in a high complexity hospital in Cali (Colombia), between January 2011 and December 2020. Women with a diagnosis of placenta previa and concomitant placenta accreta were excluded. The collected variables were maternal age, body mass index, smoking, obesity, parity, presence of bleeding, postpartum hemorrhage, management of postpartum hemorrhage, transfusion, and maternal ICU admission. A descriptive analysis was performed. The protocol was approved by the ethics committee of Fundaciónn Valle de Lili. Results: A total of 146 patients met the inclusion criteria. The population consisted of women with a mean age of 32 years, with no history of prior surgery, with a prenatal diagnosis of placente previa at week 22; 70% were major placenta previa cases. The most frequent complications were postpartum hemorrhage (37.9 % vs. 16.3 % for patients with major and minor placenta previa, respectively), transfusion requirement (23.3 and 9.3 %, respectively), and maternal ICU admission (40.8 % vs. 18.6 %, respectively). There were no cases of maternal death. Conclusions: There is a high frequency of complications in women with placenta previa, and it is probably higher in cases of major placenta previa. Further studies are needed to compare the frequency of maternal complications according to the type of placenta previa. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Evidencia de la carbetocina en la hemorragia obstétrica.
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Tixe Lluglla, Edison Andrés, Chalan Analuisa, María Carolina, Panimboza Guamán, Inés Paulina, Sanaguano Castillo, Jhon Michael, Escobar Castillo, Pablo Rodrigo, Dután Ortiz, Fernanda Gabriela, Serpa Román, Paola Elizabeth, and Quispe Punina, Michelle Estefanía
- Abstract
Copyright of Salud, Ciencia y Tecnología is the property of Fundacion Salud, Ciencia y Tecnologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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8. Necrosis uterina tras sutura de compresión hemostática: reporte de caso y revisión de la literatura.
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García-Guerra, Raquel, Assaf-Balut, Myrna, El-Bakkali, Sara, de Ávila-Benavides, Irene Pérez, and Huertas-Fernández, Miguel Ángel
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CESAREAN section , *SUTURING , *PLACENTA praevia , *HYSTERO-oophorectomy , *SCIENCE databases , *WEB databases - Abstract
Objectives: To present a case of uterine necrosis following hemostatic suturing to control postpartum bleeding, and to review the literature in order to identify the suture techniques employed, clinical findings, diagnostics and treatment in the clinical cases described. Material and methods: A 34-year-old woman presenting with abdominal pain eight days after cesarean delivery due to placenta previa who required B-Lynch compression suture due to uterine atony, and who was diagnosed with uterine necrosis. The patient underwent total abdominal hysterectomy with a satisfactory recovery. A systematic literature search was conducted in the Medline vía Pubmed, Embase and Web of Science databases. The search included case series and reports, and cohorts of women with uterine necrosis following the use of uterine compression sutures for postpartum bleeding. The analysis included sociodemographic and clinical variables at the time of diagnosis, suturing technique, diagnostic tests and treatment. Results: Overall, 23 studies with 24 patients were included. Of all necrosis cases, 83% occurred following cesarean section. B-Lynch was the suturing technique most frequently used (66 %), followed by the Cho suture (25 %). The most frequent symptoms were fever and abdominal pain. The most commonly used diagnostic test was computed tomography (9/24 cases). Hysterectomy was performed in the majority of cases (75 %). Conclusions: Although rare, uterine wall necrosis is a serious complication. It would be advisable to design follow-up cohort studies of women undergoing these procedures in order to determine the incidence of associated complications. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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9. Balón de Bakri en el control de la hemorragia obstétrica. Experiencia de cinco años.
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Alexandra Villegas-Arias, Mireille, Carlos Toro-Ortiz, Juan, Gerardo Hernández-Rodríguez, Héctor, and Alfredo Fernández-Lara, José
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POSTPARTUM hemorrhage ,CESAREAN section ,PREGNANCY complications ,PREGNANT women ,MEDICAL balloons ,SURGICAL blood loss ,PUERPERIUM - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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10. ¿Es seguro el parto planificado en casa para las gestantes de bajo riesgo?
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Gonzalo-Bodoque, Nuria and Sanabria-Martínez, Gema
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ONLINE information services ,MEDICAL databases ,RESEARCH ,EPISIOTOMY ,MEDICAL information storage & retrieval systems ,POSTPARTUM hemorrhage ,SYSTEMATIC reviews ,PREGNANT women ,RETROSPECTIVE studies ,CHILDBIRTH at home ,RISK assessment ,TEARS (Body fluid) ,MEDLINE ,CESAREAN section ,LONGITUDINAL method - Abstract
Objective: To identify the evidence on the safety of home versus hospital delivery in low-risk pregnant women in developed countries. Material and methods: Review. A bibliographic search was carried out in the Pubmed, Cochrane Library Plus, Embase, Web of Science and Google Scholar databases. The methodological quality of the articles found was assessed using two instruments: ResQu Index and NOS scale. Results: Forty-eight studies were identified and evaluated; only 23 were included in the review. There were 15 retrospective and 7 prospective cohort studies. They compared maternal and neonatal outcomes by delivery location in developed countries. The total sample was 1,881,156 home births and 6,835,189 hospital births. After applying the ResQu Index methodological quality scale, 22 studies were of high quality and 1 was of moderate quality. With the application of the NOS scale, 9 studies scored 8/9, 6 studies 7/9, 7 studies 6/9 and a single study 4/9. Conclusions: Women who planned home birth had increased likelihood of normal delivery, lower rate of episiotomy, instrumental delivery and cesarean section, postpartum hemorrhage, complicated perineal tears, and reduced demand for epidural over hospital birth. In addition, no increased neonatal morbidity and mortality was observed: there was no difference in the perinatal mortality rate or in the Apgar test, although there was a lower probability of admission to the Neonatal Intensive Care Unit. [ABSTRACT FROM AUTHOR]
- Published
- 2022
11. Etude rétrospective sur 70 cas d'hystérectomie d'hémostase dans le département de gynécologie obstétrique de l'Hôpital de Ben Arous, Tunisie.
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Abidi, Idriss, Bettaieb, Hajer, Souayeh, Nesrine, Mbarki, Wael, Frikha, Mohamed, Bouhmida, Rahma, Oueslati, Hedhili, Hsayaoui, Najeh, and Mbarki, Chaouki
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DISSEMINATED intravascular coagulation , *PLACENTA accreta , *POSTPARTUM hemorrhage , *UTERINE rupture , *HEMORRHAGIC shock , *PLACENTA praevia , *VAGINAL birth after cesarean - Abstract
Introduction: hemostasis hysterectomy is the radical treatment for postpartum hemorrhage. The purpose of this study is to identify risk factors, indications and complications of hemostasis hysterectomy and to determine factors influencing the types of approaches to hysterectomy. Methods: we conducted a monocentric descriptive and analytical retrospective study in the Department of Obstetrics and Gynecology at the Regional Hospital of Ben Arous from 2003 to 2019. Patients were classified according to the type of surgical treatment they received: total or subtotal hysterectomy. Results: seventy patients were included in the study. The rate of hemostasis hysterectomy was 1.3%. The average age of patients was 34.5 years (±5.1). Indications for hemostasis hysterectomy were dominated by placenta accreta (39% of cases; n=27), uterine inertia (34% of cases; n=24) and uterine rupture (16% of cases; n=11). Perioperative morbidity rate was 34 % (n=24). The most frequent complications were hemorrhagic shock (17%; n=12), disseminated intravascular coagulation (6%; n=4) and bladder lesions (6%; n=4). We reported six cases of maternal death, reflecting a rate of 8% (n=6). Subtotal hysterectomy was performed in 79% of patients (n=55) and 21% of women (n=15) underwent total hysterectomy. Placenta accreta was significantly associated with total hysterectomy group (aOR: 6.93, 95% CI: 1.07-44,80, p=0.042) and the average operation time was significantly shorter in subtotal hysterectomy group (aOR: 1.023; 95% CI: 1.009-1.03, p= 0.01). Conclusion: hysterectomy is essential in certain patients with severe postpartum hemorrhage. Placenta accreta is the main indication for hysterectomy. Total hysterectomy is not associated with an increased risk of complications compared to subtotal hysterectomy. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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12. Psaudoaneurisma de la arteria hipogástrica izquierda, una causa extremadamente rara de sangrado puerperal tardío.
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Sanz-Arenal, Ana, Gabasa-Gorgas, Lourdes, Redrado-Giménez, Olga, Alberto Laborda-Gotor, Ramiro, Estela Montañes-Bello, Paola, and Feliciano Domínguez-Fuentes, Julio Marcelino
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POSTPARTUM hemorrhage ,FALSE aneurysms ,CESAREAN section ,DIFFERENTIAL diagnosis ,PREGNANCY complications ,DILATATION & extraction abortion ,INTERVENTIONAL radiology ,ANGIOGRAPHY - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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13. Comportamiento clínico del parto vertical y en posición de litotomía en dos centros de salud de Cusco, Perú.
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Eugenia Camargo-Villalba, Gloria, Alexander Güezgüan-Pérez, Jonathan, Sánchez-Capacho, Nohora, Tatiana Barragán-Acevedo, Jenny, Huamanga-Gamarra, Bertha, and Isabel Soto-Bringas, Rosario
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LITHOTOMY position ,DELIVERY (Obstetrics) ,POSTPARTUM hemorrhage ,UTERINE hemorrhage ,PREGNANT women ,LABOR (Obstetrics) ,APGAR score - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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14. Acretismo placentario en primigestas. Reporte de tres casos y revisión de la bibliografía.
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Ruvalcaba-Ramírez, Miguel Ángel, Reyes-lbarra, Eduardo, Mejía-Romo, Francisco, Cuadro-Bracamontes, Edgar Humberto, Khalaf-Partida, Mhai Said, and Manzo-Arroyo, Francisco Javier
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PLACENTA accreta ,CESAREAN section ,OBSTETRICS ,HYSTERECTOMY ,MATERNAL mortality ,PREMATURE labor ,MYOMETRIUM ,UTERUS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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15. Hemorragia postparto: intervenciones y tratamiento del profesional de enfermería para prevenir shock hipovolémico.
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Castiblanco Montañez, Ruth Alexandra, Coronado Veloza, Cyndi Mileni, Morales Ballesteros, Laura Valentina, Polo González, Tatiana Valentina, and Saavedra Leyva, Angie Julieth
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CINAHL database , *MEDICAL databases , *ONLINE information services , *POSTPARTUM hemorrhage , *NURSING , *SYSTEMATIC reviews , *SHOCK (Pathology) , *MEDICAL care , *MEDLINE , *NURSING interventions , *WOMEN'S health , *WORLD Wide Web , *DISEASE risk factors - Abstract
Introduction: In Colombia, postpartum hemorrhage is the second leading cause of death in pregnant women at a rate of 6.9 deaths per 1,000 live births. After childbirth, 8.2% of Latin American women are expected to have postpartum hemorrhage. Objective: To describe nursing care delivered to women with postpartum hemorrhage to reduce the risk of hypovolemic shock by means of an integrative literature review. Materials and Methods: Following the approach suggested by Sasso, de Campos and Galvão, an integrative literature review was conducted on ClinicalKey, LILACS, CINAHL, Epistemonikos, Cochrane Library, PubMed and ScieELO Google Scholar databases. Articles published in the last five years in Spanish, English and Portuguese were selected and classified by their level of evidence and degree of recommendation. This is a low-risk research due to its documentary nature. Results: 41 articles were finally selected and classified into clinical picture, nursing care and challenges in OBGYN care. Discussion: Nursing professionals should identify barriers to care by evaluating institutional problem-solving capacity and analyzing maternal death cases. Using misoprostol and oxytocin or only carbetocin and ergometrine-oxytocin is suggested based on the quantity of blood loss. Conclusions: Performing a physical examination is important to recognize signs of hemodynamic instability and hypovolemic shock. Nursing diagnoses and interventions focus on providing quality patient care to prevent certain complications such as death. [ABSTRACT FROM AUTHOR]
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- 2022
- Full Text
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16. Aclaramiento de la creatinina de largo plazo en pacientes con hemorragia obstétrica.
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Gustavo Vázquez-Rodríguez, Juan and Graciela Silva-Ruiz, Diana
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CREATININE ,POSTPARTUM hemorrhage ,CHRONIC kidney failure ,CESAREAN section ,PREGNANCY complications ,KIDNEY physiology ,OBSTETRICS ,THERAPEUTICS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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17. Enfermedad de Von Willebrand como factor de riesgo para hemorragia postparto: Reporte de caso.
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Chavira Anaya, Cynthia Fabiola, Arriaga López, Alberto, and Álvarez Torres, Alfredo
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The Von Willebrand's disease is the most common inherited bleeding disorder, with higher prevalence in women in fertile age. There are three principle types, that are caused by either a quantitative or qualitative defect in von Willebrand factor and in severe cases, the coagulation factor VIII is affected too. The incidence in pregnancy is relatively infrequent, however there are worldwide reports where it has been considered a risk factor for bleeding during the resolution of pregnancy. We present the case of a 20-year-old woman on her second pregnancy, with a previous abortion, who had a full-term pregnancy with a diagnosis of Von Willebrand disease since she was twelve years old, treated with nasal desmopressin only in the presence of hemorrhagic events. Gestation was terminated via abdominal route due to failed induction, and in spite of preoperative hematologic and anesthetic prophylactic management, she presented postpartum hemorrhage, according to current definitions based on national and international guidelines, attributing the cause of the bleeding to the patient's coagulopathy. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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18. Taponamiento intrauterino con balones hidrostáticos: revisión narrativa.
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Robles-Elías, Francisco Javier, Meade-Treviño, Paulo, Fernández-Lara, José Alfredo, and Robles-Morales, Rogelio
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POSTPARTUM hemorrhage ,INTRAUTERINE contraceptives ,MEDICAL balloons ,OPERATIVE surgery ,MATERNAL mortality ,PRENATAL diagnosis ,OBSTETRICS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
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19. Embarazo posterior a cirugía conservadora del útero ante hemorragia obstétrica postparto. Presentación de un caso.
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Hernández Cabrera, Yoan, Díaz Puebla, Jorge Luis, Soler Morfa, Claudia Pilar, and Ruiz Hernández, Marioly
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Pregnancy is a natural process that must be conceived without complications; however, fatal obstetric outcomes in previous pregnancies are important markers of an increased risk of maternal and perinatal morbidity and mortality in future pregnancies. Postpartum obstetric hemorrhage is one of the most frequent and severe complications of the peripartum; As a useful therapeutic alternative in these cases, conservative surgical management of the uterus allows fertility to be maintained in women with unsatisfied parity, and improves their quality of life, although in many cases, for various reasons, this is not possible. The case of a 26-year-old patient is presented, with an obstetric history of three pregnancies, one delivery and one abortion (provoked); and a history of hemorrhagic obstetric complication in previous pregnancy due to uterine atony, which required conservative surgical treatment with combined techniques (Hayman, Ho-Cho compression sutures and bilateral ligation of the uterine arteries). Two years later, she attended obstetric services with a 16-week gestation (high obstetric risk). This article aims to present the report of a patient in whom the conception of a pregnancy was achieved after performing conservative surgery on the uterus. [ABSTRACT FROM AUTHOR]
- Published
- 2020
20. Incidencia de factores clínicos y sociodemográficos de hemorragia postparto en pacientes atendidas en el Hospital Niño Jesús en Barranquilla. Enero 2017- enero 2018.
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Bolaños, Marcos, Ferrer, Linda, and Carlos Martínez, Juan
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Objective: To determine the incidence of clinical and sociodemographic factors related to postpartum hemorrhage in the puerperal women attended in the OB / GYN service of the Niño Jesús Hospital in the city of Barranquilla. Materials and methods: Descriptive, cross-sectional and retrospective study. The sample was made up of the total population that had a vaginal delivery and caesarean section (5,384), a total of 280 patients were recruited, which is equivalent to 5.2%, the difference of 5,104 were excluded from the study because they did not meet the criteria for inclusion and / or lack of information that they presented immediate postpartum hemorrhages attended at the Hospital Niño Jesús in Barranquilla, which was chosen through a non-probability sampling for convenience and the results obtained from the documentary review of the patients’ records between January 2017 to January 2018. Results: The advanced age of the patients is considered a risk factor associated with postpartum hemorrhages, being evident in 70% between the ages of 30 to 47 years. Regarding sociodemographic factors such as marital status, it was observed that free union predominated with 47% and in occupation, 79% of the patients are housewives. The deed is an important factor of the patients; it was evident that 80% have already had more than 3 previous deliveries. Conclusions: Prenatal control during pregnancy is of vital importance to avoid postpartum hemorrhages, allowing early identification of risk factors, danger signs and symptoms, and timely treatment of complications. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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21. Aplicación del Balón de Bakri ante hemorragia obstétrica postparto. Presentación de un caso.
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Hernández Cabrera, Yoan, Diaz Puebla, Jorge Luis, Abreus Castro, Ana Beatriz, and Ruiz Hernandez, Marioly
- Abstract
Obstetric hemorrhage after delivery complicates 10.5% of births worldwide and is related to high perinatal morbidity and mortality. Its management includes medical treatment and if refractory, it will be necessary to resort to a surgical treatment based on uterine tamponade with gauze or balloon, uterine compression sutures, pelvic devascularization and arterial embolization. If all these procedures are not effective, then a radical treatment such as obstetric hysterectomy should be performed. The case of a 37.5 week, nulliparous pregnant woman, attended at the Dr. Gustavo Aldereguía Lima Hospital in Cienfuegos is presented. Labor is induced due to premature rupture of membranes that evolves into the active phase and it is decided to perform instrumental delivery by forceps to shorten the expulsive period by non-physiological variety and alteration of fetal well-being. A female 4025 g weight newborn was obtained, with greater obstetric hemorrhage due to uterine atony, which does not resolve with conventional medical treatment and it was decided to perform conservative management of the uterus by means of Barki's balloon uterine compression. Uterine contractility and a satisfactory clinical evolution are achieved. This surgical procedure was first described worldwide by the end of the 20th century and was introduced in Cuba in 2016. Since then, the Cienfuegos province has implemented these conservative practices. In the case presented it was possible to reduce bleeding. In addition it reduces obstetric morbidity and mortality and preserves fertility in the patient with unmet parity [ABSTRACT FROM AUTHOR]
- Published
- 2019
22. Control de la hemorragia obstétrica mediante ligadura selectiva de las arterias uterinas. Experiencia de siete años.
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Posadas-Nava, Alejandro, Alberto Moreno-Santillán, Armando, Celis-González, Cuauhtémoc, and Cruz-Martínez, Ernesto
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HEMORRHAGE ,UTERINE artery ,PUERPERAL disorders ,OBSTETRICAL emergencies ,SURGICAL complications - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
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23. Experiencia de un centro colombiano en manejo endovascular de la hemorragia postparto que amenaza la vida.
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Fernanda Escobar, María, Guillermo Velásquez, Jorge, Holguín, Alejandra, Sánchez, Joselin, Messa, Adriana, Andrés Carvajal, Javier, and Jose Nieto, Álbaro
- Abstract
Introduction: Postpartum hemorrhage is the leading cause of morbidity and mortality in the World. Lacerations are the second cause in frecuency. Early application of right management is the key to obtain adequate outcomes and vascular occlusion of pelvic vessels is counted among the management options. Objective: The purpose of our study was to describe the management experience with arterial embolization of pelvic vessels. Materials and methods: It is a retrospective case series study based in the institutional registry of Fundación Valle del Lili (Cali, Colombia) which included patients with postpartum attended between January 1, 2011 and October 31, 2016. Results: Of 430 patients diagnosed with PPH, 11 were submitted to embolization of pelvic vessels. Within our group, 10 patients had vaginal delivery with complex vaginal lacerations; the majorities were referred from other less complex institutions after 20.5 hours. The frequently occluded arteries were the superior vaginal and the internal pudenda artery. No patient presented complications associated with the procedure and only 2 presented recurrent bleeding. 3 patients required hysterectomy but no patient died. Conclusion: Percutaneous management is a safe and efective Third line method for bleeding control with difficult management in the patients with postpartum hemorrhage after complex perineal tear. These results are similar to the case reports published in worldwide literature available at date. [ABSTRACT FROM AUTHOR]
- Published
- 2019
24. Experiencia de un centro colombiano en el tratamiento endovascular de la hemorragia posparto que amenaza la vida.
- Author
-
Fernanda Escobar, María, Guillermo Velásquez, Jorge, Holguín, Alejandra, Sánchez, Joselín, Messa, Adriana, Andrés Carvajal, Javier, and José Nieto, Albaro
- Subjects
THERAPEUTIC embolization ,THERAPEUTICS ,MANAGEMENT by objectives ,DISEASE complications ,HEMORRHAGE - Abstract
Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
25. Complicaciones del puerperio inmediato en pacientes atendidas en el Servicio de Ginecología y Obstetricia del Hospital Vicente Corral Moscoso, Cuenca-2013.
- Author
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Naula Espinoza, Lourdes Isabel, Quiñonez Leon, Cristhian Javier, Solano Calle, Betsy Denisse, Méndez Reyes, José Gabriel, Oviedo Llanes, Yaqueline Elizabeth, Carpio Jaramillo, Dennys Agustin, Fárez Paredes, Tatiana Elizabeth, and Zarate Reyes, Karla Daniela
- Subjects
CESAREAN section ,MATERNAL mortality ,MEDICAL records ,SOCIODEMOGRAPHIC factors ,PUERPERIUM ,PLACENTA praevia - Abstract
Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
26. Perfil hemostático en pacientes con y sin hemorragia obstétrica posparto.
- Author
-
Durán-Nah, Jaime Jesús, Sosa-Ek, Mariel Vanesa, and Chacón-Hernández, Livia
- Abstract
Background: The association between coagulation profile and postpartum hemorrhage (PH) is still debated. Objective: To determine the association between hemostatic profile and PH in women with cesarean operation (CO). Methods: We included 92 patients with PH (cases) and 184 without (controls), patients were attended during 2014, at one hospital of the Instituto Mexicano del Seguro Social in Mérida, Yucatán. Demographic, clinical and laboratory data including prothrombin time (PT), activated partial thromboplastin time (aPTT), platelet count (PLC), and fibrinogen concentration were compared among cases and controls using a binary logistic regression model (LRM), from which odd ratios (OR), and 95% confidence intervals (95% CI), were obtained. Results: According to the bivariate comparison, in the LRM categorical data such as parity, any type of hypertensive comorbidity, type of anesthesia, and categorized aPTT (< 38 vs. ≥ 38 seconds), and one continuous variable (gestational age) were included. Having some hypertensive comorbidity (OR 3.55, 95% CI: 1.95-6.47), type of anesthesia (regional anesthesia, OR 0.27, 95% CI: 0.13-0.55) and aPTT (< 38 seconds, OR 0.26, 95% CI: 0.10-0.66) were all statistically significant. Categorized PT, platelet count and fibrinogen concentration, were not statistically significant. Conclusions: In this sample, having some hypertensive comorbidity increased risk of PH more than three times, while regional anesthesia and aPTT < 38 seconds reduced risk in 73% and 74%, respectively. Neither platelet count, nor fibrinogen concentration, or the PT categories modified risk of PH. [ABSTRACT FROM AUTHOR]
- Published
- 2018
27. Experiencia de un centro colombiano en manejo endovascular de la hemorragia postparto que amenaza la vida.
- Author
-
Escobar, María Fernanda, Velásquez, Jorge Guillermo, Holguín, Alejandra, Sánchez, Joselin, Messa, Adriana, Carvajal, Javier Andrés, and Nieto, Álbaro Jose
- Abstract
Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
28. Sutura compresiva de Hayman: experiencia de cuatro años.
- Author
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Moreno-Santillán, Armando Alberto, Posadas-Nava, Alejandro, Martínez-Adame, Leidy Marcela, and Celis-González, Cuauhtémoc
- Subjects
UTERINE diseases ,HEMORRHAGE prevention ,POSTPARTUM depression ,HYSTERECTOMY ,CESAREAN section - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
- Full Text
- View/download PDF
29. Efectos de la desarterialización uterina en el flujo sanguíneo uterino y ovárico.
- Author
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Carranza-Lira, Sebastián, Sillas-Pardo, Liliana Janet, and Rosales-Ortíz, Sergio
- Abstract
Background: The aim of this article is to compare the effect of uterine desarterialization (UD) and hypogastric arteries ligature (HAL) in uterine and ovarian blood flow indirectly measured with the pulsatility index (PI). Methods: Women in which UD or HAL was carried out for obstetric hemorrhage control were studied. Control group were puerperal women in which no UD or HAL was carried out. In all them uterine and ovarian blood flow was evaluated with the PI measured with Doppler ultrasound at 48 hours, 15 days and at 6 weeks after the procedure. Mann-Whitney U test was used for comparison between the groups and Wilcoxon test for comparisons inside each group. Results: Thirteen patients with UD, 11 with HAL and 10 without any procedure were studied. Uterine arteries PI, was significantly greater at 48 hr and at 15 days in the UD group and at 48 hr, 15 days and 6 weeks in the HAL group when compared with the control group. No differences were found in PI between UD and HAL groups. Ovarian PI was significantly greater in the groups with UD and HAL when compared with the control group at 48 hr, 15 days and 6 weeks, and lower in UD group when compared with HAL groups at 15 days and six weeks. Conclusions: Both procedures showed significant decrease in the uterine blood flow, but the ovarian flow was more restricted with HAL. [ABSTRACT FROM AUTHOR]
- Published
- 2018
30. Relación entre los valores de hemoglobina y hematocrito posparto, y el tipo de alumbramiento, parto e integridad del periné.
- Author
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Manrique Tejedor, Javier, Castillo García, Jezabel, García Romero, Verónica, Cuéllar de Frutos, Anabel, and Parrilla Fernández, Alberto
- Subjects
PERINEUM ,ANEMIA ,CONFIDENCE intervals ,DELIVERY (Obstetrics) ,EPISIOTOMY ,HEMATOCRIT ,HEMOGLOBINS ,MOTHERS ,PUERPERAL disorders ,PUERPERIUM ,RESEARCH ,WOUNDS & injuries ,RETROSPECTIVE studies ,CASE-control method ,DESCRIPTIVE statistics ,ODDS ratio ,INTRAPARTUM care ,DISEASE risk factors - Abstract
Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
31. Alternativas quirúrgicas conservadoras del útero ante la hemorragia postparto.
- Author
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Hernández Cabrera, Yoan, Ruiz Hernández, Marioly, Rodríguez Duarte, Luis Alberto, Cepero Águila, Lisbet, and Monzón Rodríguez, Maikel
- Abstract
Postpartum haemorrhage is one of the most feared obstetric complications and one of the top three causes of world maternal mortality, affecting approximately 2% of all women in labor. In its management, an immediate and sequential approach is crucial, which starts with traditional pharmacological treatment and which in many cases fails to be effective in stopping bleeding, makes surgical intervention necessary. Conservative treatment of the uterus has been shown to be a useful therapeutic alternative for reducing bleeding and preserving fertility in those patients with unsatisfied parity. The present review aims at compiling the main conservative surgical alternatives of the uterus on postpartum haemorrhage. This will allow professionals related to the attention of the severely ill obstetric patient, to deepen on the most currently used techniques. [ABSTRACT FROM AUTHOR]
- Published
- 2017
32. Fibrinógeno y hemorragia posparto. «Asociación o causalidad?
- Author
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Rincón-Valenzuela, David A., Bocanegra, Juan Carlos, and Guevara, Jennifer
- Abstract
Postpartum hemorrhage (PPH) is the leading cause of maternal death worldwide, accounting for one in four maternal deaths. Despite efforts in public health policy, the incidence of massive PPH has increased in recent years even in first world countries. In Colombia, PPH is the second leading cause of maternal death. Multiple observational studies have provided evidence about the association between the concentration levels of fibrinogen in blood plasma and the severity of PPH, proposing the systematic use of fibrinogen concentrates as a prophylactic or therapeutic measure in patients with obstetric hemorrhage. However, the statistical relationship demonstrated in such studies should not necessarily be interpreted as a causeeffect relationship. Traditionally, we have used the criteria postulated by Sir Arthur Bradford Hill to establish a causal relationship. Therefore, the most pragmatic way to evaluate a possible causal relationship is through a randomized placebo-controlled experiment. Experiments of this kind available to date have methodological deficiencies or have been criticized for internal validity. As a result, the statistical relationship (association) between low levels of fibrinogen and PPH cannot be certainly interpreted as a cause-effect relationship and the use of fibrinogen concentrates may only be justified in the context of new clinical trials. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
33. Hemorragia posparto secundaria o tardía.
- Author
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García-Lavandeira, S., Álvarez-Silvares, E., Rubio-Cid, P., and Borrajo-Hernández, E.
- Subjects
PUERPERAL disorders ,HEMORRHAGE ,HEMORRHAGE diagnosis ,MATERNAL health ,PREGNANCY complications ,PATIENTS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
34. Aplicación de suturas compresivas de Hayman ante hemorragia obstétrica postparto. Presentación de un caso.
- Author
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Hernández Cabrera, Yoan, Cepero Águila, Lisbet, and Ruiz Hernández, Marioly
- Abstract
Postpartum haemorrhage is associated with high perinatal morbidity and mortality. General measures in the presence of hemorrhage, in many cases are not enough to stop bleeding and surgical intervention is necessary. This a case presentation of a pregnant adolescent with 39.1 weeks, nulliparous, attended at the Hospital Gustavo Aldereguía Lima, Cienfuegos, who was induced by premature membranes rupture. She evolved towards active phase of labor, so it was decided to perform cesarean section with a diagnosis of pelvic cephalic disproportion. After extracting a female newborn weighing 4050 g, major obstetric haemorrhage due to uterine atony was found, requiring conservative uterine surgery using Hayman's compressive sutures. This article is aimed at presenting the first case in which Hayman's compressive sutures were applied to postpartum obstetric haemorrhage in the province. [ABSTRACT FROM AUTHOR]
- Published
- 2017
35. Malformación arteriovenosa uterina como causa de sangrado posparto, reporte de un caso.
- Author
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Rosas-Delgadillo, N. and Padilla-Rodríguez, A. L.
- Subjects
ARTERIOVENOUS malformation ,HEMORRHAGE ,CESAREAN section ,PREGNANCY complications ,MATERNAL mortality - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
36. Factores de riesgo de hemorragia obstétrica.
- Author
-
Hernández-Morales, M. A. and García-de la Torre, J. I.
- Subjects
HEMORRHAGE risk factors ,CESAREAN section ,OBSTETRICS ,LABOR (Obstetrics) ,MATERNAL mortality ,OXYTOCIN - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
37. Carbetocina y oxitocina: prevención de hemorragia posparto en pacientes con factores de riesgo para atonía uterina.
- Author
-
Carrillo-Gaucín, Santiago and Torres-Gómez, Luis Guillermo
- Abstract
Background: In Mexico, during 2010, obstetric hemorrhage was second (19.6%) as a direct cause of maternal death. The aim of this paper is to evaluate the effect of oxytocin and carbetocin, in preventing postpartum hemorrhage in patients with risk factors for uterine atony. Methods: Study type clinical trial, patients experiencing at least one of the risk factors for uterine atony included. Randomly, they were divided into two groups: one was given Oxytocin and other received Carbetocin. The following variables were determined: risk factors for uterine atony, hemoglobin and hematocrit, vital signs, trans-surgical bleeding, whether or not presented uterine atony, uresis, need for additional tonics uterus and need for blood transfusion. Results: A total of 120 patients were studied in 6 months were excluded 3, 60 were treated with Carbetocin, and 57 with Oxytocin. It was determined that there is a greater number of events of uterine atony (p = 0.007, with RR 11.06) and therefore greater need for additional tonic uterus (p = 0.027, with RR 5.44) in the group of Oxytocin. There was no statistically significant difference in the other variables. Conclusions: Carbetocin is recommended as prophylaxis of obstetric hemorrhage in patients with risk factors for uterine atony. [ABSTRACT FROM AUTHOR]
- Published
- 2016
38. Pérdida sanguínea e indicación de hemoderivados en pacientes con cesárea-histerectomía por acretismo placentario.
- Author
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Solórzano-Vázquez, J. F., Hernández-Higareda, S., Segura-Zavala, J. M., Oseguera-Torres, L. F., and De la, Rosa-Hernández S.
- Subjects
HYSTERECTOMY complications ,BLOOD loss estimation ,UTERINE hemorrhage ,BLOOD products ,PUERPERAL disorders - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
39. Tratamiento activo de la hemorragia posparto y colocación del balón de Bakri en pacientes primigestas y multigestas.
- Author
-
Cruz-Cruz, D., Peña-Dehesa, H., Cérbulo-Vázquez, A., and Guzmán-López, M.
- Subjects
PUERPERAL disorders ,HEMORRHAGE treatment ,THIRD trimester of pregnancy ,BLOOD transfusion ,MISOPROSTOL ,THERAPEUTICS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
40. Tratamiento activo del tercer periodo del trabajo de parto: tres esquemas de oxitocina.
- Author
-
Neri-Mejía, M. and Pedraza-Avilés, A. G.
- Subjects
PUERPERAL disorders ,THIRD trimester of pregnancy ,CLINICAL trials ,OXYTOCIN ,PREGNANCY complications ,PREVENTION ,THERAPEUTICS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
41. IMPORTANCIA DE LA REDUCCIÓN DE LAS HEMORRAGIAS POSPARTO EN LOS PAÍSES EN DESARROLLO.
- Author
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Peralta Domínguez, Ana María, Navarro Bernal, Francisco José, and Barroso Casamitjana, Almudena
- Subjects
DELIVERY (Obstetrics) ,DEVELOPING countries ,HEALTH services accessibility ,HEMORRHAGE ,MATERNAL mortality ,PREGNANCY complications ,THIRD trimester of pregnancy ,PUERPERAL disorders - Abstract
Copyright of Ciberrevista Enfermeriadeurgencias.com is the property of Sociedad Espanola de Enfermeria de Urgencias y Emergencias and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
42. Tratamiento de la hemorragia posparto con condón hidrostático intrauterino.
- Author
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Sandoval García-Travesí, F. A., Hinojosa-Cruz, J. C., Reyes-Hernández, M. U., Sandoval-Barajas, D., Lorca-Jiménez, G., Mendoza-Reyes, E., and Cruz-Durán, J. G.
- Subjects
HEMORRHAGE treatment ,INTRAUTERINE contraceptives ,PUERPERAL disorders ,HYSTERECTOMY complications ,ABDOMINAL surgery ,THERAPEUTICS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
43. Recomendaciones internacionales para el tratamiento médico de la hemorragia posparto.
- Author
-
Camacho-Castro, Felipe Alberto and Rubio-Romero, Jorge Andrés
- Abstract
Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
44. Factores de riesgo de la evolución de la hemorragia posparto a hemorragia posparto severa: estudio de casos y controles.
- Author
-
García-Lavandeira, Sandra, Álvarez-Silvares, Esther, and Rubio-Cid, Paula
- Subjects
LABOR complications (Obstetrics) ,DISEASE incidence ,PUERPERIUM ,UTERINE hemorrhage ,OBSTETRICS & society ,CASE-control method ,PREVENTION ,PHYSIOLOGY ,DISEASE risk factors - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
45. Asociación entre el nivel de fibrinógeno y severidad en la hemorragia posparto.
- Author
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García Velásquez, Victoria, González Agudelo, Marco, Cardona Ospina, Arturo, and Ardila Castellanos, Ricardo
- Abstract
Objective: To determine if the level of fibrinogen at the onset of postpartum haemorrhage is associated with bleeding severity and a higher number of complications; to determine outcome-related cut-off points. Materials and methods: Secondary analysis of a cohort study conducted with 79 mothers admitted to the Intensive Care Unit between February 1st, 2012 and January 31st, 2013, with a diagnosis of postpartum haemorrhage, defined as all cases of blood loss greater than 1000 mL. Fibrinogen levels were measured at the onset of the postpartum haemorrhage. Fibrinogen values were compared between patients with severe obstetric bleeding and those with mild-to-moderate bleeding, in order to establish the correlation with severity of blood loss and complications. Results: Overall, 24.1% of the patients showed severe postpartum haemorrhage compared to 75.9% of the patients classified as having mild-to-moderate haemorrhage. There were 12 complications (15.2%), including 9 cases of acute renal injury, 2 cases of disseminated intravascular coagulation, and one death, all of them only in patients with severe obstetric haemorrhage. Regarding the initial fibrinogen value, the AUC-ROC for fibrinogen levels and their relationship with the severity was 0.71, with a cut-off point of < 200 mg/dL to predict severity (100% positive predictive value). Conclusion: The initial fibrinogen level in obstetric postpartum haemorrhage is a predictor of severity that helps in alerting to the need for treatment in these patients. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
46. Validación del Código Rojo: una propuesta para el tratamiento de la hemorragia obstétrica.
- Author
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Vélez Álvarez, Gladis Adriana, Agudelo Jaramillo, Bernardo, Gómez Dávila, Joaquín, and Zuleta Tobón, John J.
- Subjects
- *
HEMORRHAGE diagnosis , *MEDICAL education , *PUERPERAL disorders , *CONFIDENCE intervals , *RESEARCH methodology , *RESEARCH funding , *WOMEN'S health , *RELATIVE medical risk , *EDUCATIONAL outcomes , *RESEARCH methodology evaluation , *DESCRIPTIVE statistics , *DIAGNOSIS - Abstract
Objective. Evaluate the effect of scenario-based simulation training and management guidelines on the prevention and treatment of obstetric hemorrhage. Methods. This quasi-experimental before-and-after study measured the effect of an intervention that used simulation scenarios, together with the delivery of reminders as part of the strategy, to train health workers in the recognition and treatment of obstetric hemorrhage. The intervention consisted of two one-day training sessions conducted six months apart. The effect on patient management was evaluated by reviewing the patients' clinical histories 24 months before and 18 months after the intervention. Results. In tests administered to the group of health workers who received the training, their median grade increased from 55% correct answers before the training to 85% afterwards (P < 0,001). Before the training, there were 124 cases of hemorrhage (2.1%), whereas after the intervention the incidence fell to 86 (1.8%), representing a 16.5% decline (RR = 0.84; CI 95% = 0.6-1.1). The use of oxytocin increased from 58.3% to 74.1% (RR = 3; CI 95% = 1.0-1.6) and active monitoring during the immediate puerperium rose from 5% to 36.5% (RR = 4; CI 95%: 3.0-18.1). Conclusions. The intervention increased the use of beneficial practices for the prevention and early detection of hemorrhage, resulting in an improvement in the incidence of hemorrhage, although it was not statistically significant. It is essential to use simulation training on a regular basis, together with additional strategies adapted to local conditions and the circumstances of the particular group. [ABSTRACT FROM AUTHOR]
- Published
- 2013
47. Control de la hemorragia obstétrica con balón de Bakri.
- Author
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Ortega-Castillo, Verónica María de Jesús, Espino y Sosa, Salvador, and Herrerías-Canedo, Tomás
- Subjects
UTERINE hemorrhage treatment ,UTERINE hemorrhage ,PUERPERAL disorders ,PREGNANCY complications ,CESAREAN section complications ,MATERNAL mortality ,PREVENTION ,THERAPEUTICS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
48. Pseudoaneurisma de arteria uterina después de una cesárea.
- Author
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Rojas Pérez-Ezquerra, Beatriz, Carazo-Hernández, Belén, Arribas-Marco, Teresa, and Guardia-Dodorico, Lorena
- Subjects
UTERINE artery ,CESAREAN section complications ,HEMORRHAGE diagnosis ,DOPPLER ultrasonography ,ANGIOGRAPHY - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
49. Hemorragia posparto y ascariasis: presentación de un caso.
- Author
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L. F. Marrugo, Martha, Ismael Ahumada, A., N. M. Olaya, Diego, E. A. Osorio, Carlos, D. R. Perez, Jorge, and Leonardo Palacios, A.
- Subjects
PUERPERAL disorders ,HEMORRHAGE ,ETIOLOGY of diseases ,ASCARIS lumbricoides ,HYSTERECTOMY ,ASCARIASIS - Abstract
Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
50. Hemorragia obstétrica, causa de muerte materna. IMSS, 2011.
- Author
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Ruiz-Rosas, Roberto A., Cruz-Cruz, Polita del Rocío, and Torres-Arreola, Laura del Pilar
- Subjects
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MATERNAL mortality , *HEMORRHAGE , *PREGNANCY complications , *PUERPERIUM , *CHILDBIRTH - Abstract
Objective: to describe the clinical data associated to maternal deaths due to fetomaternal bleeding. Methods: we analyzed 32 of 135 cases of maternal deaths that occurred in the Instituto Mexicano del Seguro Social (IMSS) during 2011. The main inclusion feature was the presence of severe hemorrhage during pregnancy, childbirth or puerperium. Results: obstetric hemorrhage as the underlying cause of maternal death was presented in 65.6 % and in 34.4 % severe obstetric hemorrhage occurred due to different underlying cause of maternal death. The age group with the highest maternal deaths by massive bleeding was the group of 30 to 39 years. The resolution of the pregnancy was by cesarean in most cases. The cases of placenta accrete and uterine atony were others maternal death causes. Conclusions: the massive bleeding during pregnancy, birth and/or postpartum continues as the second leading cause of maternal mortality in the IMSS. It is necessary to continue training for improving (the performance) in the management of the pregnancy woman with hemorrhage. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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