Características epidemiológicas y factores asociados a la operación cesarea-histerectomia Riobamba, en el periodo 2015- 2020.

Introduction: The cesarean-hysterectomy surgery is defined as the removal of the uterus at the end of a cesarean section, as a last resort when conservative efforts fail or are not applicable, so its incidence and causes must be carefully determined, although this procedure is not performed in a large percentage worldwide, it is different in Latin America where it is performed more frequently, which leads to study how many c were performed at the Hospital Provincial General Docente Riobamba in 5 years. Objective: the purpose of the research is to determine the number of patients who underwent a cesarean-hysterectomy surgery by reviewing medical records to determine their origin and associated factors in the Hospital Provincial General Docente Riobamba, period 2015-2020. Methodology: an observational, descriptive, retrospective, cross-sectional study was carried out by applying inclusion and exclusion criteria, obtaining a sample of 366 patients from the Gynecology Department. Results: From the total sample taken in 5 years, the cesarean-hysterectomy surgery was performed on 34 patients, determining that 26.55% was performed in 2019, 50% of the prevalence of this surgery was shown in patients who were older than 35, of mestizo ethnicity from the urban sector, among other critical epidemiological characteristics it was shown that almost 50% are married and do housework, in terms of the factors associated with the surgery, 82.4% of women patients are multiparous, with a history of one or more cesarean sections. Also, 55.9% had at least five or more prenatal check-ups, which did not reduce the risk of complications; despite this, 52.9% of pregnancies ended with the gestational age course.Regarding the triggering factors, uterine atony was the main one, followed by placenta praevia and accreta. Among the most critical complications, the patients developed obstetric hemorrhages where only 8.8% ended with hypovolemic shock, which generated more than eight days of hospitalization; it was determined that at least 85% of the patients presented anemia as the main postoperative complication. Conclusions: it was determined that uterine atony, placenta praevia, and accreta are near related to the performance of cesarean-hysterectomy surgery in mothers over 35 years of age who were presented in the study, which is supported by the cited scientific evidence.

• Главный автор: Constante Angulo, Jessica Paola (author)
• Другие авторы: Mazón Jarrin, Erika Mabell (author)
• Формат: bachelorThesis
• Язык: spa
• Опубликовано: 2020
• Предметы: cesárea; histerectomía; multiparas; atonia uterina,
• Online-ссылка: http://dspace.unach.edu.ec/handle/51000/7132