Shock hemorrágico postparto

Hemorrhagic shock is the acute loss of circulating volume without the main cause of death in trauma, potentially preventable and one of the main causes of death in the population under 44 years of age. Massive bleeding can cause hemodynamic instability, decreased tissue perfusion, organ damage, and death. It is an excessive blood loss in the postpartum period. Depending on the means of resolution, there are established amounts of blood loss to be classified as hemorrhage, in vaginal delivery> 500 CC and in cesarean section> 1,000 CC of blood, on other occasions a decrease in hematocrit of more than 10% can be used as an indicator of hemorrhage. Primary bleeding occurs within the first 24 hours of the obstetric event. Secondary bleeding occurs after the first 24 hours postpartum, and up to 12 weeks later, with multiple causes such as involution of the placental site, retention of products of conception, infections and coagulation disorders, among others. We present the case of a 46-year-old patient with no significant history brought by the ecu 911, unconscious, responding to Glasgow pain 12, with no relatives attending for presenting heavy transvaginal bleeding for approximately 6 hours after home delivery and placental debris tension, it is taken directly to the surgical center, a manual revision of the uterus is performed, under short sedation, placental remains are obtained.

• المؤلف الرئيسي: Gavilanez Moposita, Silvia Margoth (author)
• التنسيق: bachelorThesis
• منشور في: 2020
• الموضوعات: Retención placentaria; Shock hemorrágico; Muerte
• الوصول للمادة أونلاين: http://dspace.utb.edu.ec/handle/49000/8387