Conducta obstétrica en multípara de 24 años con útero de couvelaire en el puerperio.

Couvelaire uterus or uteroplacental apoplexy, corresponds to a hematic infiltration in the uterine myometrium due to the formation of a massive retroplacental hematoma. Couvelaire uterus is one of the most severe complications caused by premature detachment of the placenta and appears in 0.4 to 1% of pregnancies ”. (Palacios, 2018). On the other hand, the premature detachment of the normal inserted placenta has as one of its main triggers, the hypertensive disorders of pregnancy, thus leaving a rather complex clinical condition for those who suffer from it if it is not diagnosed and treated in time. Being more likely to have multiple complications during pregnancy, childbirth and the puerperium, so that the incidence of maternal-fetal morbidity and mortality increases. This is how the present case dates about a 24-year-old patient whose clinical picture develops around a hypertensive disorder. It causes complications such as severe pre-eclampsia (it is believed to be the reason for a possible placental abruption) that in the puerperium is complicated by causing hypovolemic shock and that also as a finding during laparotomy a couvelaire uterus is diagnosed. The patient's antecedents, risk factors and the evolution of the clinical picture were analyzed to consider the possible reasons for worsening her situation and hemodynamic stabilization as the main data, fetal macrosomia and uterine atony. Which later will be detailed with precision in order to understand the clinical case.

• Hoofdauteur: Díaz Briones, Iris Lourdes (author)
• Formaat: bachelorThesis
• Gepubliceerd in: 2021
• Onderwerpen: Útero de couvelaire; Infiltración hemática; Shock hipovolémico; Macrosomía fetal; Atonía uterina
• Online toegang: http://dspace.utb.edu.ec/handle/49000/10485