Estabilidad hemodinámica posparto en pacientes atendidas en el área de obstetricia del Hospital Especializado de la Fundación Humanitaria Pablo Jaramillo Crespo, enero-julio / 2019

Abstract

Background: Labor is the final stage of pregnancy in which the expulsion of the product of conception occurs. When it is physiological, there are no complications, however, in some cases, such as induced or dystoxic births, complications that compromise hemodynamic stability with increased maternal morbidity and mortality may occur.

Methodology: an observational, descriptive cross-sectional study was carried out with a sample of 220d maternal patients treated in the obstetrics area of the Specialized Hospital of the Pablo Jaramillo Crespo Humanitarian Foundation. The data were taken from the patients' medical records. The data were transcribed to a digital base and analyzed with the SPSS v15.0 evaluation program using descriptive and inferential statistics.

Results: The most frequent maternal age was 18-24 years 45.5%, 42.7% were overweight. Half of the maternal 51.4% have secondary. 52.7% were primiparous, 13.2% said they had a history of abortions, in 56.4% the birth was eutócico, 48.6% were spontaneous births. It was determined that 23.6% had between 6-9 controls during their pregnancy, 78.6% were term pregnancies. The main complications were 15.5% tears and 3.2% hemorrhages. Statistically significant changes were determined in the values of systolic and diastolic blood pressure, oxygen saturation, respiratory rate and temperature, p values <0.05.

Conclusions: statistically significant changes in the hemodynamic values of the maternal after birth were determined, however, it should be borne in mind that vital signs or hemodynamic changes after childbirth tend to increase in minimal amounts what is considered physiological or normal until the first or second week postpartum.