Prevalencia de hemorragia postparto en púerperas adolescentes y factores asociados en el Hospital Vicente Corral Moscoso, Cuenca-Ecuador 2012

Abstract

Background: Postpartum hemorrhage is one of the most feared obstetric complications and ranks among the top three causes of maternal mortality mainly in developing countries. Objective: To determine the prevalence of postpartum hemorrhage and associated factors in postpartum adolescents attending Vicente Corral Moscoso Hospital, Cuenca, Ecuador 2012. Methods: cross-sectional study of prevalence or Vicente Corral Moscoso Hospital, from May to July 2012 Hypothesis pospartum hemorrhage in Postpartum adolescents is more common when associated with low weight, anemia, cesarean delivery, hypertensive disorders of pregnancy in the absence of these factors Results: The prevalence of postpartum hemorrhage in puerperal women adolescents was 6.9 %; and was presented with greater frequency in the age group between 17-19 years with 64.3 %, in free union with a Regulation 47.3 %, in primiparous women with a 63 %, in pregnant women with normalweight the 52.6 %, and in women with pregnancies between 37-40.6 weeks with a 63.1 %, in delivery by cesarean section rate was 53 per cent Associated factors were maternal anemia RP 5.045 (95% CI 2.13 -12.08) and p 0,000 ; delivery by cesarean section RP 1.95 (95% CI 0.84-4.55 ) and p 0,123 ; the hypertensive disorders of pregnancy RP 2.387 (95% CI 0.920 5.874) and p 0.07 ; urban origin RP 2.66 (95% CI 1.136 -6.273) and a p-value 0.023; primiparous women with RP 0.640 (95% CI 0.270 -1.53) and a p-value 0.326 Conclusions: Postpartum hemorrhage in the adolescent population has a high prevalence and is associated with maternal anemia, urban origin, multiparous Keywords: Prevalence, postpartum hemorrhage, puerperal adolescent risk factors.