Factores de riesgo para hemorragia postaborto, estudio de casos y controles.

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    • Alternate Title:
      Risk factors for post-abortion bleeding, case-control study.
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    • Abstract:
      Objective: to determine the risk factors for severe bleeding in cases of abortion. Methods: a case-control study was carried out between October first 2006 and October 31, 2007 in the Unidad Intermedia of San Javier. 131 medical histories were analyzed, 40 of 45 cases of postabortion hemorrhage during that period and 91 controls were obtained in a randomized way. Results: the most important factor leading to severe postabortion hemorrhage was the presence of a septic abortion 8.5 (CI95% 3.6-23). Poor anamnesis and physical examination, as well as, the underestimation of the clinical condition and untimely healthcare seeking are also factors possibly contributing to the negative obstetric complications. Conclusions: it is necessary to detect the infection at an early stage in order to be able to do the appropriate treatment. Carrying out a more meticulous anamnesis and a more detailed physical examination should avoid the underestimation of the clinical condition and its potential consequences. It is also important to learn from own and other people's mistakes, and having daily feedback in order to diminish the frequency of negative consequences of obstetric complications. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Objetivo: determinar los factores de riesgo para hemorragia grave en caso de aborto. Metodología: estudio de casos y controles, entre el primero de octubre de 2006 y el 31 de octubre de 2007, en la Unidad intermedia San Javier. Se analizaron 131 historias clínicas, 40 de los 45 casos de hemorragia postaborto del periodo y 91 controles obtenidas en forma aleatoria a partir del listado de los casos de aborto atendidos en igual periodo. Resultados: el principal factor para el desencadenamiento de una hemorragia grave postaborto es el hecho de tener un aborto séptico OR 8.5 (IC 95% 3.1-23). Otros factores que también contribuyen de manera significativa pueden ser: realizar un deficiente interrogatorio, ejecutar un deficiente examen físico, la subvaloración del cuadro clínico y el retraso en consultar. Conclusiones: es necesario detectar la infección de forma temprana en mujeres con aborto para iniciar un tratamiento oportuno. El hecho de realizar un interrogatorio minucioso y un examen físico detallado evitarían la subvaloración del cuadro clínico y sus consecuencias. Es importante aprender de los errores propios y ajenos y hacer una retroalimentación diaria con el fin de disminuir la frecuencia y las consecuencias negativas de las complicaciones obstétricas. [ABSTRACT FROM AUTHOR]
    • Abstract:
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