Hemorragia post parto por desgarro perineal en mujeres primíparas.

Abstract

Postpartum hemorrhage is one of the main causes of maternal morbidity and mortality worldwide; the objective of this research was to determine the causes and incidence of postpartum hemorrhage due to perineal tear in primiparous women who were treated in the Ángela Loayza de Ollágue obstetric hospital of Santa Rosa city, in El Oro province, Ecuador; from September 2016 to February 2017. This study was descriptive - retrospective, with a po-pulation of 50 primiparous women, whose information was obtained through a checklist with data from medical records and the application of surveys to 33 health professionals, 5 of them were general practitioners, 4 specialists, 22 nurses, 1 pharmacy assistant and 1 statistic assistant; who attended this type of cases. The results obtained in the survey showed that the postpartum hemorrhages due to perineal tears were due to the lack of prenatal controls with 51.54%, fetal macrosomia with 42.4%, on the other hand, in the review of medical records the causes are: prolonged labor with 52%, fetal macrosomia with 36%, the age of 15-19 years old which are in agreement between the survey (81.81% ) and with the clinical records (70%), perineal tear blee-