Proceso de atención de enfermería en paciente con hemorragias postparto

Abstract

Postpartum hemorrhage is one of the main obstetric complications worldwide, causing maternal mortality in 29.3% and causing severe adverse effects in women 26.7%. This complication depends on the correct assessment carried out by health personnel, the identification of risk factors that may increase the possibility of suffering it, such as the prolongation of the third stage of labor, placental retention, uterine atony, history of abortion or postpartum hemorrhages in previous pregnancies, fetal presentation and varicose uterus. The previous maternal health addresses an important role in the birth process such as insufficient prenatal control number, poor nutrition, and lack of family planning education. In most women they do not suffer from hemodynamic alterations until they lose an equivalent of 1000 ml of blood; the clinical signs and symptoms that manifest are tachycardia, hypovolemia, hypotension, transvaginal bleeding, dizziness, paleness; as well as the presence of bruises at the abdominal level. The objective that will be carried out is to determine the nursing care process in the patient with postpartum hemorrhage, through the theoretical knowledge of Marjory Gordon. The case was evidenced in a 27-year-old patient with a diagnosis of pregnancy of 39 weeks gestation plus pelvic presentation dystocia, for the elaboration of this study, descriptive, scientific and analytical research methods were used, facilitating the interpretation of The information collected, in the same way the data collection technique was used through observation, the application of legal ethical aspects, the patient's medical history was analyzed with their respective permission request addressed to the Teaching and Research Coordinator of the Teófilo Dávila General Hospital.