Obstetric Hemorrhage in Anesthesia Service at Dr. Agostinho Neto Hospital

Abstract

Introduction: Obstetric hemorrhage is one of the feared complications and it is one of the main causes of maternal mortality.
Objective: To characterize obstetric hemorrhage in the service of Anesthesiology and Reanimation at Dr. Agostinho Neto Hospital in Guantanamo, Cuba from 2015 to 2017.
Methods: A descriptive, longitudinal and prospective study was carried out in the aforementioned health service from 2015 to 2017. Three hundred eighty eight (388) patients that had diagnostic of extremely serious maternal morbidity were the universe of this study. The sample was constituted by those diagnosed with obstetric hemorrhage (n = 71). Percentage, mean and standard deviation were used for the statistical analysis.
Results: Obstetric hemorrhage occurred in 18.2% of the patients. 0.7% died. The mean age was of 24.2 ± 6.2 years; the pregnancies age was of 34.2 ± 6.2 years and hospital stay was of 5.9 ± 4.2 [IC 95 percentage 5.3 - 6.5]. Uterine atony (50.8%) was the most common cause of the hemorrhage. 91.5% of the patients had hemodynamic unsteadiness that conditioned the use of high volumes of fluids and hemoderivates for reanimation. Clotting intravascular was the main cause of death.
Conclusions: Obstetric hemorrhage constitutes an important cause of morbidity and mortality in the mentioned health service.