Proceso de atencion de enfermeria en riesgo obstetrico por atonia uterina en post parto inmediato

Abstract

Postpartum hemorrhage is defined as excessive bleeding after delivery, superior of 500ml in vaginal deliveries and more than 1000 ml afteo9r cesarean, hemorrhages can happen before, during or after delivery, this implies a 10% maternal mortality. Immediate postpartum hemorrhage is determined as it is within the first 24 hours of blood loss.The purpose of this work is to theoretically support obstetric risks and to indicate proposals for nursing intervention, since it is focused on the application of the Nursing Care Process in patients with Obstetric Risk for Uterine Atony in immediate postpartum, in Ecuador post-hemorrhage Childbirth corresponds to 16.27% of cases to uterine atony, with 1.50% of recorded cases of mortality according to the INEC, The factors that predispose to these possible causes are: multiple pregnancy, obesity, preeclampsia or gestational hypertension, fetal macrosomia, age over 40 years, anemia in pregnancy, muscle exhaustion due to prolonged labor, placental detachment among others. It is concluded that immediate postpartum haemorrhage can cause death with a 70% risk of maternal mortality worldwide due to uterine atony, being diagnosed as having a soft uterus not contracted and accompanied by a large amount of vaginal bleeding.