Perfil clínico-epidemiológico de pacientes sometidas a histerectomía obstétrica Hospital Provincial General Docente Riobamba, enero 2015 – junio 2019

Abstract

The purpose of this research work was to carry out the retrospective descriptive observational study of the information obtained from the Gynecology and Obstetrics Service of the Riobamba General Teaching Provincial Hospital during the period JANUARY 2015 -JUNE 2019. "The program chosen for the organization and analysis required was SPSS 25.0. In total, 49 patients underwent an obstetric hysterectomy in the last 5 years, finding an incidence of 2.42 per 1000 obstetric cases, with a casuistry of 20150 obstetric events in five years, data that is within the range of incidence worldwide. Patients presented normal birth, 22.45% were molar pregnancies due to that the way of the end of pregnancy does not apply, 36.73% was performed in patients aged 31 to 37. The main diagnoses were 38.78% due to uterine atony, 26.53% due to molar pregnancy and 22.45% due to placenta accreta. In this health house, in no case was the use of hemostatic sutures c as a therapeutic measure before hysterectomy, 57, 1% required a blood transfusion. No complications were reported during the surgical procedure. No maternal deaths were recorded. It is concluded that obstetric hysterectomy, although not frequent, is considered an emerging surgical practice to safeguard maternal life.