scholarly journals Prevenção e tratamento da hemorragia pós-parto

2019 ◽  
Vol 13 (1) ◽  
pp. 236
Author(s):  
Rita de Cássia de Oliveira ◽  
Rejane Marie Barbosa Davim

ABSTRACTObjective: to identify the evidence on the prevention and treatment of postpartum haemorrhage in health care. Method: this is a descriptive and quantitative bibliographical study of the type integrative, with temporal delimitation from 2007 to 2017, with a search in the databases LILACS, MEDLINE and SciELO Virtual Library, and the results are presented in figure, analyzed by the technique of Content Analysis in the Thematic Analysis modality. Results: totaling 100 articles, which, after refinement, totaled 11 eligible for discussion with the literature. Conclusion: the correct management of the third stage of labor with the prophylaxis of postpartum haemorrhage was fundamental, based on the use of uterotonic drugs, controlled cord traction and uterine massage in place of clamping of the cord. Descriptors: Pregnant women; Pregnancy; Bleeding; Maternal Mortality; Puerperal infection; Women's Health.RESUMOObjetivo: identificar as evidências sobre a prevenção e o tratamento da hemorragia pós-parto em cuidados no campo da saúde. Método: trata-se de um estudo bibliográfico, descritivo e quantitativo, do tipo revisão integrativa, com delimitação temporal de 2007 a 2017, com busca nas bases de dados LILACS, MEDLINE e Biblioteca Virtual SciELO, e os resultados se apresentam em figura, analisados pela técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: totalizaram-se 100 artigos que, após refinamento, totalizaram 11 elegíveis para discussão com a literatura. Conclusão: evidenciou-se que é fundamental o manejo correto no terceiro estágio do trabalho de parto, com a profilaxia da hemorragia pós-parto, tendo como base o uso de drogas uterotônicas, a tração controlada de cordão e a massagem uterina em substituição ao clampeamento do cordão. Descritores: Gestantes; Gravidez; Hemorragia; Mortalidade Materna; Infecção Puerperal; Saúde da Mulher.RESUMENObjetivo: identificar las evidencias sobre la prevención y el tratamiento de la hemorragia posparto en cuidados en el campo de la salud. Método: se trata de un estudio bibliográfico, descriptivo y cuantitativo, del tipo revisión integrativa, con delimitación temporal de 2007 a 2017, con búsqueda en las bases de datos LILACS, MEDLINE y Biblioteca Virtual SciELO, y los resultados se presentan en figura, analizados por la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: se totalizaron 100 artículos que, después de refinamiento, totalizaron 11 elegibles para discusión con la literatura. Conclusión: se evidenció que es fundamental el manejo correcto en la tercera etapa del trabajo de parto, con la profilaxis de la hemorragia posparto, teniendo como base el uso de drogas uterotónicas, la tracción controlada de cordón y el masaje uterino en sustitución al clampeamiento del cordón. Descriptores: Mujeres Embarazzadas; Embarazzo; Hemorrragia; Infección Puerperal; Salud de la Mujer.

2006 ◽  
Vol 94 ◽  
pp. S126-S127 ◽  
Author(s):  
Fernando Althabe ◽  
Eduardo Bergel ◽  
Pierre Buekens ◽  
Claudio Sosa ◽  
José M. Belizán

1970 ◽  
Vol 1 (2) ◽  
pp. 28-30 ◽  
Author(s):  
Meera Upadhyay ◽  
Gaurav Sharma ◽  
Dinesh Chataut

Objective: To find out the quality of service (standard steps of the procedures) incorporated in the active management of the third stage of labor (AMTSL) in Maternity Hospital, Thapathali, Kathmandu, Nepal. Methods: Prospective (single blind) study, where the (uninformed) service providers had no knowledge that they were being assessed of their performances regarding the proper conduct of the AMTSL, in randomly selected 325 laboring women during all shifts of the day by 4 interns who carefully documented the findings in pre prepared standard 3 month duration reference during in the year 2061/2062 (2004/2005) in Maternity Hospital Thapathali, Kathmandu, Nepal. Results: (Pre) loading of oxytocin was correctly done immediately when the women were seen to bear down at second stage of labor. In 99.5% of cases (irrespective of duty shift). In 5.8 % of cases, the oxytocin doses were different from standard 10 units. The possibility of second twin was not ruled out in 81.9% before the administration of 10 units of IM oxytocin. Moreover, the study that controlled cord traction was revealed or showed applied in 50% of the cases without confirming uterine contraction while counter traction to the uterus was given in most of the cases (98.5%) along with effective examination of the placenta for its completeness in 98.2 % cases. Conclusion: This study shows that improvement in the standard AMTSL practices is still needed in the training providing institution, which demand ensuring the absence of twin tactfully before giving IM oxytocin within 2 minutes invariably after the delivery of the babies and also in giving slight traction on to the umbilical cord gently during uterine contraction along with counter traction to the uterus. Key words: Active management of third stage of labor AMTSL, oxytocin, uterine massage.   doi:10.3126/njog.v1i2.2394 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 28-30 Nov-Dec 2006


2021 ◽  
Vol 4 (2) ◽  
pp. 050-054
Author(s):  
M Sena-Martins ◽  
V Tadini ◽  
BG Bolsonaro ◽  
C Mariani-Neto ◽  
ABN Pires ◽  
...  

Puerperal acute uterine inversion is a rare obstetric condition observed as a serious complication during the third stage of labor. Reported as one of the causes of postpartum haemorrhage, it commonly requires quick diagnosis and surgical treatment in order to reduce morbidity and lethality. The authors describe a case of uterine inversion with hypovolemic shock after home birth, brought to Hospital Leonor Mendes de Barros. The purpose of this article is to describe a case of acute uterine inversion and its management and a review of aetiology, predictive and risk factors, diagnosis and treatment.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kate Abraham ◽  
Sajel Nuwamanya ◽  
Malia Swanson ◽  
Jenny Kendall ◽  
Shelley Waits

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