Fatores sociodemográficos e clínicos associados à hemorragia pós-parto em mulheres atendidas em uma maternidade

Abstract

Postpartum hemorrhage is a serious public health problem that is on the rise, affecting the community, which is increasingly common in health systems and represents the most important cause of maternal death in the world. The general objective of the study was to investigate the sociodemographic and clinical factors associated with postpartum hemorrhage in a maternity hospital. This is a cross-sectional, from January to December 2018, developed in a maternity hospital in Salvador / BA. The sample consisted of 83 women, with data collected through collection in medical records. For the processing and treatment of data, the software Statistical Package for the Social Sciences, version 23.0, and STATA, version 14, is used. Pearson's Chi- square or Fisher's Exact tests were sent, with a significance level of 5% making it possible to estimate prevalence. The measure of association used was the prevalence ratio (PR) with a 95% confidence interval (95% CI). The prevalence of PPH was 38.6%, with causes attributed to atony (25.6). In the multivariate analysis, adjusting for schooling, an association with postpartum hemorrhage, multiparous women and those who did not breastfeed in the first hour of life was identified. The data found in this study confirm the magnitude of the frequency of postpartum hemorrhage, making women increasingly vulnerable to the occurrence of this condition despite the use of a prophylactic protocol. This study highlights the monitoring of multiparous women with social disadvantage due to education and an important incentive to exclusive breastfeeding in the first hour of life as measures that can contribute to reducing the frequency of postpartum hemorrhage and its complications in this maternity hospital.