Causality and risk factors for postpartum hemorrhage: an integrative review
DOI:
https://doi.org/10.33448/rsd-v11i16.37507Keywords:
Postpartum Hemorrhage; Postpartum period; Causality.Abstract
Objective: To identify and list the causality and factors associated with postpartum hemorrhage that have repercussions for the high rate of maternal mortality. Method: the work consists of an integrative review carried out in the Pubmed and Lilacs databases, using the descriptors "postpartum period", "causality", "cause" and "postpartum hemorrhage" in a time frame from 2017 to 2022 in Portuguese, English and Spanish. Results: it was found that there are four main causes of postpartum hemorrhage, also called 4T's, namely: Tonus, trauma, tissues and thrombin, risk factors for postpartum hemorrhage include: women of color, previous episode of postpartum hemorrhage, hematocrit less than 30%, placental retention, second-stage arrest, third-stage prolonged labor, large babies, hypertension, and induction of labor. Conclusion: the article show that the main causes of postpartum hemorrhage are placental atony, trauma and maternal blood clotting disorders, in addition, the history of PPH in previous pregnancies, prolonged labor are listed as the main risk factors for this occurrence. , placental retention, women of color and induction of labor, thus, early diagnosis is necessary in order to reduce the levels of maternal mortality from postpartum hemorrhage, both in developed and underdeveloped countries.
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Copyright (c) 2022 Maria Laura Sales da Silva Matos ; Beatriz Rayanne Barbosa Soares; Ramon Abreu de Lucena; Ana Beatriz Norberto Nunes Bezerra ; Rubens de Abreu Bozza; Gustavo Pires de Castro ; Geanderson Ferreira Silva; Jennifer Isabelle Adriano de Lima Parisi ; Daniel Calixto Souza Bacelar; Juliane de Area Leao Pereira da Silva
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