Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Trabalho de conclusão de curso |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFS |
Texto Completo: | http://ri.ufs.br/jspui/handle/riufs/7560 |
Resumo: | Objective: To collect data on the prevalence, risk factors and main indications of postpartum hysterectomies at a public maternity hospital in the state of Sergipe. Methods: This is a descriptive retrospective cross-sectional study, through the descriptive analysis of records of cases of women submitted to postpartum hysterectomy between January 2012 and December 2016, at Hospital and Maternidade São José, Itabaiana / SE. Including maternal age, parity, gestational age, type of delivery, indications for hysterectomy and outcome of hysterectomy. Results: 23 cases of postpartum hysterectomy (1.70 per 1000 births), 15 (65.0%) after cesarean section (4.26 per 1,000 cesareans) and eight (35%) were found after vaginal delivery (0.80 per 1000 vaginal deliveries). Only one patient was nulliparous. The most common indication was anomalous placentation with eight (34.8%), followed by uterine atony with seven (30.4%) indications. Uterine rupture was found in four patients (17.4%), infection and endometriosis with one (4.3%), hysterectomy indication was not specified in one case. The main complications were the need for hemotransfusion in all women (100%), hypovolemic shock in four (17.39%), disseminated intravascular coagulation and febrile syndrome with two women (8.70) each, two (8.70% ) women were transferred to the Intensive Care Unit. There were no maternal deaths. Conclusions: Postpartum hysterectomy was more prevalent post-cesarean than vaginal delivery. The main cause was anomalous placentation. The main complication was blood transfusion. |
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Mendonça, Adenilza Silva deDias, Julia Maria Gonçalves2018-03-20T19:19:10Z2018-03-20T19:19:10Z2018-02-08MENDONÇA, Adenilza Silva de. Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe. Aracaju, SE, 2018. Monografia (Graduação em Medicina) - Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, 2018.http://ri.ufs.br/jspui/handle/riufs/7560Objective: To collect data on the prevalence, risk factors and main indications of postpartum hysterectomies at a public maternity hospital in the state of Sergipe. Methods: This is a descriptive retrospective cross-sectional study, through the descriptive analysis of records of cases of women submitted to postpartum hysterectomy between January 2012 and December 2016, at Hospital and Maternidade São José, Itabaiana / SE. Including maternal age, parity, gestational age, type of delivery, indications for hysterectomy and outcome of hysterectomy. Results: 23 cases of postpartum hysterectomy (1.70 per 1000 births), 15 (65.0%) after cesarean section (4.26 per 1,000 cesareans) and eight (35%) were found after vaginal delivery (0.80 per 1000 vaginal deliveries). Only one patient was nulliparous. The most common indication was anomalous placentation with eight (34.8%), followed by uterine atony with seven (30.4%) indications. Uterine rupture was found in four patients (17.4%), infection and endometriosis with one (4.3%), hysterectomy indication was not specified in one case. The main complications were the need for hemotransfusion in all women (100%), hypovolemic shock in four (17.39%), disseminated intravascular coagulation and febrile syndrome with two women (8.70) each, two (8.70% ) women were transferred to the Intensive Care Unit. There were no maternal deaths. Conclusions: Postpartum hysterectomy was more prevalent post-cesarean than vaginal delivery. The main cause was anomalous placentation. The main complication was blood transfusion.Objetivo: levantar dados sobre a prevalência, fatores de risco e principais indicações da histerectomias pós-parto, em maternidade pública do estado de Sergipe. Métodos: Trata-se de um estudo descritivo do tipo corte transversal retrospectivo, através da análise descritiva dos registros de prontuários de casos de mulheres submetidas à histerectomia pós-parto entre janeiro de 2012 a dezembro de 2016, no Hospital e Maternidade São José, Itabaiana/SE. Incluindo idade materna, paridade, idade gestacional, tipo de parto, indicações para a histerectomia e desfecho da histerectomia. Resultados: Foram encontrado 23 casos de histerectomia pós-parto (1,70 por 1000 nascimentos), 15 (65,0%) após cesariana (4,26 por 1000 cesarianas) e oito (35%) após parto vaginal (0,80 por 1000 partos vaginais). Apenas uma paciente era nulípara A indicação mais comum foi a placentação anômala com oito (34,8%), seguida de atonia uterina com sete (30,4%) indicações. A ruptura uterina foi encontrada em quatro pacientes (17,4%), infecção e endometriose com uma (4,3%), indicação de histerectomia não foi especificada em um caso. As principais complicações foram a necessidade de hemotransfusão em todas as mulheres (100%), choque hipovolêmico em quatro (17,39%), coagulação intravascular disseminada e síndrome febril com duas mulheres(8,70) cada, duas(8,70%) mulheres foram transferidas para Unidade de Terapia Intensiva. Não houve óbitos maternos. Conclusões: A histerectomia pós- parto foi mais prevalente pós- cesárea do que pós parto vaginal. A causa principal foi placentação anômala. A principal complicação foi hemotransfusão.Aracaju-(SE)porMedicinaSaúdeHisterectomia em Sergipe (SE)Mulheres em Sergipe (SE)Hemorragia em Sergipe (SE)PuerpérioHysterectomy in Sergipe (SE)Women in Sergipe (SE)Hemorrhage in Sergipe (SE)PuerperiumCIENCIAS DA SAUDE::MEDICINAPrevalência de histerectomia pós-parto em maternidade pública do estado de SergipePrevalence of postpartum hysterectomy in public maternity in the state of Sergipeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesisUniversidade Federal de SergipeDME - Departamento de Medicina – Aracaju - Presencialreponame:Repositório Institucional da UFSinstname:Universidade Federal de Sergipe (UFS)instacron:UFSinfo:eu-repo/semantics/openAccessORIGINALAdenilza_Silva_Mendonça.pdfAdenilza_Silva_Mendonça.pdfapplication/pdf679983https://ri.ufs.br/jspui/bitstream/riufs/7560/2/Adenilza_Silva_Mendon%c3%a7a.pdf9e2dc13d33df9eb8e249aec9ac36d994MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81475https://ri.ufs.br/jspui/bitstream/riufs/7560/3/license.txt098cbbf65c2c15e1fb2e49c5d306a44cMD53TEXTAdenilza_Silva_Mendonça.pdf.txtAdenilza_Silva_Mendonça.pdf.txtExtracted texttext/plain76372https://ri.ufs.br/jspui/bitstream/riufs/7560/4/Adenilza_Silva_Mendon%c3%a7a.pdf.txt9437f730095ca691e210d203d32005f7MD54THUMBNAILAdenilza_Silva_Mendonça.pdf.jpgAdenilza_Silva_Mendonça.pdf.jpgGenerated Thumbnailimage/jpeg1510https://ri.ufs.br/jspui/bitstream/riufs/7560/5/Adenilza_Silva_Mendon%c3%a7a.pdf.jpg51a36d614dc8cd9aab3221fde04c6c5cMD55riufs/75602018-03-20 16:19:10.525oai:ufs.br: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Repositório InstitucionalPUBhttps://ri.ufs.br/oai/requestrepositorio@academico.ufs.bropendoar:2018-03-20T19:19:10Repositório Institucional da UFS - Universidade Federal de Sergipe (UFS)false |
dc.title.pt_BR.fl_str_mv |
Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe |
dc.title.alternative.eng.fl_str_mv |
Prevalence of postpartum hysterectomy in public maternity in the state of Sergipe |
title |
Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe |
spellingShingle |
Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe Mendonça, Adenilza Silva de Medicina Saúde Histerectomia em Sergipe (SE) Mulheres em Sergipe (SE) Hemorragia em Sergipe (SE) Puerpério Hysterectomy in Sergipe (SE) Women in Sergipe (SE) Hemorrhage in Sergipe (SE) Puerperium CIENCIAS DA SAUDE::MEDICINA |
title_short |
Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe |
title_full |
Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe |
title_fullStr |
Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe |
title_full_unstemmed |
Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe |
title_sort |
Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe |
author |
Mendonça, Adenilza Silva de |
author_facet |
Mendonça, Adenilza Silva de |
author_role |
author |
dc.contributor.author.fl_str_mv |
Mendonça, Adenilza Silva de |
dc.contributor.advisor1.fl_str_mv |
Dias, Julia Maria Gonçalves |
contributor_str_mv |
Dias, Julia Maria Gonçalves |
dc.subject.por.fl_str_mv |
Medicina Saúde Histerectomia em Sergipe (SE) Mulheres em Sergipe (SE) Hemorragia em Sergipe (SE) Puerpério |
topic |
Medicina Saúde Histerectomia em Sergipe (SE) Mulheres em Sergipe (SE) Hemorragia em Sergipe (SE) Puerpério Hysterectomy in Sergipe (SE) Women in Sergipe (SE) Hemorrhage in Sergipe (SE) Puerperium CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Hysterectomy in Sergipe (SE) Women in Sergipe (SE) Hemorrhage in Sergipe (SE) Puerperium |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Objective: To collect data on the prevalence, risk factors and main indications of postpartum hysterectomies at a public maternity hospital in the state of Sergipe. Methods: This is a descriptive retrospective cross-sectional study, through the descriptive analysis of records of cases of women submitted to postpartum hysterectomy between January 2012 and December 2016, at Hospital and Maternidade São José, Itabaiana / SE. Including maternal age, parity, gestational age, type of delivery, indications for hysterectomy and outcome of hysterectomy. Results: 23 cases of postpartum hysterectomy (1.70 per 1000 births), 15 (65.0%) after cesarean section (4.26 per 1,000 cesareans) and eight (35%) were found after vaginal delivery (0.80 per 1000 vaginal deliveries). Only one patient was nulliparous. The most common indication was anomalous placentation with eight (34.8%), followed by uterine atony with seven (30.4%) indications. Uterine rupture was found in four patients (17.4%), infection and endometriosis with one (4.3%), hysterectomy indication was not specified in one case. The main complications were the need for hemotransfusion in all women (100%), hypovolemic shock in four (17.39%), disseminated intravascular coagulation and febrile syndrome with two women (8.70) each, two (8.70% ) women were transferred to the Intensive Care Unit. There were no maternal deaths. Conclusions: Postpartum hysterectomy was more prevalent post-cesarean than vaginal delivery. The main cause was anomalous placentation. The main complication was blood transfusion. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-03-20T19:19:10Z |
dc.date.available.fl_str_mv |
2018-03-20T19:19:10Z |
dc.date.issued.fl_str_mv |
2018-02-08 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/bachelorThesis |
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bachelorThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MENDONÇA, Adenilza Silva de. Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe. Aracaju, SE, 2018. Monografia (Graduação em Medicina) - Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, 2018. |
dc.identifier.uri.fl_str_mv |
http://ri.ufs.br/jspui/handle/riufs/7560 |
identifier_str_mv |
MENDONÇA, Adenilza Silva de. Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe. Aracaju, SE, 2018. Monografia (Graduação em Medicina) - Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, 2018. |
url |
http://ri.ufs.br/jspui/handle/riufs/7560 |
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por |
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por |
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openAccess |
dc.publisher.initials.fl_str_mv |
Universidade Federal de Sergipe |
dc.publisher.department.fl_str_mv |
DME - Departamento de Medicina – Aracaju - Presencial |
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Universidade Federal de Sergipe (UFS) |
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