Hemorragia durante la cesárea: factores de riesgo

Abstract

Objectives To identify the factors influencing blood loss after cesarean section. Material and methods A total of 628 patients who underwent a cesarean section during a 1-year period at the Obstetrics Service of the University Hospital of San Cecilio in Granada (Spain) were studied. The patients’ socio-demographic characteristics and the distinct factors that could be related to blood loss were analyzed. The incidence of anemia and the need for postsurgical transfusion were calculated. Results Postcesarean anemia was found in 80% of the patients, but with a loss below 2 g/dl. The factors associated with a higher rate of blood loss were multiparity, previous cesarean section, gestational age <30 weeks and urgent cesarean section. No significant differences were found with regard to a history of preeclampsia or the type of anesthesia used. The Misgav-Ladach technique for cesarean section reduced blood loss. Conclusions In our study, multiparity and urgent cesarean section were associated with a higher rate of anemia