To look for the profile of maternal fatalities took place the period between 2000 and 2019 within the Hospital de Clínicas de Porto Alegre (HCPA, when you look at the Portuguese acronym) also to compare it with maternal fatalities between 1980 and 1999 in the same establishment. After reviewing 2,481 health records of women who died in reproductive age, 43 fatalities had occurred during pregnancy or perhaps in the postpartum period. Of these, 28 were considered maternal fatalities. The maternal death proportion ended up being 37.6 per 100,000 reside births. Regarding factors, 16 fatalities (57.1%) were straight associated with maternity, 10 (35.1%) had been ultimately associated, and 2 (7.1%) were unrelated. The root cause of death was high blood pressure during pregnancy (31.2%) followed closely by severe liver steatosis during pregnancy (25%). In the last study, published in 2003 in identical institution Weighed against information before the ten years of 2000, there clearly was a significant reduction in maternal deaths due to infectious factors. Weighed against information ahead of the ten years of 2000, there is a significant reduction in maternal deaths because of infectious causes. To describe the clinical knowledge about the B-Lynch method in the handling of postpartum hemorrhage as well as the facets associated with the sign Tolebrutinib of this technique and also to provide the success prices associated with the application of this B-Lynch strategy. Observational, retrospective, cross-sectional, and analytical study. Patient information had been gotten through the research of health documents. The analysis population composed of patients just who underwent hemostatic suture with the B-Lynch method, including 104 patients in the duration from January 1, 2005, to December 31, 2019. For the total of 104 patients, 82.7% failed to present any problems. Bloodstream transfusion and intensive attention product admission had been Sublingual immunotherapy probably the most commonplace complications, with 13.5per cent and 15.4%, respectively. Just one% of the patients had puerperal and surgical site attacks. The elements most regarding the use of the strategy were the clear presence of previous cesarean section (30.8%), utilization of oxytocin (16.3%), and preeclampsia (11.6%). Puerperal hysterectomy ended up being done in 4.8% associated with customers as a result of failure of this method. The medical knowledge about the B-Lynch method was satisfactory as it delivered few complications, with positive results in hemorrhagic control. Previous cesarean part, the usage of oxytocin, and preeclampsia stood down as elements pertaining to the sign associated with application regarding the method, plus the rate of success in controlling postpartum hemorrhage was 95.2%. The medical experience with the B-Lynch strategy was satisfactory because it provided few problems, with excellent results in hemorrhagic control. Previous cesarean area, making use of oxytocin, and preeclampsia endured completely as factors pertaining to the indication regarding the application of the strategy, as well as the success rate in controlling postpartum hemorrhage ended up being 95.2%. An exploratory, descriptive study using a qualitative method through a semi-structured interview strategy. As a whole, 27 health care professionals (medical specialists hepatolenticular degeneration , nurses, health residents in Gynecology and Obstetrics, hired medical doctors, and medication professors) doing work in a tertiary-level medical center of reference in women’s medical care when you look at the State of São Paulo, Brazil, took part in the study through an invitation. When they accepted the invitation, they signed the no-cost and informed consent type. All interviews had been taped and transcribed, and a thematic evaluation ended up being carried out. We discovered three analysis categories a) perception for the severity “there is something wrong because of the women”; b) difficulties during the early diagnosis of postpartum hemorrhage; and c) the method to boost obstetrical treatment. Caregivers believe teamwork and communication must certanly be improved. Aside from the aesthetic estimation of blood loss, the nursing staff is conscious to behavioral symptoms like irritability, as the medical staff follow protocols to see unbiased indications, such as modified important signs. Besides the aim evaluations, the subjective perceptions regarding the providers are involved in the clinical judgement concerning the diagnosis of postpartum hemorrhage, and this must certanly be a part of a wider analysis method. Besides the target evaluations, the subjective perceptions associated with the providers are involved in the clinical judgement about the analysis of postpartum hemorrhage, and this is a part of a wider analysis strategy.
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