<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902024000401201</article-id>
<article-id pub-id-type="doi">10.29193/rmu.40.4.1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis de las histerectomías obstétricas en el Centro Hospitalario Pereira Rossell 2017-2022]]></article-title>
<article-title xml:lang="en"><![CDATA[Analysis of obstetric hysterectomies at the Pereira Rossell Hospital Centre, 2017-2022]]></article-title>
<article-title xml:lang="pt"><![CDATA[Análise das histerectomias obstétricas no Centro Hospitalar Pereira Rossell 2017-2022]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tolosa]]></surname>
<given-names><![CDATA[Valeria]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lambruschini]]></surname>
<given-names><![CDATA[Cecilia]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Dahiana]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nozar]]></surname>
<given-names><![CDATA[Fernanda]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,Universidad de la República Clínica Ginecotocológica A Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902024000401201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902024000401201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902024000401201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La histerectomía obstétrica es un evento centinela de morbilidad materna extremadamente grave (MMEG) o near miss.  Objetivos: Caracterizar la población sometida a histerectomía obstétrica en el Hospital Pereira Rossell en el período 2017-2022. Calcular la tasa de histerectomía obstétrica en el CHPR; observar su frecuencia tras parto vaginal y cesárea; analizar las complicaciones vinculadas, detectar fallas en el sistema de atención a fin de mejorar la calidad del cuidado obstétrico.  Métodos: Se realizó un estudio retrospectivo, longitudinal y descriptivo mediante análisis de historias clínicas del sistema de registro hospitalario. Se incluyeron pacientes sometidas a histerectomía obstétrica, cursando estado grávido puerperal, con embarazo mayor de 20 semanas.  Resultados: Se realizaron 30 histerectomías obstétricas en el período, con una incidencia 0.84 por 1000 nacimientos siendo más frecuente en mujeres menores de 35 años, multíparas,con cesárea previa. Todos los casos ocurrieron tras cesárea. Las principales complicaciones observadas fueron la necesidad de transfusión sanguínea y el ingreso a CTI. No hubo muertes maternas. Hubo 2 muertes perinatales.  Conclusiones: La caracterización de la población sometida a histerectomía obstétrica aporta datos fundamentales en vistas a mejorar la asistencia. Se observó mayor incidencia en pacientes sometidas a cesárea, multíparas. Frecuentemente requieren transfusión de hemoderivados, poniendo de manifiesto la necesidad protocolos de atencián a hemorragia obstétrica y transfusión masiva. No hubo muertes maternas, siendo esto un marcador de calidad de los cuidados. Las limitaciones del estudio fueron el bajo número de casos, y la mala calidad de los registros médicos que dificultaron la obtención de información.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Obstetric Hysterectomy is a sentinel event of Near Miss.  Objectives: To characterize the population undergoing obstetric hysterectomy at Pereira Rossell Hospital during the period 2017-2022. To calculate the obstetric hysterectomy rate at CHPR; observe its frequency after vaginal delivery and cesarean section; analyze related complications; and detect system failures to improve the quality of obstetric care.  Methods: A retrospective, longitudinal, and descriptive study was conducted through the analysis of medical records from the hospital registry system. Women undergoing obstetric hysterectomy during pregnancy or the puerperal state, with pregnancies of more than 20 weeks, were included.  Results: Thirty obstetric hysterectomies were performed during the period, with an incidence of 0.84 per 1,000 births, being more frequent in women under 35 years old, multiparous, and with a previous cesarean section. All cases occurred after cesarean delivery. The main observed complications were the need for blood transfusion and admission to the ICU. There were no maternal deaths. There were 2 perinatal deaths.  Conclusions: Characterizing the population undergoing obstetric hysterectomy provides fundamental data for improving care. A higher incidence was observed in patients who had cesarean sections and were multiparous. They frequently required blood transfusions, highlighting the need for protocols on obstetric hemorrhage and massive transfusion. There were no maternal deaths, which is a marker of the quality of care. The study&#8217;s limitations were the low number of cases and the poor quality of medical records, which hindered information retrieval.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A histerectomia obstétrica é um evento sentinela de morbidade materna extremamente grave (MMEG) ou near miss.  Objetivos: Caracterizar a população submetida a histerectomia obstétrica no Hospital Pereira Rossell no período de 2017 a 2022. Calcular a taxa de histerectomia obstétrica no CHPR; observar sua frequência após parto vaginal e cesárea; analisar as complicações vinculadas, detectar falhas no sistema de atendimento a fim de melhorar a qualidade do cuidado obstétrico.  Métodos: Foi realizado um estudo retrospectivo, longitudinal e descritivo mediante análise de prontuários do sistema de registro hospitalar. Foram incluídas pacientes submetidas a histerectomia obstétrica, em estado grávido puerperal, com gravidez maior de 20 semanas.  Resultados: Foram realizadas 30 histerectomias obstétricas no período, com uma incidência de 0,84 por 1000 nascimentos, sendo mais frequente em mulheres com menos de 35 anos, multíparas, com cesárea prévia. Todos os casos ocorreram após cesárea. As principais complicações observadas foram a necessidade de transfusão sanguínea e a internação em CTI. Não houve mortes maternas. Houve 2 mortes perinatais.  Conclusões: A caracterização da população submetida a histerectomia obstétrica fornece dados fundamentais visando melhorar a assistência. Observou-se maior incidencia em pacientes submetidas a cesárea, multíparas. Frequentemente requerem transfusão de hemoderivados, evidenciando a necessidade de protocolos de atendimento à hemorragia obstétrica e transfusão massiva. Não houve mortes maternas, sendo isso um marcador de qualidade dos cuidados. As limitações do estudo foram o baixo número de casos e a má qualidade dos registros médicos, que dificultaram a obtenção de informações.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Histerectomía]]></kwd>
<kwd lng="es"><![CDATA[Hemorragia posparto]]></kwd>
<kwd lng="es"><![CDATA[Morbilidad materna extrema]]></kwd>
<kwd lng="es"><![CDATA[Salud materna]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones en el trabajo de parto obstétrico]]></kwd>
<kwd lng="es"><![CDATA[Procedimientos quirúrgicos obstétricos]]></kwd>
<kwd lng="en"><![CDATA[Hysterectomy]]></kwd>
<kwd lng="en"><![CDATA[Postpartum haemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Near miss]]></kwd>
<kwd lng="en"><![CDATA[Maternal health]]></kwd>
<kwd lng="en"><![CDATA[Obstetric labour complications]]></kwd>
<kwd lng="en"><![CDATA[Obstetric surgical procedures]]></kwd>
<kwd lng="pt"><![CDATA[Histerectomia]]></kwd>
<kwd lng="pt"><![CDATA[Hemorragia pós-parto]]></kwd>
<kwd lng="pt"><![CDATA[Near miss]]></kwd>
<kwd lng="pt"><![CDATA[Saúde materna]]></kwd>
<kwd lng="pt"><![CDATA[Complicações obstétricas no trabalho de parto]]></kwd>
<kwd lng="pt"><![CDATA[Procedimentos cirúrgicos obstétricos]]></kwd>
</kwd-group>
</article-meta>
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