Hemorragia Posparto: Perfil Materno, Etiologías e Intervenciones en un Centro de Partos Normales
DOI:
https://doi.org/10.36489/nursing.2026v31i333p13141-13158Palabras clave:
Parto humanizado, Centros de atención al embarazo y al parto, Hemorragia posparto, Parto normalResumen
OBJETIVO: Evaluar los factores clínicos, obstétricos y asistenciales asociados a la ocurrencia de hemorragia posparto (HPP) en mujeres atendidas en la Casa de Parto de São Sebastião (CPSS). MÉTODO: Estudio observacional, retrospectivo y cuantitativo, basado en el análisis de 109 historias clínicas. RESULTADOS: Las participantes presentaron una edad media de 26 años, predominio de unión estable y nivel educativo correspondiente a la educación secundaria completa, además de alta conformidad con los criterios de admisión. La atonía uterina fue la principal etiología de la HPP, y la mayoría de los casos fue manejada en el propio servicio, con una baja tasa de derivación. CONCLUSIÓN: Los resultados indican una elevada capacidad resolutiva y seguridad del modelo asistencial, destacando la necesidad de estudios prospectivos con muestras ampliadas.
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World Health Organization. Consolidated guidelines for the prevention, diagnosis and treatment of postpartum haemorrhage [Internet]. Geneva: WHO; 2025. Available from: https://www.who.int/publications/i/item/9789240115637
World Health Organization (WHO). A roadmap to combat postpartum haemorrhage 2023–2030 [Internet]. Geneva: WHO; 2023. Available from: https://iris.who.int/bitstream/handle/10665/373221/9789240081802-eng.pdf
Organização Pan-Americana da Saúde (OPAS). Manual de orientação para o curso de prevenção de manejo obstétrico da hemorragia: Zero Morte Materna por Hemorragia. Brasília: OPAS; 2018. Available from: https://iris.paho.org/bitstream/handle/10665.2/34880/9788579671258-por.pdf?sequence=1&isAllowed=y
Brasil. Ministério da Saúde. Diretrizes nacionais de assistência ao parto normal [Internet]. Brasília: Ministério da Saúde; 2017. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_nacionais_assistencia_parto_normal.pdf
World Health Organization. WHO recommendations for the prevention and treatment of postpartum haemorrhage [Internet]. Geneva: WHO; 2017. Available from: https://iris.who.int/bitstream/handle/10665/75411/9789248548505_por.pdf
Royal College of Obstetricians and Gynaecologists (RCOG). Prevention and management of postpartum haemorrhage. BJOG. 2016;124:e106–49. doi:10.1111/1471-0528.14178
American College of Obstetricians and Gynecologists. Practice Bulletin No. 183: postpartum hemorrhage. Obstet Gynecol. 2017;130(4):e168–86. doi:10.1097/AOG.0000000000002351
Escobar MF, Nassar AH, Theron G, et al. FIGO recommendations on the management of postpartum haemorrhage 2022. Int J Gynaecol Obstet. 2022;157(Suppl 1):3–50. doi:10.1002/ijgo.14185
Begley CM, Gyte GML, Devane D, McGuire W, Weeks A. Active versus expectant management for women in the third stage of labour. Cochrane Database Syst Rev. 2019;2:CD007412. doi:10.1002/14651858.CD007412.pub5
Governo do Distrito Federal. Secretaria de Estado de Saúde. Protocolo de hemorragia pós-parto [Internet]. Brasília: SES-DF; 2023. Available from: https://www.saude.df.gov.br/documents/37101/0/Protocolo+de+Hemorragia+Pós+Parto.pdf
Brasil. Ministério da Saúde. Portaria nº 1.459, de 24 de junho de 2011. Institui, no âmbito do Sistema Único de Saúde (SUS), a Rede Cegonha. Diário Oficial da União. 2011 jun 27; Seção 1:109.
Wallace J, Hoehn-Velasco L, Tilden E, et al. An alternative model of maternity care for low-risk birth: Maternal and neonatal outcomes utilizing the midwifery-based birth center model. Health Serv Res. 2024;59(1):e14222. doi:10.1111/1475-6773.14222.
Fikre R, et al. Effectiveness of midwifery-led care on pregnancy outcomes in low- and middle-income countries: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2023 May 26;23(1):386. doi: 10.1186/s12884-023-05664-9.
Kearney L, Kynn M, Reed R, Davenport L, Young J, Schafer K. Identifying the risk: a prospective cohort study examining postpartum haemorrhage in a regional Australian health service. BMC Pregnancy Childbirth. 2018;18(1):214. doi:10.1186/s12884-018-1852-8
Governo do Distrito Federal (GDF). Protocolo assistencial da Casa de Parto de São Sebastião. Disponível em: https://www.saude.df.gov.br/documents/37101/90046/Protocolo+Assistencial+da+Casa+de+Parto+S%C3%A3o+Sebasti%C3%A3o.pdf/8a64a551-c136-8105-73e2-fd4e86e49717?t=1651595532370
National Health Service. Midwifery-led pregnancy care and community birth clinical guideline [Internet]. Cornwall: Royal Cornwall Hospitals Trust; 2023. Available from: https://doclibrary-rcht.cornwall.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/MidwiferyAndObstetrics/MidwiferyLedPregnancyCareAndCommunityBirthClinicalGuideline.pdf
Iguchi COF. Transferências maternas em uma casa de parto: resultados maternos e neonatais [dissertação]. São Paulo: Escola de Enfermagem, Universidade de São Paulo; 2025. Available from: https://www.teses.usp.br/teses/disponiveis/7/7141/tde-20052025-094509/
Stapleton S, Osborne C, Illuzzi J. Outcomes of care in birth centers: demonstration of a durable model. J Midwifery Womens Health. 58(1), 3–14. 2013. https://doi.org/10.1111/jmwh.12003
World Health Organization. Maternal mortality ratio (per 100 000 live births) [Internet]. Geneva: WHO; [cited 2026 Jan 3]. Available from: https://data.who.int/indicators/i/C071DCB/AC597B1
Nam JY, Oh SS, Park EC. The association between adequate prenatal care and severe maternal morbidity among teenage pregnancies: a population-based cohort study. Front Public Health. 2022;10:782143. doi:10.3389/fpubh.2022.782143
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Derechos de autor 2026 Marina Costa Tolentino Ferreira, Hygor Alessandro Firme Elias, Kelly da Silva Cavalcante Ribeiro

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