<?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>0138-600X</journal-id>
<journal-title><![CDATA[Revista Cubana de Obstetricia y Ginecología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Obstet Ginecol]]></abbrev-journal-title>
<issn>0138-600X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-600X2019000100025</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La hemorragia obstétrica en el servicio de Anestesiología del Hospital &#698;Dr. Agostinho Neto&#750;]]></article-title>
<article-title xml:lang="en"><![CDATA[Obstetric Hemorrhage in Anesthesia Service at Dr. Agostinho Neto Hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Lombar]]></surname>
<given-names><![CDATA[Jorge Onasis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elías Sierra]]></surname>
<given-names><![CDATA[Reinaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bayard Joseff]]></surname>
<given-names><![CDATA[Iselkis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elias Armas]]></surname>
<given-names><![CDATA[Karla Sucet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital &#698;Dr. Agostinho Neto&#750;  ]]></institution>
<addr-line><![CDATA[Guantánamo ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Facultad de Ciencias Médicas de Guantánamo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>45</volume>
<numero>1</numero>
<fpage>25</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-600X2019000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-600X2019000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-600X2019000100025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN   Introducción:  La hemorragia obstétrica es una de las complicaciones más temidas y una de las principales causas de mortalidad materna.  Objetivo:  Caracterizar la hemorragia obstétrica en el servicio de Anestesiología y Reanimación del Hospital &#8220;Dr. Agostinho Neto" de Guantánamo.  Métodos:  Se realizó un estudio descriptivo, longitudinal y prospectivo en el mencionado servicio de salud desde 2015 - hasta 2017. De un universo de 388 pacientes que tuvieron diagnóstico de morbilidad materna extremadamente grave, la muestra quedó constituida por las diagnosticadas con hemorragia obstétrica (n= 71). Para el procesamiento estadístico se utilizó el porcentaje, la media y la desviación estándar.  Resultados:  La hemorragia obstétrica se precisó en 18,2 % de las pacientes; de ellas, 0,7 % fallecieron. La edad media de las pacientes fue de 24,2 ± 6,2 años. La edad gestacional fue de 34,2 ± 6,2 años y la estadía en días fue de 5,9 ± 4,2 [IC 95 % 5,3 - 6,5]. La atonía uterina (50,8 %) fue la causa más común de la hemorragia. El 91,5 % de las pacientes presentó inestabilidad hemodinámica, lo que condicionó el uso de altos volúmenes de fluidos y hemoderivados para su reanimación. La coagulación intravascular diseminada fue la causa de muerte fundamental.  Conclusiones:  La hemorragia obstétrica continúa una causa importante de morbilidad y mortalidad en el mencionado servicio de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Obstetric hemorrhage is one of the feared complications and it is one of the main causes of maternal mortality.  Objective:  To characterize obstetric hemorrhage in the service of Anesthesiology and Reanimation at Dr. Agostinho Neto Hospital in Guantanamo, Cuba from 2015 to 2017.  Methods:  A descriptive, longitudinal and prospective study was carried out in the aforementioned health service from 2015 to 2017. Three hundred eighty eight (388) patients that had diagnostic of extremely serious maternal morbidity were the universe of this study. The sample was constituted by those diagnosed with obstetric hemorrhage (n = 71). Percentage, mean and standard deviation were used for the statistical analysis.  Results:  Obstetric hemorrhage occurred in 18.2% of the patients. 0.7% died. The mean age was of 24.2 ± 6.2 years; the pregnancies age was of 34.2 ± 6.2 years and hospital stay was of 5.9 ± 4.2 [IC 95 percentage 5.3 - 6.5]. Uterine atony (50.8%) was the most common cause of the hemorrhage. 91.5% of the patients had hemodynamic unsteadiness that conditioned the use of high volumes of fluids and hemoderivates for reanimation. Clotting intravascular was the main cause of death.  Conclusions:  Obstetric hemorrhage constitutes an important cause of morbidity and mortality in the mentioned health service.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemorragia obstétrica]]></kwd>
<kwd lng="es"><![CDATA[hemorragia posparto]]></kwd>
<kwd lng="es"><![CDATA[coagulopatías]]></kwd>
<kwd lng="en"><![CDATA[obstetric hemorrhages]]></kwd>
<kwd lng="en"><![CDATA[postpartum hemorrhages]]></kwd>
<kwd lng="en"><![CDATA[coagulopathies]]></kwd>
</kwd-group>
</article-meta>
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