<?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>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cuban. med. mil.]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572023000400003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo relacionados con las complicaciones de la hemorragia obstétrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors related to complications of obstetric hemorrhage]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fong Pantoja]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcés Suarez]]></surname>
<given-names><![CDATA[Milagros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Orlando Pantoja Tamayo&#8221;  ]]></institution>
<addr-line><![CDATA[ Contramaestre]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>52</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572023000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572023000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572023000400003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La hemorragia obstétrica es considerada una causa mayor de mortalidad materna. El reconocimiento de las mujeres con riesgo de desarrollar complicaciones durante la hemorragia obstétrica, es la primera acción para promover un tratamiento optimizado y evitar la muerte.  Objetivo:  Identificar los factores de riesgo de complicaciones en pacientes con hemorragia obstétrica.  Métodos:  Estudio observacional, analítico de casos y controles, con 12 casos (con complicaciones) y 24 controles (sin complicaciones). Se aplicó las medidas resúmenes para cada tipo de variables y la determinación de los factores de riesgos mediante la aplicación del odds ratio (OR), se utilizó el paquete estadístico SPSS versión 26.0, con un intervalo de confianza (IC) del 95 %.  Resultados: La combinación del choque hipovolémico, más la insuficiencia renal aguda, fue la complicación más frecuente para un 13,8 %. Predominó la atonía uterina para un 50,0 % como causa de hemorragia. Las variables predictivas de complicaciones fueron: el valor de creatinina &#8805; 113 µmol/L (OR= 19,08; IC: 2,75-138,36), índice internacional normalizado &#8805; 2 (OR= 4,66; IC: 1,46-14,90), hematocrito &lt; 0,23 (OR= 4,00; IC: 1,76-9,08) y hemoglobina &lt; 70 g/L (OR= 2,22; IC: 1,25-3,95).  Conclusiones: La creatinina &#8805; 113 µmol/L, índice internacional normalizado &#8805; 2, hematocrito &lt; 0,23 y hemoglobina &lt; 70 g/L son los principales factores de riesgo identificados para el desarrollo de complicaciones durante la hemorragia obstétrica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Obstetric hemorrhage is considered a major cause of maternal mortality. Recognition of women at risk of developing complications during obstetric hemorrhage is the first action to promote optimized treatment and avoid death.  Objective: Identify risk factors for complications in patients with obstetric hemorrhage.  Methods:  Observational, analytical case-control study, with 12 cases (with complications) and 24 controls (without complications). The summary measures were applied for each type of variables and the determination of the risk factors by applying the odds ratio (OR), the SPSS statistical package version 26.0 was used, with a confidence interval (CI) of 95%.  Results: The combination of hypovolemic shock, plus acute renal failure, was the most frequent complication for 13.8%. Uterine atony predominated for 50.0% as the cause of hemorrhage. The predictive variables of complications were: creatinine value &#8805; 113 µmol/L (OR= 19.08; CI: 2.75-138.36), international normalized ratio &#8805; 2 (OR= 4.66; CI: 1. 46-14.90), hematocrit &lt; 0.23 (OR= 4.00; CI: 1.76-9.08) and hemoglobin &lt; 70 g/L (OR= 2.22; CI: 1.25-3.95).  Conclusions:  Creatinine &#8805; 113 µmol/L, international normalized ratio &#8805; 2, hematocrit &lt; 0.23 and hemoglobin &lt; 70 g/L are the main risk factors identified for the development of complications during obstetric hemorrhage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[complicaciones del trabajo de parto]]></kwd>
<kwd lng="es"><![CDATA[hemorragia posparto]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[obstetric labor complications, postpartum hemorrhage]]></kwd>
</kwd-group>
</article-meta>
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