ACCESIBILIDAD A HEMOCOMPONENTES EN BASE A ISÓCRONAS PARA MUJERES CON PATOLOGÍAS GINECO-OBSTÉTRICAS.
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Volume Title
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Rev. Méd. La Paz
Abstract
La mortalidad materna por hemorragias ocupa unos de las primeras causas que requieren transfusiones. Bolivia es uno de los países con mayor mortalidad materna, siendo la causa por hemorragia una de las primeras a requerir mejoras. Anteriormente por la falta de normativa se aperturaron múltiples servicios o minibancos de sangre alrededor de la ciudad de La Paz. Este aspecto cambio centralizándose la producción de la sangre a nivel del Hemocentro, que se encuentra casi al centro de la ciudad de La Paz, quedando la duda si este aspecto limito el uso de transfusiones, tanto a nivel del subsector público o privado en mujeres con patología gineco-obstétrica o si se relaciona con la mortalidad materna. Para tal motivo se hizo un estudio descriptivo, observacional, retrospectivo de tipo analítico sobre los hemocomponentes y su relación con el acceso geográfico para la sangre suministrada por el Hemocentro, analizándose los datos desde 2009-2014. Los datos muestran que se requiere una mejora sobre las transfusiones en el Hospital (Hosp) de La Mujer, pensando a futuro, porque mientras más partos existan, habrá más necesidad de transfusiones. Aún asi, el Hosp. de La Mujer se encuentra en una buena localización para poder recepcionar las referencias de otros niveles de salud. No hubo diferencias importantes en el suministro de sangre a hospitales de II o III nivel privados o públicos, recomendándose que existan un seguimiento de los cambios implementados o si con el tiempo existe diferencias entre el acceso al Hosp. de La Mujer.
Maternal mortality due to hemorrhage is one of the first causes that require transfusions. Bolivia is one of the countries with the highest maternal mortality, with the cause of hemorrhage being one of the first to require improvements. Previously, due to the lack of regulations, múltiple services or mini blood banks were opened around the city of La Paz. This aspect changed, centralizing blood production at the level of the Hemocenter, which is located almost in the center of the city of La Paz, leaving the doubt whether this aspect limited the use of transfusions, both at the level of the public or private subsector in women with gynecological-obstetric pathology or if it is related to maternal mortality. For this reason, a descriptive, observational, retrospective analytical study was carried out on blood components and their relationship with geographic access for blood supplied by the Hemocenter, analyzing data from 2009-2014. The data show that improvement is required on transfusions at the Women's Hospital (Hosp), thinking about the future, because the more births there are, the more need for transfusions there will be. Still, the Hosp. de La Mujer is in a good location to be able to receive referrals from other health levels. There were no important differences in the blood supply to private or public level II or III hospitals, recommending that there be monitoring of the changes implemented or if over time there are differences between access to the Hosp. of The Woman.
Maternal mortality due to hemorrhage is one of the first causes that require transfusions. Bolivia is one of the countries with the highest maternal mortality, with the cause of hemorrhage being one of the first to require improvements. Previously, due to the lack of regulations, múltiple services or mini blood banks were opened around the city of La Paz. This aspect changed, centralizing blood production at the level of the Hemocenter, which is located almost in the center of the city of La Paz, leaving the doubt whether this aspect limited the use of transfusions, both at the level of the public or private subsector in women with gynecological-obstetric pathology or if it is related to maternal mortality. For this reason, a descriptive, observational, retrospective analytical study was carried out on blood components and their relationship with geographic access for blood supplied by the Hemocenter, analyzing data from 2009-2014. The data show that improvement is required on transfusions at the Women's Hospital (Hosp), thinking about the future, because the more births there are, the more need for transfusions there will be. Still, the Hosp. de La Mujer is in a good location to be able to receive referrals from other health levels. There were no important differences in the blood supply to private or public level II or III hospitals, recommending that there be monitoring of the changes implemented or if over time there are differences between access to the Hosp. of The Woman.
Description
Vol. 31, No. 1