<?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>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732022000100009</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.2075</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hemorragia postparto: intervenciones y tratamiento del profesional de enfermería para prevenir shock hipovolémico]]></article-title>
<article-title xml:lang="en"><![CDATA[Postpartum hemorrhage: Nursing interventions and management to prevent hypovolemic shock]]></article-title>
<article-title xml:lang="pt"><![CDATA[Hemorragia pós-parto: intervenções de enfermagem e gestão para prevenir o choque hipovolêmico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castiblanco Montañez]]></surname>
<given-names><![CDATA[Ruth Alexandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronado Veloza]]></surname>
<given-names><![CDATA[Cyndi Mileni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Ballesteros]]></surname>
<given-names><![CDATA[Laura Valentina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Polo González]]></surname>
<given-names><![CDATA[Tatiana Valentina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saavedra Leyva]]></surname>
<given-names><![CDATA[Angie Julieth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud-FUCS  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>13</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732022000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732022000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732022000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: En Colombia la hemorragia postparto es la segunda causa de mortalidad en mujeres gestantes de 24 a 34 años con 6,9 casos por cada 1000 nacidos vivos. Después del parto se prevé que el 8.2% de las mujeres latinoamericanas presentarán hemorragia postparto.  Objetivo: Describir el cuidado de enfermería a mujeres que presentan hemorragia postparto para disminuir el riesgo de shock hipovolémico, a través de una revisión integrativa de la literatura.  Metodología: Revisión integrativa de la literatura siguiendo la propuesta por Sasso, de Campos y Galvão, se realizó una búsqueda en ClinicalKey, LILACS, CINAHL, Epistemonikos, Cochrane Library, PubMed, Scielo y Google Scholar; se incluyeron artículos publicados en los últimos cinco años, en español, inglés y portugués, se clasificaron por nivel de evidencia y grado de recomendación. Esta investigación es de bajo riesgo por ser de tipo documental.  Resultados: Se recopilaron 41 artículos definitivos. La información se organizó en: cuadro clínico, cuidados de enfermería y dificultades en la atención gineco-obstétrica.  Discusión: El profesional de enfermería debe identificar barreras en la atención evaluando la capacidad resolutiva de las instituciones y analizando los casos de muerte materna. Se recomienda el uso de misoprostol con oxitocina o únicamente de carbetocina y la combinación de ergometrina con oxitocina según el volumen de sangrado.  Conclusión: Es pertinente realizar un examen físico para reconocer signos de inestabilidad hemodinámica, y de shock hipovolémico. Además, los diagnósticos e intervenciones de enfermería se enfocan en brindar cuidados de calidad, para evitar complicaciones como la muerte.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: In Colombia, postpartum hemorrhage is the second leading cause of death in pregnant women at a rate of 6.9 deaths per 1,000 live births. After childbirth, 8.2% of Latin Amer- ican women are expected to have postpartum hemorrhage.  Objective: To describe nursing care delivered to women with postpartum hemorrhage to reduce the risk of hypovolemic shock by means of an integrative literature review.  Materials and Methods: Following the approach suggested by Sasso, de Campos and Galvão, an integrative literature review was conducted on ClinicalKey, LILACS, CINAHL, Epistemonikos, Cochrane Library, PubMed and ScieELO Google Scholar databases. Articles published in the last five years in Spanish, English and Portuguese were selected and classified by their level of evidence and degree of recommendation. This is a low-risk research due to its documentary nature.  Results: 41 articles were finally selected and classified into clinical picture, nursing care and challenges in OBGYN care.  Discussion: Nursing professionals should identify barriers to care by evaluating institutional problem-solving ca- pacity and analyzing maternal death cases. Using misoprostol and oxytocin or only carbetocin and ergometrine-oxytocin is suggested based on the quantity of blood loss.  Conclusions: Per- forming a physical examination is important to recognize signs of hemodynamic instability and hypovolemic shock. Nursing diagnoses and interventions focus on providing quality patient care to prevent certain complications such as death.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: Na Colômbia, a hemorragia pós-parto é a segunda principal causa de mortalidade em mulheres grávidas de 24-34 anos, com 6,9 casos por 1000 nascidos vivos. Após o parto, 8,2% das mulheres latino-americanas devem sofrer de hemorragia pós-parto.  Objetivo: Descrever os cuidados de enfermagem a mulheres com hemorragia pós-parto para reduzir o risco de choque hipovolêmico, através de uma revisão integrativa da bibliografia.  Metodologia: Revisão inte- grativa da bibliografia seguindo a proposta de Sasso, de Campos e Galvão, foi realizada uma pesquisa em ClinicalKey, LILACS, CINAHL, Epistemonikos, Cochrane Library, PubMed, Scielo e Google Scholar; foram incluídos artigos publicados nos últimos cinco anos em espanhol, inglês e português, classificados por nível de evidência e grau de recomendação. Esta é uma pesquisa de baixo risco, pois é do tipo documental.  Resultados: Foram recolhidos 41 artigos definitivos. A informação foi organizada em: quadro clínico, cuidados de enfermagem e dificuldades nos cuidados gineco-obstetrítricos.  Discussão: O profissional de enfermagem deve identificar as barreiras ao cuidado, avaliando a capacidade das instituições e analisando os casos de morte materna. O uso de misoprostol com ocitocina, ou carbetocina isoladamente, e a combinação de ergometrina com ocitocina são recomendados dependendo do volume de sangramento.  Conclusão: O exame físico para sinais de instabilidade hemodinâmica e choque hipovolêmico é relevante. Além disso, os diagnósticos e intervenções de enfermagem concentram-se na pres- tação de cuidados de qualidade para evitar complicações como a morte.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemorragia Posparto]]></kwd>
<kwd lng="es"><![CDATA[Cuidado de Enfermería]]></kwd>
<kwd lng="es"><![CDATA[Shock hipovolémico]]></kwd>
<kwd lng="en"><![CDATA[Postpartum haemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Nursing Care]]></kwd>
<kwd lng="en"><![CDATA[Hypovolemic Shock]]></kwd>
<kwd lng="pt"><![CDATA[Hemorragia Pós-Parto]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de Enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[Choque hipovolêmico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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