<?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>2610-8038</journal-id>
<journal-title><![CDATA[Revista Arbitrada Interdisciplinaria de Ciencias de la Salud. Salud y Vida]]></journal-title>
<abbrev-journal-title><![CDATA[Salud y Vida]]></abbrev-journal-title>
<issn>2610-8038</issn>
<publisher>
<publisher-name><![CDATA[Fundación Koinonía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2610-80382025000400060</article-id>
<article-id pub-id-type="doi">10.35381/s.v.v9i2.4718</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a hemorragia materna por atonía uterina en postparto inmediato]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with maternal hemorrhage by uterine atony in immediate postpartum]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benavides-Nachimba]]></surname>
<given-names><![CDATA[Ligia Liberica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Argilagos]]></surname>
<given-names><![CDATA[Miguel Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Donoso-Noroña]]></surname>
<given-names><![CDATA[Riber Fabián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Regional Autónoma de los Andes  ]]></institution>
<addr-line><![CDATA[Ambato Tungurahua]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Regional Autónoma de los Andes  ]]></institution>
<addr-line><![CDATA[Ambato Tungurahua]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Regional Autónoma de los Andes  ]]></institution>
<addr-line><![CDATA[Ambato Tungurahua]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>9</volume>
<numero>esp2</numero>
<fpage>60</fpage>
<lpage>69</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S2610-80382025000400060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S2610-80382025000400060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S2610-80382025000400060&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Identificar y analizar los factores asociados a la hemorragia materna por atonía uterina en el postparto inmediato para mejorar la prevención y manejo de esta complicación obstétrica.  Método:  Estudio cualitativo mediante investigación documental no experimental con alcance descriptivo. Se realizó revisión sistemática de literatura publicada entre 2018-2023 en bases de datos Google Académico, Dialnet, Scielo, Reciamuc y repositorios universitarios, utilizando términos "hemorragia postparto", "atonía uterina" y "factores de riesgo". Se analizaron 62 bibliografías, seleccionando 22 artículos que cumplieron criterios de inclusión.  Resultados:  Los principales factores asociados incluyen distensión uterina por embarazo múltiple, polihidramnios y macrosomía fetal; agotamiento muscular por trabajo de parto prolongado; inducción con oxitocina (84.7%); tipo de parto (cesárea 67-70%); edad materna mayor de 35 años (79%); multiparidad (63.6%); y corioamnionitis.  Conclusiones:  La identificación temprana de factores de riesgo durante control prenatal y aplicación de medidas preventivas mediante protocolos estandarizados reduce significativamente la morbimortalidad materna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To identify and analyze factors associated with maternal hemorrhage due to uterine atony in immediate postpartum to improve prevention and management of this obstetric complication.  Method:  Qualitative study through non-experimental documentary research with descriptive scope. Systematic literature review of publications from 2018-2023 in Google Scholar, Dialnet, Scielo, Reciamuc databases and university repositories, using terms "postpartum hemorrhage", "uterine atony" and "risk factors". 62 bibliographies were analyzed, selecting 22 articles that met inclusion criteria.  Results:  Main associated factors include uterine distension due to multiple pregnancy, polyhydramnios and fetal macrosomia; muscle exhaustion from prolonged labor; oxytocin induction (84.7%); type of delivery (cesarean 67-70%); maternal age over 35 years (79%); multiparity (63.6%); and chorioamnionitis.  Conclusions: Early identification of risk factors during prenatal care and the implementation of preventive measures through standardised protocols significantly reduce maternal morbidity and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemorragia postparto]]></kwd>
<kwd lng="es"><![CDATA[atonía uterina]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="en"><![CDATA[Postpartum hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[uterine atony]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[maternal mortality]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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