The second cause of admission to the OHDU was major obstetric hemorrhage secondary mainly to uterine atony and placenta accreta, in spite of having protocols of prophylaxis and pharmacological treatment of uterine atony oxytocin, misoprostol, methergine and carbe-tocin and protocols to diagnose placenta accreta in high risk patients placenta previa and uterine scars.
La segunda causa de admisión a la UADO fue hemorragia obstetrica mayor, secundaria principalmente a atonía uterina y placenta acreta, a pesar de tener protocolos de profilaxis y tratamiento farmacológico de la atonía uterina oxitocina, misoprostol, metergina y carbetocina, y protocolos para diagnosticar placenta accreta en pacientes de alto riesgo placenta previa y cicatrices uterinas.