PERFIL EPIDEMIOLÓGICO DE CASOS DE HEMORRAGIAS ANTEPARTO ASSOCIADA A PLACENTA PRÉVIA E DESCOLAMENTO PREMATURO DE PLACENTA NO ESTADO DE ALAGOAS DE 2008 A 2017

Introduction: The occurrence of antepartum hemorrhage is one of the most important causes of maternal and fetal mortality. This is defined as vaginal bleeding that occurs from the twentieth week of gestation until delivery. The main causes of this bleeding are due to premature detachment of the placenta (PPD) and placenta previa (PP) (DIAS et al, 2010). Premature placental detachment (PPD) is defined as separation of the placenta implanted in the body of the uterus prior to the birth of the fetus at gestation of 20 or more complete weeks. (Cardoso et al. 2012). Placenta previa (PP) is defined as the situation in which the placenta is inserted, wholly or partially, in the lower segment of the uterus, whether or not it can cover the internal cervical orifice (PEREIRA and CAMPOS, 2013).. Objective: This research aimed to identify the epidemiological profile of cases of placenta previa associated antepartum hemorrhage and premature placental detachment in the state of Alagoas from 2008 to 2017. Methodology: This is a crosssectional epidemiological study of hospitalization records for antepartum hemorrhages associated with placenta previa and premature placental displacement (International Classification of Diseases, 10th revision, code O441), 2008 to 2017 in the municipality of Maceió AL . The outcome variable consists of the number of hospitalizations for antepartum hemorrhages associated with placenta previa and premature placental detachment in the municipality of Maceió-AL, while associated independent variables will be year of hospitalization, age group, race / color (self-reported), type of establishment (public or private) and municipality of detention. Results: The results show 2,936 cases of antepartum hemorrhage in the study period, where 2010 had a higher incidence (26,43) compared to other years. Observing the proportion on the number of cases, the predominant age group was 20 to 29 years old (47.38%), followed by 30 to 39 years old (33.99%), in women of brown color / race (60.25 %). By analyzing the regime of the establishment with the highest identifier of care was the private totaling 53.54% of cases. Among the municipalities of Alagoas, the one with the highest prevalence was Maceió (75.89%) followed by Arapiraca (13.18%). %). Conclusion: It is necessary to know the epidemiological profile of cases of antepartum hemorrhage in a state, as it is a public health problem, where there should be monitoring by the various levels of health care. Primary attention to health is the initial access door of the user and it is where prenatal care is performed initially. Thus, by obtaining knowledge of the characteristics of the epidemiological profiles of this pathology, it is possible to create a specific line of care for risk groups, thus preventing and / or initially identifying antepartum hemorrhage.