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Postpartum hemorrhage: key risk factors, modern methods of prediction and prevention
https://doi.org/10.33667/2078-5631-2025-18-44-49
Abstract
Objective. To assess the influence of risk factors for predicting the development of postpartum hemorrhage.
Materials and methods. The retrospective study included 193 patients who gave birth in 2020–2024. The main group included: 87 patients who suffered postpartum hemorrhage (PPH) during childbirth and the control group – 106 women with normal childbirth without complications. Risk factors were assessed using a multilayer perceptron.
Results. In the main group, a large volume of postpartum blood loss (700 ml versus 190 ml in the control group) was due to the presence of gynecological diseases in women (vaginitis, uterine leiomyoma, cervical erosion, cyst of one or both ovaries) and gestational age (median 39.6 weeks).
Conclusions. Antenatal identification of risk factors in women entering labor through the natural birth canal provides the ability to predict PPH. Assessment of risk factors using neural network analysis allows for highly efficient, timely prediction of the development of PPH before birth.
About the Authors
A. M. Ziganshin
Bashkir State Medical University
Russian Federation
Russian Federation
Ziganshin Aidar M., DM Sci (habil.), professor at Dept of Obstetrics and Gynecology No. 21
Ufa
A. R. Mulyukov
Bashkir State Medical University
Russian Federation
Russian Federation
Mulyukov Airat R., clinical resident at Dept of Anesthesiology and Resuscitation
Ufa
O. V. Ryazanova
Saint Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
Ryazanova Oksana V., DM Sci (habil.), associate professor at Dept of Anesthesiology, Resuscitation and Emergency Pediatrics of Faculty of Postgraduate and Further Professional Education
Saint Petersburg
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For citations:
Ziganshin A.M., Mulyukov A.R., Ryazanova O.V. Postpartum hemorrhage: key risk factors, modern methods of prediction and prevention. Medical alphabet. 2025;(18):44-49. (In Russ.) https://doi.org/10.33667/2078-5631-2025-18-44-49
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