Highlights of management postpartum haemorrhage in obstetrics
Abstract
An important issue of safety in obstetrics is the management of postpartum hemorrhage, which is defined as estimated blood loss > 500 ml after vaginal birth, and > 750-1000 ml after a caesarean delivery. The blood loss >1500 ml is massive hemorrhage. We reviewed 143 cases of massive obstetric hemorrhages requiring laparotomy or embolization of uterine arteries. Embolization of uterine arteries was performed in 20 cases (13.9 %) and the reproductive function was maintained in all 20 patients. Other surgical methods were ineffective in 10 cases (8.1 %) and hysterectomy was performed. in the treatment of postpartum hemorrhage, it is necessary to use all available methods to stop bleeding with simultaneous adequate intensive therapy. Hysterectomy should be performed only if they are ineffective.
About the Authors
M. A. Kurtser
Clinical Hospital Lapino, Perinatal Medical Centre (‘Mother and Child’ Group of Companies)
Russian Federation
Russian Federation
I. Yu. Breslav
Clinical Hospital Lapino, Perinatal Medical Centre (‘Mother and Child’ Group of Companies)
Russian Federation
Russian Federation
A. M. Grigoryan
Clinical Hospital Lapino, Perinatal Medical Centre (‘Mother and Child’ Group of Companies)
Russian Federation
Russian Federation
Yu. Yu. Kutakova
Clinical Hospital Lapino, Perinatal Medical Centre (‘Mother and Child’ Group of Companies)
Russian Federation
Russian Federation
A. L. Cherepnina
Clinical Hospital Lapino, Perinatal Medical Centre (‘Mother and Child’ Group of Companies)
Russian Federation
Russian Federation
A. M. Shtabnitskiy
Clinical Hospital Lapino, Perinatal Medical Centre (‘Mother and Child’ Group of Companies)
Russian Federation
Russian Federation
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Review
For citations:
Kurtser M.A., Breslav I.Yu., Grigoryan A.M., Kutakova Yu.Yu., Cherepnina A.L., Shtabnitskiy A.M. Highlights of management postpartum haemorrhage in obstetrics. Medical alphabet. 2018;1(9):14-17. (In Russ.)
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