Main Article Content
The article describes a surgical hemostasis of hemorrhaging in pregnant women giving birth by cesarean section. Special attention is paid to the development of risk groups for obstetric hemorrhaging, full screening, and coagulopathy prevention, timely detection of placental position and attachment anomalies. There is an overview of modern approaches to obstetric hemorrhaging prevention using surgical techniques, as well as blood-saving technologies. The article analyzes the outcome of caesarean section in two groups with obstetric hemorrhage. The largest share of obstetric hemorrhage is the detachment of the normally located placenta and placental pathology. A prospective study has been conducted to assess the effectiveness of the phased control and treatment of hemorrhage during caesarean delivery. The authors divided all the patients into two groups depending on the methods of intraoperative treatment. In group I, hemorrhaging was treated by using the proposed step-by- step control and treatment tactics (cesarean section indications were hemorrhaging due to premature detachment of low or normally located placenta in the first group) and second group were treated according to the Protocol of the treatment of hemorrhaging adopted in the hospital (indications for cesarean section was central placenta previa and uterine scar).
Voronin KV, Kozlov SV. Ligation of the main vessels of the uterus in obstetric bleedings taking into account anatomical and topographic variants of its blood supply / / D.: Nauka I obrazovanie. 2002;162.
Golyanovsky AV, Mekhedko V, Kulchitsky DV. Complex prevention of complications in the case of repeated cesarean section// Pediatrics, Obstetrics and Gynecology. 2011;T. 73(6):88-91.
Clinical protocols on obstetrics and gynecology / / Tashkent; 2017.
Ishchenko AA, et al. Modern organ-preserving operations on the uterus during cesarean section Moscow: Federal state University V. I. Kulakov Ncagip. 2010;30.
Kulakov VI, Chernukha EA, Komissarova L. Cesarean section/M: Triad-X//Russian Bulletin of obstetrician-gynecologist. 2011;4:36-38.
Gorin VS, Zaitseva RK, Serebrennikova ES, others. Placental abnormalities: obstetric and perinatal aspects. // Russian Bulletin of obstetrician-gynecologist. 2010;6:26-31.
Latyshkevich OA. placenta Regrowth in patients with a scar on the uterus after cesarean section. Organ-preserving operations. - dis. C. m. n. – Moscow. 2015;133.
World Health Organization. WHO recommendations for the prevention of postpartum haemorrhage. Geneva: WHO; 2007.
Openheimer L. Clinical practical guide of the Association of obstetricians and gynecologists of Canada: diagnosis and management of placenta previa // Obstetrics and gynecology. 2014;1:76-83.
World Health Organization. WHO guidelines for the management of postpartum haemorrhage and retained placenta. Geneva: WHO; 2012.
Radzinsky V. Nu. Actual problems of modern obstetrics (based on the materials of the XVΙΙΙ Congress FIGO. 2006) / V. Nu. Radzinsky, A. N. Gordeev // Of a.. igin. 2007;6:83-85.
Kurtser is an ingrowth of the placenta. Organ-preserving operations/MA, Kurzer MV., Lukashina AV, Panin//Questions of gynecology, obstetrics and Perinatology. 2009; 8(5):31-35.