AN ALGORITHM FOR CLINICAL AND HEMOSTASIOLOGICAL INVESTIGATION IN OBSTETRIC AND GYNECOLOGICAL CARE


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Abstract

The most common and severe complications during pregnancy, labor, and postpartum period are caused by changes in the hemostatic system: recurrent miscarriage, early-onset severe preeclampsia, placental abruption, placental insufficiency, and thromboembolic events. In gynecological practice, the hemostatic system should be studied before and during hormonal contraception, hormone replacement therapy, during tumor processes, and in the perioperative period. As of now, the range of hemostasiological studies is wide, but the expediency and interpretation of the findings frequently present problems for obstetricians and gynecologists. Due to the above fact, an algorithm that can optimize hemostasiological examination and adequate correction of found disorders has been elaborated.

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About the authors

P. A KIRYUSHCHENKOV

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: masha-kirmail@mail.ru
Moscow,Russia

R. G SHMAKOV

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: mdshmakov@mail.ru
Moscow,Russia

E. V ANDAMOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: elena_doctor@mail.ru
Moscow,Russia

M. A TAMBOVTSEVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: tambovtsevamr@mail.ru
Moscow,Russia

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