Obstetric bleeding due to penetrating stab-and-cut wounds to the uterus and fetus


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Abstract

Background. The number of publications on injuries during pregnancy is very small. The prevalence of damage to abdominal organs, except for the uterus, with penetrating abdominal wounds is 19%. Wounds and fetal death are seen more frequently (60-90 and 40-70% of cases, respectively). Abdominal injury-associated obstetric bleedings (46%) are considered to be the leading non-obstetric cause of death in pregnant women; and the fetal death rates due to severe injuries is 61% and reaches 80% if the mother has developed shock. Clinical case report. The paper describes a clinical case of a penetrating stab-and-cut uterine wound with fetal injury and the possibility of performing organ-sparing surgery in a patient with severe hemorrhagic shock, disseminated intravascular coagulation syndrome. Conclusion. The experience with the combined method to arrest obstetric bleeding, which is given in this paper, can be used to treat pregnant women with bleeding associated with abdominal traumas, uterine hypotension, and other causes.

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About the authors

Sergey V. Barinov

Omsk State Medical University

Email: barinov_omsk@mail.ru
MD, Professor, head of department

Andrey V. Pisklakov

Omsk State Medical University; Regional Children's Clinical Hospital

Email: pisklakov omsk@mail.ru
MD, Professor, head of the department of Pediatric Surgery

Irina V. Savelyeva

Omsk State Medical University

Email: saveljeva_iv_omsk@mail.ru
MD, PhD, head of the department

Nataiya I. Pavlenko

Omsk State Medical University; Regional Children's Clinical Hospital

Email: akusher_omsk@mail.ru
PhD, assistant of the Department of Pediatric Surgery.

Irina B. Polyanskaya

Omsk State Medical University

Email: Irpoll9@mail.ru
PhD, assistant professor of the Department of Obstetrics and Gynecology № 1

Natalya V. Nosova

Omsk State Medical University

Email: Natalya-nosova-85@mail.ru
assistant of the Department of Obstetrics and Gynecology №1

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