Experience in ultrasound detection of placental separation
- Authors: Mudrov V.A.1
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Affiliations:
- Chita State Medical Academy, Ministry of Health of Russia
- Issue: No 10 (2020)
- Pages: 78-82
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/329516
- DOI: https://doi.org/10.18565/aig.2020.10.78-82
- ID: 329516
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Abstract
Aim. To investigate the prospects of using ultrasound imaging to detect placental separation. Materials and methods. The study prospectively analyzed the time of placental separation and total blood loss, depending on the method of detecting placental separation. The dynamic uterine ultrasound examination in the third stage of labor was considered a promising technique that objectively reflects the placenta complete separation. Results. The length of the third stage of labor was 12.0 (11.4; 12.5) and 9.0 (8.7; 9.8) minutes when the placental separation was identified by the standard and ultrasound assessment, respectively. Blood loss was 60.0(55.8; 61.2) ml higher when the placental separation was assessed by standard signs compared with ultrasound examination. Conclusion. The study findings confirmed the feasibility of using ultrasound imaging to detect placental separation, which reduces total blood loss and length of the third stage of labor.
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About the authors
Viktor A. Mudrov
Chita State Medical Academy, Ministry of Health of Russia
Email: mudrov_viktor@mail.ru
Ph.D., Associate Professor at the Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry
References
- Радзинский В.Е. Акушерская агрессия. М.: Издательство журнала StatusPraesens; 2011. 688 с. [Radzinsky V.E. Obstetric aggression. Moscow: Izdatel'stvo zhurnala StatusPraesens; 2011. 688 p. (in Russian)].
- Чернуха Е.А. Родовой блок. Руководство для врачей. М.: Триада-Х; 2005. 708с. [Chernukha E.A. The birth block. A guide for doctors. Moscow: Triada-X; 2005. 708p. (in Russian)].
- Hofmeyr G., Mshweshwe N.T., Gulmezoglu A. Controlled cord traction for the third stage of labour. Cochrane Database Syst. Rev. 2015; (1): CD008020. https://dx.doi.org/10.1002/14651858.CD008020.pub2.
- Клинические рекомендации (протокол лечения) № 15-4/10/2-3185 «Оказание медицинской помощи при одноплодных родах в затылочном предлежании (без осложнений) и в послеродовом периоде», утвержденные Министерством здравоохранения Российской Федерации 6 мая 2014 г. [Clinical recommendations (treatment protocol) No. 15-4/10/2-3185 "Provision of medical care for single-fetal delivery in the occipital (without complications) and postpartum period," approved by the Ministry of Health of the Russian Federation on May 6, 2014. (in Russian)].
- Клинические рекомендации (протокол лечения) № 15-4/10/2-2535 «Профилактика, алгоритм ведения, анестезия и интенсивная терапия при послеродовых кровотечениях», утвержденные Министерством здравоохранения Российской Федерации 26 марта 2019 г. [Clinical recommendations (treatment protocol) No. 15-4/10/2-2535 "Prevention, management algorithm, anesthesia and intensive care for postpartum bleeding," approved by the Ministry of Health of the Russian Federation on March 26, 2019. (in Russian)].
- Малыбаева Е.Р. Этиология и частота встречаемости послеродовых гипотонических кровотечений. Современные проблемы науки и образования. 2013; 2: 22. Доступно по: http://www.science-education.ru/ru/article/ view?id=8639 [Malybaeva E.R. Etiology and frequency of postpartum hypotonic bleeding. Current problems of science and education. 2013; 2. (in Russian)].
- Krapp M., BaschatA.A., Hankeln M., Gembruch U. Gray scale and color Doppler sonography in the third stage of labor for early detection of failed placental separation. Ultrasound Obstet. Gynecol. 2000; 15(2): 138-42. https://dx.doi. org/ 10.1046/j.1469-0705.2000.00063.x.
- Edwards H.M., Svare J.A., Wikkelso A.J., Lauenborg J., Langhoff-Roos J. The increasing role of a retained placenta in postpartum blood loss: a cohort study. Arch. Gynecol. Obstet. 2019; 299(3): 733-40. https://dx.doi.org/10.1007/ s00404-019-05066-3.
- Клинические рекомендации (протокол лечения) № 15-4/10/2-3798 «Кровесберегающие технологии в акушерской практике», утвержденные Министерством здравоохранения Российской Федерации 29 мая 2014 г. [Clinical recommendations (treatment protocol) No. 15-4/10/2-3798 "Blood-saving technologies in obstetric practice," approved by the Ministry of Health of the Russian Federation on May 29, 2014. (in Russian)].
- Мерц Э. Ультразвуковая диагностика в акушерстве и гинекологии. Т.1. Акушерство. Пер. с англ. Гус А.И., ред. 2-е изд. М.: МЕДпресс-информ; 2011. 720c. [Gus A.I., ed. Ultrasound diagnostics in obstetrics and gynecology. Volume 1: Obstetrics. Eberkhard Merts. Moscow: MEDpress-inform; 2011. 720p. (in Russian)]
- ICMJE. Uniform requirements for manuscripts submitted to biomedical journals: writing and editing for biomedical publication. J. Pharmacol. Pharmacother. 2010; 1(1): 42-58.
- Lang T., Altman D. Basic statistical reporting for articles published in biomedical journals: The “Statistical analyses and methods in the published literature” or The SAMPL Guidelines. Int. J. Nurs. Stud. 2014; 52(1): 1-11. https://dx.doi. org/ 10.1016/j.ijnurstu.2014.09.006.
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