Modern technologies of obstetric bleedings treatment.


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Abstract

We consider ways to reduce of maternal mortality caused by obstetric haemorrhage. The main causes of bleeding-related mortality are violation in stage-by-stage approach to obstetric care, delayed inadequate hemostasis, incorrect infusion-transfusion therapy. The article discusses the main alternative to radical surgical methods of hemostasis in obstetrics. It is emphasized that in recent years through the application of new techniques of blood infusion and correction of coagulation disorders mortality result from massive obstetric bleeding has decreased. These technologies include limitation of donated blood use, autodonation, use of perfluorocarbons, intraoperative blood reinfusion, transfusion of fresh frozen plasma, use of recombinant coagulation factor VII, use of efferent methods.

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