Expediency of prophylactic use of frozen plasma in pregnant with disadaptation of hemostase system during cesarean section

Аннотация

Objective: To evaluate necessity of frozen plasma use for prophylaxis of bleeding in patients with disadaptation of hemostasis system during cesarean section.

Полный текст

Methods: I group consisted of 21 pregnant with disadaptation of hemostasis system without plasmotransfusion and the II one - with prophylactic use of plasma during cesarean section. All patients were matched by age, indications for abdominal delivery. Volume of bloodloss was measured by protein levels in serum, Nelson’s formula and it was approximately equal to 923,9±83,1 ml. Severe bleeding were absent in both groups.

Results: On the 1-st postoperative day an increase of hemostatic blood potential was noted in both groups (by 3,2 times and 3,5 times in I and II group, accordingly). On the III-V postoperative day hemostatic blood potential slowly decreased and returned to normal values on the VIIth postoperative day.

Conclusion: prophylactic use of frozen plasma in pregnant with disadaptation of hemostasis system during cesarean section is not necessary.