• Home
  • NEW DAY MEDICINE
  • 6 (80) 2025
  • 131 -6 (80) 2025 - Goyibov S.S. - TACTICS FOR THE TREATMENT OF OBSTETRIC BLEEDINGS TAKING INTO ACCOUNT THE BLOOD SUPPLY OF THE PELVIC ORGANS

131 -6 (80) 2025 - Goyibov S.S. - TACTICS FOR THE TREATMENT OF OBSTETRIC BLEEDINGS TAKING INTO ACCOUNT THE BLOOD SUPPLY OF THE PELVIC ORGANS

TACTICS FOR THE TREATMENT OF OBSTETRIC BLEEDINGS TAKING INTO ACCOUNT THE BLOOD SUPPLY OF THE PELVIC ORGANS

Goyibov S.S. - Samarkand State Medical University

Resume

Obstetric hemorrhage remains one of the leading causes of maternal mortality worldwide, especially in cases of massive blood loss requiring emergency surgical intervention. This paper presents a study aimed at improving the treatment tactics for obstetric hemorrhage of traumatic genesis, taking into account the features of collateral blood supply to the pelvic organs. To improve the tactics of managing patients with birth trauma that occurs during childbirth, intraoperatively and in the postpartum period, depending on the characteristics of collateral blood supply. The study involved 255 pregnant women with bleeding during labor and after operative delivery. The study included 2 stages. Stage 1 consists of a retrospective analysis of n=77 maternal deaths over the past three years associated with obstetric bleeding. In the prospective stage - stage 2, the study conducted a cohort study in a group of women who had bleeding during cesarean section and childbirth n=178. The analysis showed that one of the causes of massive bleeding is the presence of anatomical variations in the vascular bed. The results of implementing the proposed algorithm demonstrated a significant decrease in the frequency of massive obstetric bleeding (from 15% to 6%), a 2-fold decrease in the number of hysterectomies, as well as a decrease in the volume of blood loss by an average of 400 ml

Key words: Obstetric bleeding, traumatic bleeding, collateral blood supply, surgical hemostasis

First page

663

Last page

669

For citation:Goyibov S.S. - TACTICS FOR THE TREATMENT OF OBSTETRIC BLEEDINGS TAKING INTO ACCOUNT THE BLOOD SUPPLY OF THE PELVIC ORGANS//New Day in Medicine 6(80)2025 663-669 https://newdayworldmedicine.com/en/new_day_medicine/6-80-2025

List of References

  1. Ahmadzia HK, Phillips JM, James AH, Rice MM, Amdur RL.Predicting peripartum blood transfusion in women undergoing cesarean delivery: A risk prediction model.PLoS One. 2018 Dec 14;13(12):e0208417. doi: 10.1371/journal.pone.0208417. eCollection 2018. Erratum in: PLoS One. 2019 Jan 23;14(1):e0211360.
  2. Almansa C, Camaño I, Villar O, Montañez D, Vallejo P, García-Burguillo A.Puerperal curettage after cesarean section delivery.J Perinat Med. 2013 May;41(3):267-71. doi: 10.1515/jpm-2012-0146.
  3. Cavazos-Rehg P.A., Krauss M.J., Spitznagel E.L., Bommarito K., Madden T., Olsen M.A., Subramaniam H., Peipert J.F., Bierut L.J. Maternal age and risk of labor and delivery complications // Matern. Child. Health. J. – 2015. – № 19(6). – P. 1202-1211.
  4. Cheng Y.W., Sparks T.N., Laros R.K. Jr, Nicholson J.M., Caughey A.B. Impending macrosomia: will induction of labour modify the risk of caesarean delivery // BJOG. – 2012. – V. 119. – P. 402-409.
  5. Ehrenthal D. B., Chichester M. L., Cole O. S., Jiang X. Maternal risk factors for peripartum transfusion // J. Womens Health (Larchmt). – 2012. – V. 21. – № 7. – P. 792-797.
  6. Ishii T., Sawada K., Koyama S., Isobe A., Wakabayashi A., Takiuchi T. Balloon tamponade during cesarean section is useful for severe post-partum hemorrhage due to placenta previa // J. Obstet. Gynaecol. Res. – 2012. – V. 38 (1). – P. 102-107.
  7. Jardine JE, Law P, Hogg M, Murphy D, Khan KS; C-SAFETY. Haemorrhage at caesarean section: a framework for prevention and research.Curr Opin Obstet Gynecol. 2016 Dec;28(6):492-498. Review.
  8. Kramer M.S., Berg C., Abenhaim H., Dahhou M., Rouleau J., Mehrabadi A., et al. Incidence, risk factors, and temporal trends in severe postpartum hemorrhage // Am. J. Obst. Gynecol. –2013. – V. 209, № 449. – P. 1-7.
  9. Li GT, Li XF, Zhang YH, Si Y, Li GR, Xu HM. Ring compression suture for controlling postpartum hemorrhage during cesarean section. J Obstet Gynaecol Res. 2018 Aug;44(8):1424-1430. doi: 10.1111/jog.13676. Epub 2018 May 10.
  10. Patel N, Radeos M.Severe Delayed Postpartum Hemorrhage after Cesarean Section.J Emerg Med. 2018 Sep;55(3):408-410. doi: 10.1016/j.jemermed.2018.04.010. Epub 2018 May 9.

    file

    download