Abstract
A review of literature and our own experience in implementing the Patient Blood Management (PBM) approach in a level III maternity unit with a focus on postpartum hemorrhage was conducted. Based on a comparative analysis, the main directions of clinical and economic optimization of blood conservation techniques and correction of anemia in obstetrics were described. The results of introducing into daily practice rotational tests (ROTEM) as a routine method of assessing the blood coagulation system were presented. A comparative sensitivity analysis of the results of thromboelastometry and hemostasis screening test in pathological obstetric hemorrhage was conducted. On the basis of the analysis performed, the advantages of implementing the key strategies of PBM in the maternity unit in terms of clinical and economic efficiency and transfusiology safety were demonstrated. Key words: patient blood management, ROTEM test, placenta accreta, blood salvage (Cell Saver), autologous blood donation
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