COAGULOPATIE IN OBSTETRICS 291

Abstract

Critical analysis of causes of maternal mortality due to hemorrhagic complications in Russia and longtear study of the problem of haemostasis pathology in obstetrics enabled us to differentiale following status,wich apply for high risk of massive obstetrics bleeding: I) Transformation of chronic form of DIC into its acute form, especially during labor and ceaserian operation; 2) Sudden formation of acute form of DIC during placenta detachment or embolism with amniotic fluid, septic shock; 3) Absent of adaptive hypercoagulation prior to labour (patients with hebhitual abortion. Areated for endocrinal infertility); 4) Mild (Unfound) form of congenital and inherised haemostasis defects, especially in combination with obstetrics pathology; 5) Yatrogenic complications from medicine usage; 6) Inhibited forms of major haemostasis defects (autoimmune inhibitors to blood coagulation factors and platelets).