Abstract
Objective: to study the long-term eff ects of massive blood loss in parturition and the early postpartum period on the reproductive function and psychological status of women.Materials and methods: the study included 49 women who were imposed compressive hemostatic sutures in the uterus due to the development of early postpartum hemorrhage. It was carried out a retrospectiveanalysis of medical records, prospective survey - 46 women, tested scales postpartum depression - 46 women and assessment of quality of life using the SF-36 scales - 36 women.Results: the effi ciency of the compression joints method was 98 % (100 % exclusion criteria were coagulopathic obstetric bleeding), in 1 case the application of compression joints was ineff ective, which required uterus extirpation. In 14 women out of 48 (29.1 %), menstrual irregularities were revealed. In 28 (61.5 %) women, postnatal depression was confi rmed. In 30 out of 36 (87 %) women were found to decrease in quality of life. In 8 (16.7 %) women, a recurrent spontaneous pregnancy occurred within 2 years aft er suturing.Conclusion. Compression sutures remain an effective method for stopping postpartum uterine bleeding, allowing women to maintain fertility. However, some factors, including high blood loss, can signifi cantly reduce the quality of women’s lives.
Highlights
Efficiency of organ-saving operations conducted about early postpartum uterine bleeding and their influence on the quality of women’s lives
Materials and methods: the study included 49 women who were imposed compressive hemostatic sutures in the uterus due to the development of early postpartum hemorrhage. It was carried out a retrospective analysis of medical records, prospective survey — 46 women, tested scales postpartum depression — 46 women and assessment of quality of life using the SF-36 scales — 36 women
In 30 out of 36 (87 %) women were found to decrease in quality of life
Summary
Будяк ЭФФЕКТИВНОСТЬ ОРГАНОСБЕРЕГАЮЩИХ ОПЕРАЦИЙ, ПРОВЕДЕННЫХ ПО ПОВОДУ РАННЕГО ПОСЛЕРОДОВОГО МАТОЧНОГО КРОВОТЕЧЕНИЯ. Эффективность органосберегающих операций, проведенных по поводу раннего послеродового маточного кровотечения и их влияние на качество жизни женщин. Материалы и методы: в исследование вошли 49 женщин, которым с целью остановки послеродового маточного кровотечения и сохранения органа были наложены компрессионные гемостатические швы на матку. Materials and methods: the study included 49 women who were imposed compressive hemostatic sutures in the uterus due to the development of early postpartum hemorrhage. It was carried out a retrospective analysis of medical records, prospective survey — 46 women, tested scales postpartum depression — 46 women and assessment of quality of life using the SF-36 scales — 36 women. In 8 (16.7 %) women, a recurrent spontaneous pregnancy occurred within 2 years after suturing
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