Abstract
The article presents data on bleeding-related maternal mortality in St. Petersburg, North-West Federal District and in the Russian Federation. 6 times reduction of maternal mortality per 100 000 live births was observed in Russian Federation during the last three decades, however, the structure of maternal mortality due to bleeding, changes in the direction of increasing of rate of placental localization abnormalities and placenta previa. This trend may be related to the steady growth of the caesarean section rate. Particular attention is given to the formation of groups of patients at risk of developing obstetric hemorrhage, full examination, prevention of coagulopathy, the timely detection of placental localization abnormalities and placenta accreta. The article reviews the current approaches to prevention of obstetric hemorrhage using drugs, surgical techniques, and blood saving technologies.
Highlights
■ В статье представлены статистические данные о материнской смертности, обусловленной кровотечениями, в Санкт-Петербурге, Северо-Западном федеральном округе и в Российской Федерации
Petersburg, North-West Federal District and in the Russian Federation. 6 times reduction of maternal mortality per 100 000 live births was observed in Russian Federation during the last three decades, the structure of maternal mortality due to bleeding, changes in the direction of increasing of rate of placental localization abnormalities and placenta previa
Particular attention is given to the formation of groups of patients at risk of developing obstetric hemorrhage, full examination, prevention of coagulopathy, the timely detection of placental localization abnormalities and placenta accreta
Summary
■ В статье представлены статистические данные о материнской смертности, обусловленной кровотечениями, в Санкт-Петербурге, Северо-Западном федеральном округе и в Российской Федерации. 6 times reduction of maternal mortality per 100 000 live births was observed in Russian Federation during the last three decades, the structure of maternal mortality due to bleeding, changes in the direction of increasing of rate of placental localization abnormalities and placenta previa This trend may be related to the steady growth of the caesarean section rate. По данным статистики Санкт-Петербурга, показатель материнской смертности снизился с 25,7 в 2009 году до 19,7 в 2013 году. В 2013 году соотношение патологии в структуре материнской смертности по Санкт-Петербургу изменилось за счет уменьшения доли кровотечений до 7,1 % и смещения геморрагических осложнений на третье место
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