Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
851 32 |
Ultima descărcare din IBN: 2024-03-25 22:06 |
Căutarea după subiecte similare conform CZU |
618.7-06-08:618.14-005.1 (2) |
Științe medicale. Medicină (11192) |
SM ISO690:2012 PALADI, Gheorghe, ILIADI-TULBURE, Corina, COŞPORMAC, Viorica, ŞIŞCANU, Dumitru, GHEORGHIEVA, Natalia. Evaluarea managementului cazurilor cu hemoragie post-partum finalizate prin histerectomie. In: Buletin de Perinatologie, 2018, nr. 3(79), pp. 12-16. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 3(79) / 2018 / ISSN 1810-5289 | ||||||
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CZU: 618.7-06-08:618.14-005.1 | ||||||
Pag. 12-16 | ||||||
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Rezumat | ||||||
Post-partum hemorrhage (HPP) is a current problem, being a direct cause of maternal deaths in 27% globally, especially in developing countries. The purpose of the conducted descriptive retrospective study was to evaluate the management of 45 cases with HPP finalized by hysterectomy, which were located at the Institute of Mother and Child and Municipal Clinical Hospital no.1 during 2014-2016. In 24 cases (53,3%), a complicated obstetrical history was determined and 16 patients (35,5%) had scars on the uterus. In 33 cases (57,9%), patients presented complicated somatic history. In 33 cases (57,9%), patients presented complicated somatic history. In 33 cases (73,3%) the pregnancy was completed by caesarean section. Causes related to placental pathology were confirmed in 11 (24,4%) cases by placenta accreta, in 8 (17,8%) cases by placenta praevia and in 5 (11,1%) cases by abruptio placentae. HPP due to uterine atony was identified in 2 cases (4,4%). Other 9 patients (20%) suffered deep vaginal lacerations and in one case (2,2%) there was rupture of the uterus. The estimated volume of hemorrhage was: <2000 ml – in 16 cases (35,6%); between 2000-2500 ml – in 18 cases (40%); between 2501-3000 ml – in 7 cases (15,6%) and >3000 ml – in 4 (8,9%) cases. The underestimation of the bleeding volume was 500 ml in 4 cases (8,9%), between 500-1000 in 6 cases (13,3%) and ≥1000 ml – in 2 cases (4,4%). DIC syndrome was established in 29 patients (64,4%). In conclusion it can be mentioned that HPP, in almost half of the cases, is favored by the pathology of placenta insertion, the latter being determined by the increase of the rate of births by caesarean section. Mortality and maternal morbidity can be reduced if birth is done by a competent multidisciplinary team that provides specialized health care through a standardized approach |
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Cuvinte-cheie post-partum hemorrhage, hysterectomy, DIC syndrome, placenta accreta |
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