Strategy of prevention of bleeding-related maternal mortality
Marina Sabirovna Zainulina , Ekaterina Amirovna Kornyushina , Marina Ivanivna Krivonos
Journal of obstetrics and women's diseases ›› 2015, Vol. 64 ›› Issue (2) : 33 -41.
Strategy of prevention of bleeding-related maternal mortality
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.
maternal mortality / obstetric hemorrhage / cesarean delivery / placenta previa / coagulopathy prevention
Zainulina M.S., Kornyushina E.A., Krivonos M.I.
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