Blood loss in obstetrics, hemorrhagic shock: obstetricians and gynecologists tactics

Authors

  • А. А. Жежер National Medical Academy of Postgraduate Education named after P.L. Shupyk, Ukraine
  • В. В. Мехедко Pharmaceutical company "Yuria-Farm", Ukraine

DOI:

https://doi.org/10.18370/2309-4117.2015.21.89-93

Keywords:

obstetric hemorrhage, hemorrhagic shock, infusion-transfusion therapy, colloids, gelatin preparations

Abstract

The key aspects of diagnostics and treatment of obstetric hemorrhage and hemorrhagic shock are present in this article. Treatment of obstetric hemorrhage, including hemorrhagic shock is more effective if the infusion therapy initiated as early as possible. The basic aims of infusion therapy are support of systemic circulation and recovery of tissue perfusion. Crystalloids, colloids and blood preparations are used as an infusion-transfusion therapy. To date, there is a great experience with colloidal preparations, among which the most widely used drugs are hydroxyethylated starch and gelatin preparations.

Author Biography

А. А. Жежер, National Medical Academy of Postgraduate Education named after P.L. Shupyk

PhD, associate professor, Anesthesiology and Intensive Care Department

References

  1. Boiko, V.V., Kozlova, T.V., Krasnokutskyi, V.V., Mushenko, V.E. Infusion therapy and parenteral nutrition in surgery. Kharkov (2006): 139 p.
  2. Kulakov, V.I., Serov, V.N., Abubakirova, A.M., et al. Anesthesia and resuscitation in obstetrics and gynecology. Moscow, Triada-X (2000): 384 p.
  3. Kulakov, V.I., Serov, V.N., Abubakirova, A.M., Baranov, I.I. Obstetric hemorrhage. M. Triada-X (1998): 96 p.
  4. Order of the Ministry of Health of Ukraine from March 24, 2014, № 205 “Obstetric hemorrhage.”
  5. Sukhikh, G.T., Serov, V.N., Savelieva, G.M., et al. Prevention and therapy of massive hemorrhage in obstetrics. Moscow (2010): 20.
  6. Tarabrin, O.A., Nikolaev, D.C., Basenko, I.L., Budnyuk, A.A., Mazur, V.N. Intensive care of obstetric hemorrhage. Odessa (2010): 40.
  7. Tkachenko, R.A. “Intensive therapy of massive hemorrhage in obstetrics.” Medical Aspects of Women’s Health, 1(28) (2010).
  8. Beyer, R. J. Anaesth, 78(1997): 44–50.
  9. Biotechnol Appl Biochem GB, 39(2004): 329–338.
  10. M ortelmans, Y.J. Anesth Analg, 81(1995): 1235–1242.
  11. PRAC recommendations, 2013. [http://www.ema.europa.eu/docs/en_GB/document_library/ Referrals_document/Solutions_for_infusion_containing_ hydroxyethyl_starch/European_Commission_final_decision/ WC 500162361.pdf] Last accessed March 19, 2015.
  12. Schortgen, F. Lancet, 357(2001): 911-916.
  13. Surgenor, S.D., Hampers, M.J., Corwin, H.L. “Is blood transfusion good for the heart?” 29(2) (2001): 442–444.

Published

2015-02-11

How to Cite

Жежер, А. А., & Мехедко, В. В. (2015). Blood loss in obstetrics, hemorrhagic shock: obstetricians and gynecologists tactics. REPRODUCTIVE ENDOCRINOLOGY, (21), 89–93. https://doi.org/10.18370/2309-4117.2015.21.89-93

Issue

Section

Drug therapy