Comprehensive Measures for Reducing Perinatal Blood Loss

Objective: to develop a procedure to reduce perinatal blood loss, by permitting the lower use of allogeneic blood. Subjects and methods. The investigation enrolled 96 female patients with moderate and severe preeclampsia, whose status was complicated by massive blood loss. The women were divided int...

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Main Authors: S. Yu. Timokhova, V. V. Golubtsov
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2014-06-01
Series:Общая реаниматология
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Online Access:https://www.reanimatology.com/rmt/article/view/1398
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author S. Yu. Timokhova
V. V. Golubtsov
author_facet S. Yu. Timokhova
V. V. Golubtsov
author_sort S. Yu. Timokhova
collection DOAJ
description Objective: to develop a procedure to reduce perinatal blood loss, by permitting the lower use of allogeneic blood. Subjects and methods. The investigation enrolled 96 female patients with moderate and severe preeclampsia, whose status was complicated by massive blood loss. The women were divided into 2 groups: a study group (n=55) that was treated by a package of proposed measures and a control group (n=41) that was retrospectively assessed. During the study, the investigators made a dynamic assessment of peripheral blood parameters and hemostatic system markers, monitored blood and central venous pressures, hourly and daily diuresis, acid base and water electrolyte balance parameters, and collected medical history data. Results. The investigation established that a package of proposed measures to reduce massive obstetric blood loss significantly accelerated the restoration of general clinical and biochemical parameters in the early postoperative period. Conclusion. The proposed procedure is easy-to-use and it is of obvious practical use because it can reduce the use of donor blood components by twice and the length of hospital stay by 6. 5 bed-days.
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spelling doaj-art-ef975f52f3c24eb29419b2c07ae9c1a22025-08-20T03:59:40ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102014-06-01103152410.15360/1813-9779-2014-3-15-241398Comprehensive Measures for Reducing Perinatal Blood LossS. Yu. Timokhova0V. V. Golubtsov1Kuban State Medical University, Krasnodar Krasnodar Regional Clinical Hospital Two, KrasnodarKuban State Medical University, Krasnodar Krasnodar Regional Clinical Hospital Two, KrasnodarObjective: to develop a procedure to reduce perinatal blood loss, by permitting the lower use of allogeneic blood. Subjects and methods. The investigation enrolled 96 female patients with moderate and severe preeclampsia, whose status was complicated by massive blood loss. The women were divided into 2 groups: a study group (n=55) that was treated by a package of proposed measures and a control group (n=41) that was retrospectively assessed. During the study, the investigators made a dynamic assessment of peripheral blood parameters and hemostatic system markers, monitored blood and central venous pressures, hourly and daily diuresis, acid base and water electrolyte balance parameters, and collected medical history data. Results. The investigation established that a package of proposed measures to reduce massive obstetric blood loss significantly accelerated the restoration of general clinical and biochemical parameters in the early postoperative period. Conclusion. The proposed procedure is easy-to-use and it is of obvious practical use because it can reduce the use of donor blood components by twice and the length of hospital stay by 6. 5 bed-days.https://www.reanimatology.com/rmt/article/view/1398pregnancy complicationspreeclampsiahemostatic disordersblood lossapparatus reinfusion of washed autoerythrocytes
spellingShingle S. Yu. Timokhova
V. V. Golubtsov
Comprehensive Measures for Reducing Perinatal Blood Loss
Общая реаниматология
pregnancy complications
preeclampsia
hemostatic disorders
blood loss
apparatus reinfusion of washed autoerythrocytes
title Comprehensive Measures for Reducing Perinatal Blood Loss
title_full Comprehensive Measures for Reducing Perinatal Blood Loss
title_fullStr Comprehensive Measures for Reducing Perinatal Blood Loss
title_full_unstemmed Comprehensive Measures for Reducing Perinatal Blood Loss
title_short Comprehensive Measures for Reducing Perinatal Blood Loss
title_sort comprehensive measures for reducing perinatal blood loss
topic pregnancy complications
preeclampsia
hemostatic disorders
blood loss
apparatus reinfusion of washed autoerythrocytes
url https://www.reanimatology.com/rmt/article/view/1398
work_keys_str_mv AT syutimokhova comprehensivemeasuresforreducingperinatalbloodloss
AT vvgolubtsov comprehensivemeasuresforreducingperinatalbloodloss