EVALUATION OF THE EFFECTIVENESS OF THE METHOD OF THE STEP-BY-STEP CONTROL AND TREATMENT OF HEMORRHAGE IN OBSTETRIC PRACTICE

The article describes a surgical hemostasis of hemorrhaging in pregnant women giving birth by cesarean section. Special attention is paid to the development of risk groups for obstetric hemorrhaging, full screening, and coagulopathy prevention, timely detection of placental position and attachment anomalies. There is an overview of modern approaches to obstetric hemorrhaging prevention using surgical techniques, as well as blood-saving technologies. The article analyzes the outcome of caesarean section in two groups with obstetric hemorrhage. The largest share of obstetric hemorrhage is the detachment of the normally located placenta and placental pathology. A prospective study has been conducted to assess the effectiveness of the phased control and treatment of hemorrhage during caesarean delivery. The authors divided all the patients into two groups depending on the methods of intraoperative treatment. In group I, hemorrhaging was treated by using the proposed step-by- step control and treatment tactics (cesarean section indications were hemorrhaging due to premature detachment of low or normally located placenta in the first group) and second group were treated according to the Protocol of the treatment of hemorrhaging adopted in the hospital (indications for cesarean section was central placenta previa and uterine scar).