Open AccessCondition of microcirculation in parturients who have undergone moderate pathological blood loss
Author(s) -
Т. П. Зефирова,
В. М. Белопухов
Publication year - 1987
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj96553
Subject(s) - medicine , placenta , pathological , blood loss , microcirculation , vaginal delivery , obstetrics , vaginal bleeding , pregnancy , postpartum bleeding , gynecology , surgery , fetus , genetics , biology
The state of conjunctival microcirculation and blood coagulation was studied in parturients who underwent pathological blood loss, the amount of which did not exceed 20% of the proper BCC and ranged from 500 to 1000 ml.Thirty-six parturient women were under observation; 20 of them constituted the study group and 16 the control one. The study group comprised women aged 18 to 32 years, of whom 12 first-born women and 8 second-born women were followed-up. The cause of bleeding in 13 women giving birth was uterine hypotonicity, in 2 women - a tight placenta attachment, in one - a detachment of the normally located placenta, in one - a placental defect, in 2 - deep vaginal ruptures. One woman in labor had a combination of tight placenta attachment and uterine hypotension. The amount of blood loss ranged from 400 to 800 ml in 17 women. In 3 parturients it reached 1000 ml. Infusion and transfusion therapy was administered in a timely manner and in sufficient volume. The Hb level 5-6 days after delivery was 1.640.15 mmol/l, in the control group - 1.740.14 mmol/l.