MATERNAL MORTALITY FROM POSTPARTUM HAEMORRHAGE

Abstract

Obstetric hemorrhage is one of the leading causes of maternal mortality (MМ), with more than 2/3 of obstetric hemorrhage being postpartum hemorrhage (PPH). PPH is a blood loss of more than 500 ml after vaginal delivery or more than 1000 ml after operative delivery. It is known that the risk of PPH increases significantly during operative delivery. According to the existing clinical recommendations of the Russian Federation (2018), the main etiopathogenetic mechanism of PPH is «4T» causes: tonus (in 90% of cases), trauma (7%), tissue and thrombus (3%). Hypo-and atony of the uterus occupy a leading place in the proportion of the PPH, and they are caused by such risk factors as: irrational use of oxytocics, tocolytics, NSAIDs and others. Today medical history, physical examination, laboratory diagnostics and instrumental diagnostics are recommended for the diagnosis of PPH. Despite all theМедицинский вестник Башкортостана. Том 14, № 6 (84), 201954provided technologies, there is no decrease in the number of PPH, and in the Russian Federation obstetric hemorrhage takes occurs in more than 20% of cases in the structure of MM.