The diagnosis and correction of hemocoagulation disorders in operative delivery

Abstract

Despite significant progress in obstetric care, the problem of bleeding during labour remains unfinished. Annually in the world 125,000 women die from obstetric haemorrhage. The results of surgical treatment of 84 patients after cesarean section during the period from 2014 to 2016 entered the study. Condition of haemostasis was monitored by 12 standard biochemical tests, as well as the new instrumental method - low-frequency piezoelectric haemoviscoelastography preoperative, intra-operative and every day during 10 days af ter surgery.A randomized, double-blind study was performed .Patients were divided into two groups: the first group (n=43) received preoperative (30 minutes before operation) tranexamic acid 10-15 mg/kg (depends on severity of hemocougulation disorders); the second group (n=41) didn’t receive medication, which has influence on blood coagulation

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