Obstetrical hemorrhages (tactics, principles of infusion/transfusion therapy)

The haemorrhage continues to be the most serious problem in obstetrical practice. The modern arsenal of means for prevention and therapy of obstetrical bleeding, organization and subsequence of emergency care in maternity departments allowed to decrease the common amount of haemmorage in intrapartum and postpartum periods. However, the full prevention of poor pregnancy and delivery outcomes is still not achieved. Two main factors determine the mortality level in obstetrical bleeding: late non-adequate haemostasis and incorrect infusional-transfusional therapy. The article is devoted to clinical management of haemorrage in preterm placenta abruption, uterine rupture, anomalies of placenta attachment and placement, uterine hypotony, and principles of infusional-transfusional therapy.