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?nalysis of childbirth stories with postpartum hemorrhage, taking into account rehabilitation measures ?nd future of reproductive system after massive obstetric bleeding
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| Author:
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NILUFAR KARIMOVA,, ?YUPOVA FARIDA MIRZAYEVNA, RUSTAMOV MUHAMMADALI ULUGBEKOVICH
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| Abstract:
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The aim of our study was to retrospectively examine the history of childbirth and the quality of primary care for
bleeding and evaluate the prescribed rehabilitation measures for women who have suffered postpartum hemorrhage
and massive bleeding. The materials and methods of the study were 242 birth histories with postpartum hemorrhage
for the last 6 years (2013-2018) in the city maternity hospital of Bukhara. The average age of the patients was 26.7 ±
1.2 years. The obstetric pathology leading to bleeding mainly consists of uterus hypotonia - 143 (59.1) and large fetus
- 68 (28.1), and preeclampsia and DIOV are equal amounts - 33 (13.64). Only about 20% of women who had
postpartum hemorrhage underwent early rehabilitation in the form of prescribing contraceptives. The aim of the
research was to study the effectiveness of modern principles of stopping postpartum obstetric bleeding. From 127
cases of bleeding in 101 women (79.5%) the childbirth were with the operational method. With the development of
blood loss was rendered stepwise ways to stop bleeding. During hemostasis of the bleeding, ligatures were imposed
on the ovarian arteries and the ascending branch of the uterine artery for is chemicization of the uterus, which was
effective in 30 (30%) women, and in 114 (89.7%) women managed to achieve organ-sparing tactics.
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| Keyword:
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bleeding, postpartum hemorrhage, pregnancy, massive bleeding, obstetric bleeding, hypotonia of the uterus, Cesarean section,reabilitions
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2019.11.01.306
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| Download:
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