Long-term effects of profuse blood loss in childbirth

• Lebedenko Elizaveta Yu.
• Rosenberg Irina M.
• Mikhelson Alexander F.
• Mikhelson Artur A.

Abstract

Aim - to study the features of reproductive, somatic and psychological health of patients in the long-term period after profuse obstetrical hemorrhages to substantiate the need for their early active preventive medical examination.

Material and methods: The state of reproductive and somatic health of 84 patients in the Long-term period (2-2.5 years later) after experienced profuse obstetrical hemorrhages was studied. 1^st group consisted of 39 women with preserved uterus, 2^nd group included 45 patients who have undergone hysterectomy. Clinical, instrumental, and laboratory studies have been carried out. A comparative analysis of socio-psychological and personal characteristics has been carried out considering different outcomes of the critical state for the uterus and fetus. A comparative analy-sis of socio-psychological and personal characteristics has been carried out considering different outcomes of the critical state for the uterus and fetus. 67 out of 84 patients (79.8%) divided into 4 groups became voluntary participants. 1^st group - 14 women with preserved uterus, but lossof a fetus, 2^nd group - 21 patients with a favorable outcome for the fetus, but with loss of the uterus. 3^rd group - 15 women with a combination of perinatal loss and hysterectomy. 4^th group (control) - 17 patients with a favorable outcome of hemorrhage for the uterus and fetus. Psychological multidimensional research have been carried out in conjunction with a medical psychologist on the subdepression, situational and personal anxiety scales, using the "Analysis of family anxiety" questionnaire. Statistical data processing was performed using statistical computer program Statistica, Release 6.0 (StatSoft®Inc., USA, 2002). The commonly used confidence levels were used: p<0.05.

Results. The clinical and anamnestic determinants of impaired reproductive, somatic and psy-chological health of women in the long-term period after profuse obstetrical hemorrhages are clarified and the need for their early active preventive medical examination is scientifically based.

Keywords:maternal mortality, critical obstetric states, near miss, profuse obstetrical hemorrhages

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