FEATURE HAEMOSTASIS AFTER CESAREAN IN PARTURIENTS RISK GROUP FOR THROMBOSIS.
DOI:
https://doi.org/10.11603/24116-4944.2014.2.5855Keywords:
pregnancy, gestational complications, hemostasis system.Abstract
On the basis of risk factors in the regional perinatal center of Odessa Regional Hospital 500 pregnant women in the term of pregnancy 30 - 40 weeks, included in the group of respondents in the order of their arrival to the hospital were interviewed, questionnaired and examinated. In 6.4 % of women we didn't revealed the risk of pulmonary embolism, 42.2% of women had low risk of thrombosis, 57.8% of patients had moderate – the highest risk. One of the predisposing factors of severe thrombosis is increasing maternal age. Only individualized approach to every patient, taking into account the obstetric pathology and other factors accompained with endothelium disfunction can provide the timely prevention of thrombosis. We analysed the dynamics of hemostasiogram indicators available to conducting in maternity institutions of II - III levels in 100 pregnant women with moderate and high risk of thrombosis which received bemiparin and NSAIDs after Cesarean section. Significant changes in these indices were detected in the postoperative period which indicate the hypercoagulation on the 5th - 7th days (days of discharge from hospital) and require a further corrective therapy on the outpatient stage.
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