Obstetric bleeding due to penetrating stab-and-cut wounds to the uterus and fetus
Barinov S.V., Pisklakov A.V., Savelyeva I.V., Pavlenko N.I., Polyanskaya I.B., Nosova N.V.
Background. The number of publications on injuries during pregnancy is very small. The prevalence of damage to abdominal organs, except for the uterus, with penetrating abdominal wounds is 19%. Wounds and fetal death are seen more frequently (60-90 and 40-70% of cases, respectively). Abdominal injury-associated obstetric bleedings (46%) are considered to be the leading non-obstetric cause of death in pregnant women; and the fetal death rates due to severe injuries is 61% and reaches 80% if the mother has developed shock.
Clinical case report. The paper describes a clinical case of a penetrating stab-and-cut uterine wound with fetal injury and the possibility of performing organ-sparing surgery in a patient with severe hemorrhagic shock, disseminated intravascular coagulation syndrome.
Conclusion. The experience with the combined method to arrest obstetric bleeding, which is given in this paper, can be used to treat pregnant women with bleeding associated with abdominal traumas, uterine hypotension, and other causes.
Keywords
penetrating wound
uterine trauma
obstetric bleeding
cesarean section
Zhukovsky’s vaginal and uterine catheter
hemostasis
disseminated intravascular coagulation syndrome
organ-sparing treatments
References
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Received 29.03.2019
Accepted 19.04.2019
About the Authors
Sergey V. Barinov, MD, Professor, head of department of the Obstetrics and Gynecology № 2, Omsk State Medical University, Ministry of Health of Russia.Tel.: +73821240658. E-mail: barinov_omsk@mail.ru ORCID 0000-0002-0357-7097 644043, Russia, Omsk, Lenina str. 12.
Andrey V. Pisklakov, MD, Professor, head of the department of Pediatric Surgery, Omsk State Medical University, Ministry of Health of Russia. 644043, Russia, Omsk,
Lenina str. 12. Regional Children’s Clinical Hospital, Head of 4 surgical department. Tel. +79136311323. E-mail: pisklakov omsk@mail.ru ORCID 0000-0001-7594-7723
Russia, Omsk, Kuybyshev str. 77.
Irina V. Savelyeva, MD, PhD, head of the department of Obstetrics and Gynecology № 1. Omsk State Medical University, Ministry of Health of Russia.
Tel.: +79136543577. E-mail: saveljeva_iv_omsk@mail.ru ORCID 0000-0001-9342-7342 644043, Russia, Omsk, Lenina str. 12.
Nataiya I. Pavlenko, PhD, assistant of the Department of Pediatric Surgery. Omsk State Medical University, Ministry of Health of Russia. Tel. +7(3812)771649.
E-mail: akusher_omsk@mail.ru ORCID 0000-0001-6242-6195 644043 Russia, Omsk, Lenina str. 12.
Irina B. Polyanskaya, PhD, assistant professor of the Department of Obstetrics and Gynecology № 1, Omsk State Medical University, Ministry of Health of Russia.
Tel.: +79139610171. E-mail: Irpol19@mail.ru ORCID 0000-0001-9114-8526 644043, Russia, Omsk, Lenina str. 12.
Natalya V. Nosova, assistant of the Department of Obstetrics and Gynecology №1, Omsk State Medical University, Ministry of Health of Russia. Tel. +79514174452.
E-mail: Natalya-nosova-85@mail.ru ORCID 0000-0002-2362-5367 644043 Russia, Omsk, Lenina str. 12.
For citation: Barinov S.V., Pisklakov A.V., Savelyeva I.V., Pavlenko N.I., Polyanskaya I.B., Nosova N.V.Obstetric bleeding due to penetrating stab-and-cut wounds to the uterus and fetus.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2019; 9: 204-7 (In Russian).
https://dx.doi.org/10.18565/aig.2019.9. 204-207.
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