Postoperative intestinal paralysis in obstetric/gynecological practice
Objective. To generalize and systematize recommendations for the prevention and correction of PIP in obstetric and gynecological practice on the basis of literature data and the authors’ own experience.Upryamova E.Yu., Novikova S.V., Tsivtsivadze E.B.
Materials and methods. The paper describes the results of a prospective analysis in 40 cases of PCP of varying severity in puerperas after cesarean section and long-term delivery.
Results. Based on the analysis, the authors identified main risk factors for PIP in obstetrics, gave recommendations for its prevention, and proposed an algorithm for the intensive therapy of PIP of varying severity.
Conclusion. To comply with the algorithm for the intensive therapy of PIP with the currently available prokinetics can achieve the regression of clinical and laboratory symptoms and prevent bowel obstruction.
Keywords
postoperative intestinal paralysis
serotonin
cesarean section
blood loss
risk factors
dynamic bowel obstruction
References
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Received 07.09.2018
Accepted 21.09.2018
About the Authors
Upryamova, Ekaterina Yu., MD, Head of Anesthesiology and Intensive Care Department, Moscow Regional Scientific Research Institute of Obstetrics and Gynecology,101000, Russian Federation, Moscow, st. Pokrovka, 22a. ORCID: orcid.org/0000-0002-7057-2149, e-mail: kvyalkova@gmailcom
Novikova, Svetlana V., MD, professor, Head of the Obstetrics Observatory Department Moscow Regional Scientific Research Institute of Obstetrics and Gynecology,
101000, Russian Federation, Moscow, st. Pokrovka, 22a. e-mail: sv_novikova@list.ru
Tsivtsivadze, Ekaterina B., MD, Senior Researcher of the Obstetric Observatory Department Moscow Regional Scientific Research Institute of Obstetrics and Gynecology, 101000, Russian Federation, Moscow, st. Pokrovka, 22a. e-mail: KATERINABRANDT@yahoo.com
For citations: Upryamova E.Yu., Novikova S.V., Tsivtsivadze E.B. Postoperative intestinal paralysis in obstetric/gynecological practice. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (11): 159-64. (in Russian)
https://dx.doi.org/10.18565/aig.2018.11.159-164
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