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RELAPAROTOMY CASES AUDIT AFTER DELIVERY

Abstract

The aim of the study is to assess the reasons for relaparotomy after a cesarean section in order to improve medical care during operative delivery. Material and methods. Retrospective analysis of 27 cases resulting in relaparotomy after cesarean section in Surgut Regional Clinical Prenatal Centre is made. The analysis period is from January 2014 to June 2018. Results. The key reason for relaparotomy after the cesarean section was hypotonic postpartum hemorrhage (85.2 %). In 75 % of cases, hemorrhage began less than 6 hours after cesarean section, including 25 % within the first hour after the end of the operation. Plan of actions for medical staff at all stages of operative delivery is developed according to the analysis results. The effectiveness of these actions will be evaluated at the following stage of the research.

About the Authors

L. D. Belotserkovtseva
Surgut State University, Surgut Regional Clinical Prenatal Centre
Russian Federation
Doctor of Science (Medicine), Professor, Honored Doctor of the Russian Federation, Head, Department of Obstetrics, Gynecology and Perinatology, Medical Institute, Surgut Regional Clinical Prenatal Centre


S. E. Ivannikov
Surgut State University
Russian Federation
PhD (Medicine), Associate Professor, Department of Obstetrics, Gynecology and Perinatology, Medical Institute


M. T. Mirzozoda
Surgut State University
Russian Federation
Medical Resident, Department of Obstetrics, Gynecology and Perinatology, Medical Institute


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Review

For citations:


Belotserkovtseva L.D., Ivannikov S.E., Mirzozoda M.T. RELAPAROTOMY CASES AUDIT AFTER DELIVERY. Vestnik SurGU. Meditsina. 2019;(2 (40)):50-56. (In Russ.)

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ISSN 2949-3447 (Online)