CLINICAL CASES OF MATERNAL MORTALITY FROM SEPTIC COMPLICATIONS OF PUERPERIUM AFTER MASSIVE BLOOD LOSS
Main Article Content
Abstract
The purpose of the study was to analyze maternal mortality cases associated with septic complications of the postpartum period after massive blood loss.
The article presents clinical observations of five maternity patients who died from septic complications after massive blood loss. The main causes of massive obstetric bleeding were uterine hypotension and detachment of the normally located placenta. The decisive roles for the further prognosis of the disease are played by: timely provision of qualified medical care, active obstetric tactics, adequate replenishment of blood loss, resuscitation measures. Septic complications were added on the 5th-7th day after massive blood loss. The further deterioration of the condition of the maternity hospitals was due to the progression of septic complications, the increase in multiple organ failure. During microbiological examination, Acinetobacter baumanni, Klebsiella pneumonia, Pseudomonas aeruginosa with polyresistance were detected in maternity patients.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Radzinskii VE. Akusherskaya agressiya. V 2.0. Moscow: StatusPraesens Publ., 2017. 872 p. Russian (Радзинский В.Е. Акушерская агрессия. V 2.0. Москва: StatusPraesens, 2017. 872 c.)
Contro E, Jauniaux E. Puerperal sepsis: what has changed since Semmelweis’s time. BJOG. 2017; 124(6): 936. DOI: 10.1111/1471-0528.14377
Lämmle L, Woll A, Mensink G, Bös K. Distal and proximal factors of health behaviors and their associations with health in children and adolescents. Int J Environ Res Public Health. 2013; 10(7): 2944-2978. DOI: 10.3390/ijerph10072944
Iftikhar R. A study of maternal mortality. J Surg Pak(Int). 2009; 14(4): 176-178
Antoine C, Young BK. Cesarean section one hundred years 1920-2020: The good, the bad and the ugly. Journal of Perinatal Medicine. 2020; 49(1): 5-16. DOI: 10.1515/jpm-2020-0305
Faure K, Dessein R, Vanderstichele S, Subtil D. Postpartum Endometritis: CNGOF and SPILF Pelvic Inflammatory Diseases Guidelines. Gynecol Obstet Fertil Senol. 2019; 47(5): 442-450. DOI: 10.1016/j.gofs.2019.03.013
Aylamazyan EK, Atlasov VO, Yaroslavsky KV, Yaroslavsky VK. Audit of quality of care in critical conditions in obstetrics («near miss»). Journal of Obstetrics and Women’s Diseases. 2016; 4: 15-23. Russian (Айламазян Э.К., Атласов В.О., Ярославский К.В. Аудит качества медицинской помощи при критических состояниях в акушерстве //Журнал акушерства и женских болезней. 2016. № 4. С. 15-23)
Kurmanbayev TE, Yakovlev NV, Khasanov AA, Mustafin IG, Nabiullina RM. Modern assays of hemostatic system in obstetric practice. Aspirantskiy vestnik Povolzhiya. 2016; 5-6: 68-73. Russian (Курманбаев Т.Е., Яковлев Н.В., Хасанов А.А., Мустафин И.Г., Набиуллина Р.М. Современные методы оценки состояния системы гемостаза в акушерстве //Аспирантский вестник Поволжья. 2016. № 5-6. С. 68-73)
Zainulina MS, Eremeeva DR, Krivonos MI. Maternal mortality and maternal «near miss»: are the current bleeding prevention algorithms working? Obstetrics, gynecology and reproduction. 2018; 12(1): 62-72. Russian (Зайнулина М.С., Еремеева Д.Р., Кривонос М.И. Материнская смертность и «near miss»: работают ли алгоритмы профилактики кровотечений? //Акушерство, гинекология и репродукция. 2018. Т. 12, № 1. С. 62-72.) DOI: 10.17749/2313-7347.2018.12.1.062-072
Sentilhes L, Vayssière C, Deneux-Tharaux C, Aya AG, Bayoumeu F, Bonnet MP, et al. Postpartum hemorrhage: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF): in collaboration with the French Society of Anesthesiology and Intensive Care (SFAR). Eur J Obstet Gynecol Reprod Biol. 2016; 198: 12-21. DOI: 10.1016/j.ejogrb.2015.12.012
Umansky MN, Gugueva AV, Opruzhenkov AV, Lysenko OA. Cases of organ-preserving surgery in patients with severe preeclampsia. Glavnyj vrach yuga Rossii. 2021; 4(79): 39-43. Russian (Уманский М.Н., Гугуева А.В., Опруженков А.В., Лысенко О.А. Cлучаи органосохраняющей операции у пациенток с тяжелой преэклампсией //Главный врач Юга России. 2021. № 4(79). С. 39-43)
Vasiliev AG, Morozova KV, Brus TV, Zabezhinskij MM, Kravcova AA, Balashov LD, et al. Pathophysiologic features of massive hemorrhage in gynecology and obstetrics. Russian Biomedical Research. 2021; 6(4): 23-36. Russian (Васильев А.Г., Морозова К.В., Брус Т.В., Забежинский М.М., Кравцова А.А., Балашов Л.Д., и др. Патофизиологические особенности массивных кровотечений в гинекологической и акушерской практике //Российские биомедицинские исследования. 2021. Т. 6, № 4. С. 23-36)
Sedinkin VA, Dokunina AM, Drozdova VO, Maksimova EV, Palega MN, Kizub EA. Multidisciplinary approach in intensive care of massive obstetric blood loss: a clinical case. Emergency medicine. 2017; 7(86): 101-105. Russian (Сединкин В.А., Докунина А.М., Дроздова В.О., Максимова Е.В., Палега М.Н., Кизуб Э.А. Мультидисциплинарный подход в интенсивной терапии массивной акушерской кровопотери: клинический случай //Медицина неотложных состояний. 2017. № 7(86). С. 101-105.) DOI: 10.22141/2224-0586.7.86.2017.116888
Medyannikova I, Barinov S, Gudinova J. Predictors of obstetrical complications: a prospective cohort study. J Clin Gynecol Obstet. 2014; 3(1): 14-21. DOI: 10.22141/2224-0586.7.86.2017.116888
Gelfand BR, Rudnov VA, Galstyan GM, Gelfand EB, Zabolotskikh IB, Zolotukhin KN, et al. Sepsis: terminology, pathogenesis, clinical diagnostic conception. Gynecology, Obstetrics and Perinatology. 2017; 16(1): 64-72. Russian (Гельфанд Б.Р., Руднов В.А., Галстян Г.М., Гельфанд Е.Б., Заболотских И.Б., Золотухин К.Н., и др. Сепсис: терминология, патогенез, клинико-диагностическая концепция //Вопросы гинекологии, акушерства и перинатологии. 2017. Т. 16, № 1. С. 64-72.) DOI: 10.20953/1726-1678-2017-1-64-72
Boomer J, To K, Chang K, et al. Immunosuppression in Patients Who Die of Sepsis and Multiple Organ Failure. JAMA. 2011; 306(23): 2594-2605. DOI: 10.1001/jama.2011.1829
DeYoung TH, Whittington JR, Ennen CS, Poole AT. Pyelonephritis in Pregnancy: Relationship of Fever and Maternal Morbidity. AJP Rep. 2019; 9(4): 366-371. DOI: 10.1055/s-0039-1695746