Активность 4 – Заключение (20мин)

• Покажите участникам слайды 4MO-41 до 4MO-45, которые обобщают ключевую информацию, полученную участниками во время работы с данным модулем.

• Завершите работу с модулем, отвечая на вопросы участников.

Литература

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2. AbouZahr, C. “Antepartum and Postpartum Haemorrhage.” In: Murray, C.J.L. and Lopez, A.D., eds. Health Dimensions of Sex and Reproduction. Boston: Harvard University Press (1998).

3. Radek Bukowski, MD, PhD, and Gary D.V. Hankins. Managing postpartum hemorrhage. Contemporary OB/GYN® Archive Sep. 1, 2001

4. WHO. Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors. Geneva: WHO (2000).

5. Scottish obstetric guidelines & audit project. the management of postpartum haemorrhage.

6. Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrap LC III. Williams’s obstetrics. 19th ed. Norwalk, Connecticut: Appleton & Lange, 1993.

7. Integrated Management of Pregnancy and Childbirth. PREGNANCY, CHILDBIRTH, POSTPARTUM AND NEWBORN CARE: A guide for essential practice. WHO, Geneva, 2003

8. Hayashi RH, Castillo MS, Noah ML. Management of severe postpartum hemorrhage-with a prostaglandin F2 alpha analogue. Obstet Gynecol. 1984;63:806-808.

9. Mousa HA, Alfirevic Z. Treatment for primary postpartum haemorrhage (Cochrane Review). In: The Cochrane Library, Issue 2 2003. Oxford: Update Software

10. Chamberlain GVP. The clinical aspects of massive haemorrhage. In: Patel N, ed. Maternal mortality: the way forward. London: RCOG, 1992;54-62.

11. Prevention and Management of Postpartum Haemorrhage. Society of Obstetricians and Gynaecologists of Canada. SOGC clinical practice guidelines No. 88, April 2000.

12. Lynch C, Coker A, Lawal AH, et al. The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported. Br J Obstet Gynaecol. 1997;104:372-375.

13. Ferguson JE, Bourgeois FS, Underwood PB. B-Lynch suture for postpartum hemorrhage. Obstet Gynecol. 2000;95:1020-1022

14. El-Hamamy E, B-Lynch C. A worldwide review of the uses of the uterine compression suture techniques as alternative to hysterectomy in the management of severe post-partum haemorrhage. J Obstet Gynaecol. 2005 Feb;25(2):143-9.

15. Andrei Rebarber, Ashley S. Roman. Cover Story: Seven ways to control postpartum hemorrhage. Contemporary OB/GYN, March 3, 2003.

16. Stanco LM, Schrimmer DB, Paul RH, Mishell DR. Emergency peripartum hysterectomy and associated risk factors. Am J Obstet Gynecol 1993;168:879-83.

17. Burke G, Duignan N. Massive obstetric haemorrhage. In: Studd J, ed. Progress in Obstetrics & Gynaecology, Volume 9. Edinburgh: Churchill Livingstone, 1991;111-30.

18. Roberts I, Alderson P, Bunn F, Chinnock P, Ker K, Schierhout G. Colloids versus crystalloids for fluid resuscitation in critically ill patients. The Cochrane Database of Systematic Reviews 2004, Issue 4

19. Indications for and techniques of red cell transfusion. In: EBM Guidelines. Evidence-Based Medicine [CD-ROM]. Helsinki, Finland: Duodecim Medical Publications Ltd.; 2004 Mar 18

20. Lundberg G.D. Practice parameter for use of FFP, crioprecipitate, and platelets. // J. Am. Med. Assoc. – 1994. – V.271. - P.777-781

21. Carroli G, Bergel E. Umbilical vein injection for management of retained placenta

22. Mousa HA, Alfirevic Z. Treatment for primary postpartum haemorrhage

23. Prendiville WJ, Elbourne D, McDonald S Active versus expectant management in the third stage of labour

24. Brant H, Precise estimations of postpartum haemorrhage: difficulties and importance. BMJ 1967(1): 398-400

25. Hester JD. Postpartum hemorrhage and reevaluation of uterine packing. Obstet Gynecol 1975 May;45(5):501-4

26. Keogh-J; Tsokos N - Aortic compression in massive postpartum haemorrhage - An old but lifesaving technique Aust-New-Zealand-J-Obstet-Gynaecol. 1997; 37(2): 237-238

27. Lasley DS, Eblein A, Yancey MK. The effect of placental removal method in the incidence of postcesarean infections. Am J Obstet Gynecol 1997;176:1250-4

28. Levy V, 1990 The midwives management of the third stage of labour. In Alexander J, Levy V, Roach S (eds) Intrapartum care: a research-based approach. London: Macmillan

29. Prasertcharoensuk W, Swadpanich U, Lumbiganon P. Accuracy of the blood loss estimation in the third stage of labor. Int J Gynaecol Obstet. 2000 Oct;71(1):69-70.

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31. Wittich AC, Salminen ER, Hardin EL, Desantis RA. Uterine packing in the combined management of obstetrical hemorrhage. Mil Med 1996 Mar;161(3):180-2

32. Abouzahr C 1998. In: Murray CJL, Lopez AD, editor(s). Health dimensions of sex and reproduction: The global burden of sexually transmitted diseases, HIV, maternal conditions, perinatal disorders, and congenital anomalies (global burden of disease and injury, n°3). Boston: Harvard University Press, 1998:172-4.

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Приложение 1

Активность 2

Группа 1 (Акушерки) Перечислите, пожалуйста, начальные шаги ведения раннего послеродового кровотечения.

Группа 2 (Акушерки) Перечислите, пожалуйста, все процедуры направленные на остановку кровотечения до проведения лапаротомии, которые может сделать акушерка.

Группа 3 (Врачи акушеры-гинекологи) Перечислите, пожалуйста, показания и методы полной хирургической остановки кровотечения.

Группа 4. (Врачи акушеры-гинекологи) Перечислите, пожалуйста, основные правила и принципы терапии, направленной на восстановление объема циркулирующей крови и переливания крови.

Группа 5. (Акушерки и врачи акушеры-гинекологи) Распределите, пожалуйста, среди членов вашей группы, роли в случае ведения тяжелого послеродового кровотечения.

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