Obstetric shock and shock in obstetrics – steady obstetrical syndrome
Obstetric shock (OS) has been defined as a life-threatening cardiovascular collapse syndrome associated with pregnancy, childbirth and puerperium (obstetrics causes), and is the most significant cause of high maternal mortality (MM) throughout human history. Shock in obstetrics (SIO) refers to indir...
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| Format: | Article |
| Language: | English |
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Medical Association of Zenica-Doboj Canton
2022-08-01
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| Series: | Medicinski Glasnik |
| Subjects: | |
| Online Access: | https://ljkzedo.ba/mgpdf/mg37/13_Cerovac_1495_A.pdf |
| _version_ | 1797739358350999552 |
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| author | Anis Cerovac Dubravko Habek Elmedina Cerovac Jasna Čerkez Habek |
| author_facet | Anis Cerovac Dubravko Habek Elmedina Cerovac Jasna Čerkez Habek |
| author_sort | Anis Cerovac |
| collection | DOAJ |
| description | Obstetric shock (OS) has been defined as a life-threatening cardiovascular collapse syndrome associated with pregnancy, childbirth and puerperium (obstetrics causes), and is the most significant cause of high maternal mortality (MM) throughout human history. Shock in obstetrics (SIO) refers to indirect causes of non-obstetrics causes in pregnancy, childbirth and puerperium (polytrauma, aesthetic incidents, cardiovascular or cerebrovascular incidents, other septic syndromes). The goals of OS treatment are: to quickly detect the location or cause of bleeding / injury / inflammation, prevent the progression of shock, prevent massive transfusions, preserve the uterus (and adnexa), and preserve fertility if possible. Surgical treatment of septic shock includes exploratory laparotomy (laparoscopy), ectomy or resection of the necrotized organ, abdominal lavage with multiple drainages, continuous peritoneal drainage with lavation, extensive triple antibiosis per admission or per antibiogram and thromboprophylaxis. OS seems to remain a permanent miasma in practical clinical obstetrics, which we will not be able to influence, because we have obviously caused today's increase in MM from haemorrhagic OS by iatrogenic increase in the number of caesarean sections, especially elective ones. |
| first_indexed | 2024-03-12T13:56:39Z |
| format | Article |
| id | doaj.art-324ced051f8448e0a8c0fbfde0fbfa87 |
| institution | Directory Open Access Journal |
| issn | 1840-0132 1840-2445 |
| language | English |
| last_indexed | 2024-03-12T13:56:39Z |
| publishDate | 2022-08-01 |
| publisher | Medical Association of Zenica-Doboj Canton |
| record_format | Article |
| series | Medicinski Glasnik |
| spelling | doaj.art-324ced051f8448e0a8c0fbfde0fbfa872023-08-22T13:52:33ZengMedical Association of Zenica-Doboj CantonMedicinski Glasnik1840-01321840-24452022-08-01192929910.17392/1495-22Obstetric shock and shock in obstetrics – steady obstetrical syndromeAnis Cerovac0Dubravko Habek1Elmedina Cerovac2Jasna Čerkez Habek3General Hospital Tešanj, Department of Gynaecology and Obstetrics, Bosnia and Herzegovina; University of Tuzla, School of Medicine, Bosnia and HerzegovinaUniversity Department of Gynaecology and Obstetrics, Clinical Hospital, „Sveti Duh" Zagreb, Croatia; School of Medicine, Croatian Catholic University Zagreb, CroatiaUniversity of Tuzla, School of Medicine, Bosnia and Herzegovina; General Hospital Tešanj, Department of Anaesthesiology, Reanimatology and Intensive Medicine, Bosnia and HerzegovinaUniversity Department of Gynaecology and Obstetrics, Clinical Hospital, „Sveti Duh" Zagreb, Croatia; School of Medicine, Croatian Catholic University Zagreb, CroatiaObstetric shock (OS) has been defined as a life-threatening cardiovascular collapse syndrome associated with pregnancy, childbirth and puerperium (obstetrics causes), and is the most significant cause of high maternal mortality (MM) throughout human history. Shock in obstetrics (SIO) refers to indirect causes of non-obstetrics causes in pregnancy, childbirth and puerperium (polytrauma, aesthetic incidents, cardiovascular or cerebrovascular incidents, other septic syndromes). The goals of OS treatment are: to quickly detect the location or cause of bleeding / injury / inflammation, prevent the progression of shock, prevent massive transfusions, preserve the uterus (and adnexa), and preserve fertility if possible. Surgical treatment of septic shock includes exploratory laparotomy (laparoscopy), ectomy or resection of the necrotized organ, abdominal lavage with multiple drainages, continuous peritoneal drainage with lavation, extensive triple antibiosis per admission or per antibiogram and thromboprophylaxis. OS seems to remain a permanent miasma in practical clinical obstetrics, which we will not be able to influence, because we have obviously caused today's increase in MM from haemorrhagic OS by iatrogenic increase in the number of caesarean sections, especially elective ones.https://ljkzedo.ba/mgpdf/mg37/13_Cerovac_1495_A.pdfcaesarean sectioncirculatory collapsematernal mortality |
| spellingShingle | Anis Cerovac Dubravko Habek Elmedina Cerovac Jasna Čerkez Habek Obstetric shock and shock in obstetrics – steady obstetrical syndrome Medicinski Glasnik caesarean section circulatory collapse maternal mortality |
| title | Obstetric shock and shock in obstetrics – steady obstetrical syndrome |
| title_full | Obstetric shock and shock in obstetrics – steady obstetrical syndrome |
| title_fullStr | Obstetric shock and shock in obstetrics – steady obstetrical syndrome |
| title_full_unstemmed | Obstetric shock and shock in obstetrics – steady obstetrical syndrome |
| title_short | Obstetric shock and shock in obstetrics – steady obstetrical syndrome |
| title_sort | obstetric shock and shock in obstetrics steady obstetrical syndrome |
| topic | caesarean section circulatory collapse maternal mortality |
| url | https://ljkzedo.ba/mgpdf/mg37/13_Cerovac_1495_A.pdf |
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