The use of neuroaxial blockades in obstetric practice for thrombocytopenia
Thrombocytopenia is the second most frequent hematological complication of pregnancy after anemia. Among all thrombocytopenia during pregnancy, the most common is gestational thrombocytopenia. Gestational thrombocytopenia is not accompanied by coagulation disorders, has a minimal risk of bleeding, f...
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| Format: | Article |
| Language: | Russian |
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Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
2019-12-01
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| Series: | Инновационная медицина Кубани |
| Subjects: | |
| Online Access: | https://www.innovmedkub.ru/jour/article/view/231 |
| _version_ | 1797276883941851136 |
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| author | E. N. Plakhotina T. N. Belousova N. B. Kuzina |
| author_facet | E. N. Plakhotina T. N. Belousova N. B. Kuzina |
| author_sort | E. N. Plakhotina |
| collection | DOAJ |
| description | Thrombocytopenia is the second most frequent hematological complication of pregnancy after anemia. Among all thrombocytopenia during pregnancy, the most common is gestational thrombocytopenia. Gestational thrombocytopenia is not accompanied by coagulation disorders, has a minimal risk of bleeding, for both a mother and her fetus. Nevertheless, according to modern concepts, thrombocytopenia is a contraindication for performing obstetric neuroaxial blockades only on the basis of quantitative count of platelets, without taking into account coagulation status. These contraindications are derived from the general surgery and traumatology practice due to the high risk of developing epidural hematoma, but do not take into account the features, including physiological hypercoagulation, of pregnant patients. Refusal of the patient to perform a neuroaxial blockade during delivery on the basis of only counting the number of platelets often leads to an unreasonable increase in the risk / benefit ratio for both the mother and the fetus. Analysis of the research results indicates a change in attitude towards this problem towards a more loyal approach, taking into account the assessment of the coagulative status of a particular patient. |
| first_indexed | 2024-03-07T15:35:45Z |
| format | Article |
| id | doaj.art-7b0c3a78f09b4e219f0738b78ecd1eb1 |
| institution | Directory Open Access Journal |
| issn | 2541-9897 |
| language | Russian |
| last_indexed | 2024-03-07T15:35:45Z |
| publishDate | 2019-12-01 |
| publisher | Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 |
| record_format | Article |
| series | Инновационная медицина Кубани |
| spelling | doaj.art-7b0c3a78f09b4e219f0738b78ecd1eb12024-03-05T11:12:30ZrusScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972019-12-0104727810.35401/2500-0268-2019-16-4-72-78214The use of neuroaxial blockades in obstetric practice for thrombocytopeniaE. N. Plakhotina0T. N. Belousova1N. B. Kuzina2Vidnovsky Perinatal CenterVidnovsky Perinatal CenterVidnovsky Perinatal CenterThrombocytopenia is the second most frequent hematological complication of pregnancy after anemia. Among all thrombocytopenia during pregnancy, the most common is gestational thrombocytopenia. Gestational thrombocytopenia is not accompanied by coagulation disorders, has a minimal risk of bleeding, for both a mother and her fetus. Nevertheless, according to modern concepts, thrombocytopenia is a contraindication for performing obstetric neuroaxial blockades only on the basis of quantitative count of platelets, without taking into account coagulation status. These contraindications are derived from the general surgery and traumatology practice due to the high risk of developing epidural hematoma, but do not take into account the features, including physiological hypercoagulation, of pregnant patients. Refusal of the patient to perform a neuroaxial blockade during delivery on the basis of only counting the number of platelets often leads to an unreasonable increase in the risk / benefit ratio for both the mother and the fetus. Analysis of the research results indicates a change in attitude towards this problem towards a more loyal approach, taking into account the assessment of the coagulative status of a particular patient.https://www.innovmedkub.ru/jour/article/view/231gestational thrombocytopeniaepidural hematomaneuroaxial blockadethromboelastography |
| spellingShingle | E. N. Plakhotina T. N. Belousova N. B. Kuzina The use of neuroaxial blockades in obstetric practice for thrombocytopenia Инновационная медицина Кубани gestational thrombocytopenia epidural hematoma neuroaxial blockade thromboelastography |
| title | The use of neuroaxial blockades in obstetric practice for thrombocytopenia |
| title_full | The use of neuroaxial blockades in obstetric practice for thrombocytopenia |
| title_fullStr | The use of neuroaxial blockades in obstetric practice for thrombocytopenia |
| title_full_unstemmed | The use of neuroaxial blockades in obstetric practice for thrombocytopenia |
| title_short | The use of neuroaxial blockades in obstetric practice for thrombocytopenia |
| title_sort | use of neuroaxial blockades in obstetric practice for thrombocytopenia |
| topic | gestational thrombocytopenia epidural hematoma neuroaxial blockade thromboelastography |
| url | https://www.innovmedkub.ru/jour/article/view/231 |
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