RESULTS OF THE USE OF MODERN UTEROTONICS IN THE PREVENTION AND TREATMENT OF ATONIC BLEEDING DURING CESAREAN SECTION

Аннотация

Objective: To determine the effectiveness of carbetocin compared with oxytocin for the prevention of uterine atony and increased blood loss during cesarean section. Material and methods. A total of 180 women with a burdened obstetric history were examined. An obstetric history was studied, a clinical and laboratory study was carried out, a diagnosis of somatic diseases and pregnancy complications was carried out, the volume of blood loss and the time to stop bleeding with various treatment methods were determined, the data obtained were processed by the method of variation statistics with the determination of reliability p < 0.05. The results of the study showed that Carbetocin provided higher and longer-lasting uterotonic efficacy than continuous administration of oxytocin. Conclusions: The use of carbetocin during childbirth allows for reliable hemostasis and reduces the amount of blood loss, helps reduce the frequency of hysterectomy caused by atonic bleeding.