FEATURES OF PATHOGENESIS AND OPTIMIZATION OF PREVENTION AND METHODS OF INTENSIVE CARE OF COMPLICATIONS IN PREGNANT WOMEN WITH CHRONIC DIC SYNDROME

Abstract

One of the main tasks of health authorities and institutions is the prevention and reduction in maternal and infant mortality, as these indicators have medical - social significance and determine the level development of society and health care. Thrombohemorrhagic complications are a constant companion of any obstetric - gynecological pathology, such as severe forms of preeclampsia, septic conditions, cardiovascular diseases, anemia, etc., and largely determine the course and outcome of pregnancy and childbirth.
Identification of the causes of thrombohemorrhagic complications, understanding of pathogenesis, choice rational diagnostics in urgent and clinical situations, optimal tactics of intensive care, clarification of the timing of surgical or conservative treatment, anesthetic management - even this incomplete list gives an idea of the complexity and importance of this problem in the obstetrics and gynecology clinic.
At the same time, the significance of thrombohemorrhagic manifestations of critical conditions in the obstetric clinic is still extremely insufficiently studied. In particular, clinical manifestations characteristic of DIC (hemocoagulation shock, acute respiratory distress syndrome (ARDS), multiple organ failure syndrome (MODS)), clinicians usually are associated with the course of the underlying disease, or are considered separately, as independent, not united by a common pathogenesis, which makes it difficult to diagnose and treat this pathology in a timely manner [3,4,7].