Berthet J
Service de Maternité, CHG Saint-Junien.
Rev Fr Gynecol Obstet. 1994 Oct;89(10):489-94.
Complications of delivery are dominated by the problem of obstetric hemorrhages. Minor complications are common, concerning about 20% of all labors, while serious complications are rare: of the order of 0.1%. Their peculiarity lies in their association with blood coagulation disturbances of multifactorial origin. Treatment requires close cooperation between the anesthesiologist/intensive care specialist and the obstetrician when management decisions are made. Trials of medical and obstetric measures should not lead to any delay when deciding that laparatomy is required to ensure hemostasis. Hesitation most often compromises the chances of success of conservative surgical treatment by selective ligations and forces hysterectomy.
分娩并发症主要是产科出血问题。轻微并发症很常见,约占所有分娩的20%,而严重并发症很少见:约为0.1%。其特殊性在于与多因素起源的凝血障碍有关。在做出管理决策时,治疗需要麻醉师/重症监护专家与产科医生密切合作。当决定需要进行剖腹手术以确保止血时,药物和产科措施的试验不应导致任何延误。犹豫往往会损害选择性结扎保守手术治疗成功的机会,并导致子宫切除术。