V.F.Snegirev Archives of Obstetrics and GynecologyV.F.Snegirev Archives of Obstetrics and GynecologyАрхив акушерства и гинекологии им. В.Ф. Снегирева2313-87262687-1386Eco-Vector62872710.17816/aog628727ReviewsНаучные обзорыReview ArticleModern ideas about the predictions of postpartum hemorrhageСовременные представления о предикциях послеродовых кровотечений目前对产后出血易感性的看法https://orcid.org/0000-0003-2645-16622607-9150YashchukAlfiya G.ЯщукАльфия ГалимовнаYashchukAlfiya G.
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

MD, Dr. Sci. (Medicine), Professor

aig2@mail.ruhttps://orcid.org/0009-0007-8181-58323035-0483IskandarovaAliya R.ИскандароваАлия РаифовнаIskandarovaAliya R.
Russian Federation

Assistant

ассистент

Assistant

iskandarova_a@internet.ruhttps://orcid.org/0000-0001-5520-58454829-1179MusinIlnur I.МусинИльнур ИрековичMusinIlnur I.
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук, доцент

MD, Cand. Sci. (Medicine), Assistant Professor

ilnur-musin@yandex.ruhttps://orcid.org/0000-0001-5266-04128996-8814BergPolina A.БергПолина АндреевнаBergPolina A.
Russian Federation

Assistant

ассистент

Assistant

p.a.berg@mail.ruhttps://orcid.org/0000-0002-2028-77965899-0116BergEdward A.БергЭдвард АлександровичBergEdward A.
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук, доцент

MD, Cand. Sci. (Medicine), Assistant Professor

nucleardeer@gmail.comhttps://orcid.org/0000-0002-3856-80943823-0280MurtazinaGulnaz H.МуртазинаГульназ ХанифовнаMurtazinaGulnaz H.
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук, доцент

MD, Cand. Sci. (Medicine), Assistant Professor

karamelka5@inbox.ruhttps://orcid.org/0009-0006-7806-0013MakarovaMaria N.МакароваМария НиколаевнаMakarovaMaria N.
Russian Federation

6th year student

студентка 6-го курса

6th year student

maria.medartz@gmail.comBashkir State Medical UniversityБашкирский государственный медицинский университетBashkir State Medical UniversityClinical Perinatal Center of the City, UfaГородской клинический перинатальный центр, УфаClinical Perinatal Center of the City, Ufa09092024071020241132672790403202417082024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-ВекторCopyright ©; 2024,2024Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://archivog.com/2313-8726/article/view/628727

Postpartum hemorrhage is currently a pressing problem. Its increasing incidence over time is observed not only in developing countries but also in countries with high levels of income and resources that significantly contribute to the development and functioning of the health system, which is the cause of scientific debate worldwide. The risk factors of postpartum hemorrhage include low hemoglobin level before birth, older maternal age, first birth, prolonged duration of the first and second stages of labor, high birth weight of the newborn, abnormal placentation, surgical vaginal birth, cesarean section, episiotomy, and placental defects.

This review outlines the main risk factors of postpartum hemorrhage, displays new data on the relationship between types of assisted reproductive technologies and postpartum hemorrhage, and discusses prospects for research regarding the problem.

A link between assisted reproductive technologies and postpartum hemorrhage elucidates the increase in the incidence of postpartum hemorrhage in developed countries. It is crucial to further research on obstetric risks following the use of assisted reproductive technologies and identify additional risk categories for complications to provide quality medical care and reduce maternal and perinatal losses.

Послеродовые кровотечения являются актуальной проблемой, имеющей тенденцию к росту, которая отмечается не только в развивающихся странах, но и в странах с высоким уровнем дохода и ресурсов. К факторам риска относят низкий уровень гемоглобина до родов, более старший возраст матери, первые роды, затяжную продолжительность 1-го и 2-го периодов родов, высокую массу тела новорождённого при рождении, аномалии плацентации, хирургические вагинальные роды, кесарево сечение, эпизиотомию, дефект последа.

В обзоре кратко излагаются основные факторы риска послеродовых кровотечений, новые данные о связи вспомогательных репродуктивных технологий с послеродовыми кровотечениями, обсуждаются перспективы исследования проблемы.

Установление связи вспомогательных репродуктивных технологий с послеродовыми кровотечениями объясняет увеличение числа последних в развитых странах. Необходимо продолжать исследования относительно акушерских рисков после вспомогательных репродуктивных технологий и выяснять дополнительные категории риска осложнений для оказания качественной медицинской помощи и снижения материнских и перинатальных потерь.

产后出血是一个日益严重的问题，不仅在发展中国家，而且在高收入和高资源国家也是如此。风险因素包括产前血红蛋白水平低、高龄产妇、初产妇、第一次分娩和第二次分娩时间持续过长、新生儿出生体重过高、胎盘异常、手术阴道分娩、剖腹产、外阴切开术和产后缺陷。

这篇综述总结了产后出血的主要风险因素、辅助生殖技术与产后出血相关性的新数据，并讨论了这一问题的研究前景。

辅助生殖技术与产后出血的关联解释了发达国家产后出血增加的原因。需要进一步研究辅助生殖技术后的产科风险，并确定更多的并发症风险类别，以提供高质量的护理，减少孕产妇和围产期损失。

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