A.A. TYURINA, A.G. YASCHUK, A.G. IMELBAEVA, O.V. YAKOVLEVA

Bashkir State Medical University, 3 Lenin St., Ufa, Russian Federation, 450000

  Tyurina A.A. ― postgraduate student of the Department of Obstetrics and Gynecology №2, e-mail: alla.tyurina2016@yandex.ru, ORCID ID: 0000-0001-6657-8081

Yaschuk A.G. ― D. Sc. (medicine), Professor, Head of the Department of Obstetrics and Gynecology №2, tel. (347) 264-96-50, e-mail: alfiya_galimovna@mail.ru, ORCID ID: 0000-0003-2645-1662

Imelbaeva A.G. ― assistant of the Department of Obstetrics and Gynecology №2, e-mail: albina321093@rambler.ru, ORCID ID: 0000-0002-0558-1364

Yakovleva O.V. ― postgraduate student of the Department of Obstetrics and Gynecology №2, e-mail: olgayakov-leva@mail.ru, ORCID ID: 0000-0002-0429-2368

 Objective ― to determine whether the volume of hemorrhage in labor can be predicted using such characteristics of myomatous nodes as the amount, location and volume change during pregnancy in women with myomatous nodes being detected in prenatal screening.

Material and methods. There was performed a retrospective study of labor and delivery records andprenatal records of pregnant women with single-fetal pregnancy and uterine myoma, who delivered by cesarean section at the delivery department of State Clinical Hospital №8 in Ufa from 2010 to 2016. Statistical processing of the data received was carried out by the method of multifactor analysis of logistic regression and ROC analysis with creation of prognostic models.

Results. Operative childbirth in women with uterine myoma is associated with a high risk of intraoperative blood loss. It was found that increase in the size of the myomatous nodes did not depend on the clinical and demographic characteristics of the examined women and the fact of taking progesterone drugs during pregnancy.

Conclusions. Results of the survey show that the risk factors for intraoperative blood loss in myomectomy during caesarean section are large myomatous nodes and multiple uterine fibroids.

Key words: uterine myoma, caesarean section, intraoperative blood loss.

(For citation: Tyurina A.A., Yaschuk A.G., Imelbaeva A.G., Yakovleva O.V. Ultrasound characteristics of myomatous nodes and intraoperative blood losses at childbirth in women with uterine myoma. Practical Medicine. 2018)

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