fcmedicineФундаментальная и клиническая медицинаFundamental and Clinical Medicine2500-07642542-0941КемГМУ10.23946/2500-0764-2024-9-2-86-93fcmedicine-866Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESПлацентарные нарушения как фактор риска развития послеродового кровотеченияPlacental Disorders as a Risk Factor for the Development of Postpartum Haemorrhagehttps://orcid.org/0000-0002-5447-4223БелокриницкаяТ. Е.BelokrinitskayaT. E.

Белокриницкая Татьяна Евгеньевна, доктор медицинских наук, профессор, заведующая кафедрой акушерства и гинекологии педиатрического факультета и факультета дополнительного профессионального образования

672000, г. Чита, ул. Горького, д. 39а

Prof. Tatiana Е. Belokrinitskaya, MD, DSc, Professor, Chief of the Department of Obstetrics and Gynecology, Pediatric Faculty and Faculty of Professional Retraining

39a, Gor’kogo Street, Chita, 672000 

https://orcid.org/0000-0003-4509-0698СидоркинаА. Г.SidorkinaA. G.

Сидоркина Анастасия Геннадьевна, ассистент кафедры акушерства и гинекологии педиатрического факультета и факультета дополнительного профессионального образования

672000, г. Чита, ул. Горького, д. 39а

Dr. Anastasia G. Sidorkina, MD, Assistant Professor, Department of Obstetrics and Gynecology, Pediatric Faculty and Faculty of Professional Retraining

39a, Gor’kogo Street, Chita, 672000 

https://orcid.org/0000-0002-5961-5400МудровВ. А.MudrovV. A.

Мудров Виктор Андреевич, доктор медицинских наук, доцент кафедры акушерства и гинекологии педиатрического факультета и факультета дополнительного профессионального образования

672000, г. Чита, ул. Горького, д. 39а

Dr. Viktor A. Mudrov, MD, DSc, Associate Professor, Chief of the Department of Obstetrics and Gynecology, Pediatric Faculty and Faculty of Professional Retraining

39a, Gor’kogo Street, Chita, 672000

mudrov_viktor@mail.ruФГБОУ ВО «Читинская государственная медицинская академия» Министерства здравоохранения Российской ФедерацииРоссияChita State Medical AcademyRussian Federation202421062024928693Copyright © Белокриницкая Т.Е., Сидоркина А.Г., Мудров В.А., 20242024Белокриницкая Т.Е., Сидоркина А.Г., Мудров В.А.Belokrinitskaya T.E., Sidorkina A.G., Mudrov V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://fcm.kemsmu.ru/jour/article/view/866

Плацента является функциональным звеном между матерью и плодом во время беременности и важнейшим фактором, определяющим не только состояние новорожденного, но и здоровье человека на протяжении всей последующей жизни. Цель исследования - анализ литературы по теме плацентарные нарушения в качестве фактора риска развития послеродовых кровотечений. В ходе исследования проведен детальный систематический анализ современной отечественной и зарубежной литературы, посвященной плацентарным нарушениям и послеродовым кровотечениям. В исследовании использовались такие информационные базы, как: PubMed, PubMed Central, Scopus, MEDLINE, ScienceDirect, Cochrane Library, eLibrary за период с 2001 г. до октября 2023 г. При плацентарной недостаточности могут развиваться две компенсаторные реакции со стороны плаценты. Первая реакция – гиперплазия плаценты. При этом состоянии плацента увеличивается в объёме, чтобы удовлетворять все потребности в питательных веществах у растущего плода. Вторая реакция – гипоплазия плаценты. При небольших размерах плаценты у плода, который испытывает дефицит питательных веществ и кислорода, замедляются рост и развитие, чтобы соответствовать функциональным возможностям плаценты. Но есть ли взаимосвязь между хронической плацентарной недостаточностью и послеродовым кровотечением? Послеродовое кровотечение является основной причиной материнской заболеваемости и смертности во всем мире. На развитие послеродового кровотечения влияет множество факторов, в том числе и размеры плацентарной площадки.

The placenta is a functional link between mother and fetus during pregnancy and the most important factor determining newborn and infant health. Postpartum hemorrhage is a leading cause of maternal morbidity and mortality worldwide and is affected by numerous factors including placental size. Here we analysed the role of placental disorders as a risk factor for the development of postpartum hemorrhage. We screened the available literature via PubMed, PubMed Central, Scopus, MEDLINE, ScienceDirect, Cochrane Library, and eLibrary from 2001 to October 2023. Placental insufficiency may cause either hyperplasia (i.e., placental expansion to meet the nutritional needs of the growing fetus) or hypoplasia, which cause deficiency in nutrients and oxygen and slows down fetal growth and development. Both of these conditions significantly affect the probability and volume of postpartum haemorrhage.

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The authors declare that there are no conflicts of interest present.