[Role of mobile intensive care team in reducing maternal mortality in Moscow].

As of now, exit intensive care teams (EICT) are a mobile service of the S. P. Botkin City Clinical Hospital. The main area of their activity is to deliver intensive care to 35 Moscow obstetric hospitals. In 2003-2006, the EICT mates performed 1159 calls, delivered care to 783 puerperas and parturiants, and transferred patients to the specialized intensive care units and research centers of Moscow. Throughout the existence of the exit intensive care center and EICT, none patient died during interhospital transportation. The concentration of these patients at 4 specialized Moscow hospitals could improve a therapeutic process, gain uniqe clinical experience, and reduce mortality by 3-fold (from 45.2 to 14.6%).

[Complex compounds of heparin in obstetric hemorrhages]. / Kompleksnye soedineniia geparina pri akusherskikh krovotecheniiakh

The so-called uncontrollable hemorrhage in obstetric patients correlated mainly with appearance in blood of complex heparin compounds, primarily fibrinogen-heparin, adrenaline-heparin, noradrenaline-heparin and, less frequently, plasminogen-heparin. The heparin complexes were observed in circulation when the anticoagulation system was stimulated due to appearance of thrombin in the blood stream. The complexes possessed and anticoagulation and antipolymerization effects on fibrin-monomer and caused nonenzymatic lysis of unstabilized fibrin clots.