Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot141610.32687/0869-866X-2025-33-1-98-104НеопределенThe development of management of patient blood in medical organizations of obstetrics and gynecological profileTuraevaRoza Ramilyevvaturaeva_roza@bk.ruTuraevRamil Gabdelkhakovichramil.turaev@tatar.ruMingazovaElmira Nurislamovnaelmira_mingazova@mail.ruZhiburtEvgeny Borisovichezhiburt@yandex.ruThe State Autonomous Health Care Institution “The Republican Clinical Hospital of the Minzdrav of the Republic of Tatarstan”, 420064, Kazan, RussiaThe State Autonomous Health Care Institution “The Republican Center of Blood of the Minzdrav of the Republic of Tatarstan”, 420064, Kazan, RussiaN. A. Semashko National Research Institute of Public Health, 105064, Moscow, RussiaThe State Scientific Budget Institution “The Tatarstan Academy of Sciences”, 420111, Kazan, RussiaThe Federal State Budget Educational Institution of Higher Education “The Kazan State Medical University”, 420012, Kazan, RussiaThe Federal State Budget Institution “The N. I. Pirogov National Medical Surgery Center” of Minzdrav of Russia, 105203, Moscow, Russia160420253311704202517042025Copyright © 2025,2025<p>The purpose of the study was to analyze experience of patient blood management in obstetric and gynecological medical organizations, to assess compliance of Russian clinical guidelines of obstetric and gynecological bleeding with actual level of science and practice.<br />The methodology applied provided search for Russian and English words patient blood management, gynecology, obstetrics, bleeding, anemia in electronic libraries of Russia (eLibrary.ru) and the USA (pubmed.ncbi.nlm.nih.gov). The search resulted in 19 studies and 2 documents in form of clinical guidelines. It was established that patient blood management in gynecology and obstetrics is complex problem requiring both policy solution at national and regional scale. The formation of following set measures is required: physician mentality with anemic alertness, measures preventing and adjusting anemia and coagulopathies, technologies of sparing surgery, means of preventing and stopping bleeding, blood donorship, production of selective and safe blood components, evidence-based transfusion therapy, improvement of clinical guidelines, elaboration of normative base.</p>patient blood managementhealth caregynecologyobstetricsmedical organizationbleedinganemiaменеджмент крови пациентаздравоохранениегинекологияакушерствомедицинские организациикровотечениеанемия[Zhiburt E. B. Patient Blood Management in Critical Bleeding and Massive Transfusion. Vestnik Nacional'nogo mediko-hirurgicheskogo centra im. N.I.Pirogova. 2013;8(4):71–7 (in Russian).][Hofmann A., Aapro M., Fedorova T. A., Zhiburt E. B., Snegovoj A. V., Kaganov O. I., et al. Patient Blood Management in Oncology in the Russia. Resolution for the Improvement of Care for Cancer Patients. Sovremennaja onkologija. 2020;22(3):59–78. doi: 10.26442/18151434.2020.3.200340 (in Russian).][Shevchenko Ju. L., Zhiburt E. B., Shestakov E. A. Implementation of Blood-Saving Ideology in the Practice of the Pirogov Center. Vestnik Nacional'nogo mediko-hirurgicheskogo centra im. N.I.Pirogova. 2008;3(1):14–21 (in Russian).][Zhiburt E. B., Madzaev S. R., Shestakov E. A. Patient's blood management. 2nd ed. Moscow: Nacional'nyj mediko-hirurgicheskij centr imeni N. I. Pirogova; 2021 (in Russian).][Deev I. A., Kobjakova O. S., Starodubov V. I., Aleksandrova G. A., Golubev N. A., Os'kov Yu. I. Incidence of the entire population of Russia in 2023 with a diagnosis established for he first time in life: statistical materials. 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J., Wiysonge C. S. Interventions to reduce haemorrhage during myomectomy for fibroids. Cochrane Database Syst. Rev. 2014;2014(8):CD005355. doi: 10.1002/14651858.CD005355.pub5][Fedorova T. A., Borzykina O. M., Strel'nikova E. V., Hamidulina K. G., Rogachevskij O. V., Kozachenko A. V., Ivanec T. Ju. Blood management in patients with uterine fibroids and anemia in the perioperative period. Medicinskij sovet. 2022;16(16):19–27. doi: 10.21518/2079-701X-2022-16-16-19-27 (in Russian).][Belocerkovceva L. D., Zinin V. N., Kovalenko L. V., Pankratov V. V. Evaluation of the effectiveness of the "Patient Blood Management" technology in a third-level obstetric hospital. Voprosy ginekologii, akusherstva i perinatologii. 2022;21(3):75–82. doi: 10.20953/1726-1678-2022-3-75-82 (in Russian).][Smetnik V. P., Tumilovich L. G. Non-operative Gynecology: A Guide for Physicians. St. Petersburg: SOTIS; 1995 (in Russian).][Solov'eva A. V., Chegus L. A. 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