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First aid consists of the simplest medical measures that allow you to save the victim's life and prevent the development of possible complications. The procedure for providing pre-medical care to victims of massive external bleeding determines the mechanism of providing pre-medical care by persons who do not have a medical education, but according to their official duties must provide pre-medical care (Order of the Ministry of Health of Ukraine dated 09.03.2022 No. 441 "On approval of procedures for providing pre-medical assistance to persons in emergency situations").
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At the Department of Obstetrics and Gynecology No. 1 of the Shupyk National Healthсare University of Ukraine from January 28 to February 11, 2025, a thematic improvement cycle “Emergency care in obstetrics and gynecology with a simulation training course” (full-time and part-time with elements of distance learning) was held for doctors in the city of Cherkasy for obstetricians - gynecologists, anesthesiologists, surgeons, family doctors.
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On February 1st, the Cardiology Department of Shupyk National Healthcare University of Ukraine launched free Saturday elective sessions.
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With the participation of the staff of the Department of Obstetrics and Gynecology No. 1 of the Shupyk National Healthcare University of Ukraine in the Obstetrics department of the Vyshgorod Central District Hospital, a successful delivery of a pregnant woman with a rare obstetric pathology - a bilobar placenta was carried out. The peculiarity of this case was the presence of umbilical cord vessels, not protected by Wharton's gel, which passed between the two parts of the placenta along the posterior wall of the uterus. Such a pathology is dangerous due to the high risk of rupture of these vessels, which could lead to antenatal fetal death.
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A unique cesarean section was performed on the basis of the Department of Obstetrics and Gynecology No. 1 of the Shupyk National Healthcare University of Ukraine in the Vyshgorod Central District Hospital in an obese patient whose body mass index exceeded 45. Due to a significant layer of subcutaneous fat and difficult access to the lower segment of the uterus caused by a pronounced panniculus (apron-shaped fat deposits), it was decided to perform a supraumbilical incision with subsequent fundal cesarean section. This was also due to the presence of a previous cesarean section in the anamnesis. In the second minute of the operation, a healthy full-term girl was removed, weighing 3520 g, 52 cm tall, who received an Apgar score of 9/10 points. Thanks to carefully planned tactics, the operation was carried out with minimal blood loss, lasted about 35 minutes, and the postoperative period for the patient passed without complications, with minimal pain and without the need for additional administration of painkillers.
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Dear colleagues, the Department of Obstetrics and Gynecology No. 1 invites you to study at the thematic improvement cycle "Current issues of endoscopic gynecology (laparoscopy, hysteroscopy) with a simulation training course (for obstetrician-gynecologists, surgeons)", which will be held from 01/28 to 02/11/2025. The duration of the cycle is 0.5 months (78 hours, 2.6 ECTS credits).