论文部分内容阅读
目的探讨孕妇产后出血的发病情况及相关因素分析。方法回顾性分析无锡市第二人民医院2014年3月-2017年2月收治住院的1 320例分娩产妇临床资料,采取多元Logistic回归分析对分娩产妇产后出血的相关因素进行回归分析。结果在选取的产妇中,产后出血的发病率为3.6%,单因素分析显示年龄、胎次、宫缩乏力、妊娠期高血压病史、贫血状况、胎盘早剥、分娩方式、软产道损伤、胎盘滞留和胎盘植入或粘连、前置胎盘等因素均是影响分娩产妇产后出血的因素(均P<0.05),而多因素分析显示,剖宫产、胎盘滞留和胎盘植入或粘连、前置胎盘、宫缩乏力等均为影响分娩产妇产后出血的危险因素(均P<0.01)。结论该院孕产妇产后出血的发病率较低,剖宫产、胎盘滞留和胎盘植入或粘连、前置胎盘、宫缩乏力等均是导致分娩产妇产后出血的危险因素,应加强防治。
Objective To investigate the incidence and related factors of postpartum hemorrhage in pregnant women. Methods A retrospective analysis was conducted on the clinical data of 1220 mothers in our hospital who were admitted to Wuxi Second People’s Hospital from March 2014 to February 2017. Multivariate Logistic regression analysis was used to analyze the related factors of postpartum hemorrhage in childbirth. Results The incidence of postpartum hemorrhage was 3.6% in the selected mothers. Univariate analysis showed that age, parity, uterine atony, history of pregnancy-induced hypertension, anemia, placental abruption, mode of delivery, soft birth canal injury, placenta Retention and placenta accreta or adhesion, placenta previa and other factors are the factors that affect the postpartum hemorrhage of childbirth (all P <0.05), and multivariate analysis showed that cesarean section, placenta accreta and placenta accreta or adhesion, Placenta, uterine inertia and so on were all the risk factors affecting postpartum hemorrhage in childbirth (all P <0.01). Conclusions The incidence of postpartum hemorrhage in this hospital is low. Cesarean section, placenta accreta and placenta accreta or adhesion, placenta previa, and uterine atony are the risk factors of postpartum hemorrhage in childbirth and should be strengthened.