论文部分内容阅读
目的探讨产后出血发生的病因及防治措施。方法对镇平县卫生学校附属医院2002年12月—2009年12月分娩并发生产后出血78例产妇资料回顾性分析。结果孕产妇3654例中发生产后出血78例,其发生率为2.13%。剖宫产产后出血率高于阴道分娩,差异有显著(P<0.05)。随着胎儿体重增加产后出血发生率增加,差异有显著(P<0.05)。导致产后出血的原因中,子宫收缩乏力居首位55例(70.51%),其次胎盘因素16例(20.51%)。结论产后出血与分娩的方式、胎儿体重、高危因素等有密切关系。发生原因主要与子宫收缩乏力、胎盘因素、软产道裂伤、凝血功能障碍有关。加强产前、产时、产后围产期保健,正确处理产程是降低产后出血的关键。
Objective To investigate the etiology and prevention and treatment of postpartum hemorrhage. Methods Retrospective analysis of 78 maternal data on delivery and postpartum hemorrhage in Zhenping County Health School Affiliated Hospital from December 2002 to December 2009. Results There were 78 cases of postpartum hemorrhage in 3654 pregnant women with the incidence of 2.13%. The cesarean section postpartum hemorrhage rate was higher than vaginal delivery, the difference was significant (P <0.05). The incidence of postpartum hemorrhage increased with fetal weight gain, the difference was significant (P <0.05). The causes of postpartum hemorrhage, uterine atony in the first 55 cases (70.51%), followed by placental factors in 16 cases (20.51%). Conclusion Postpartum hemorrhage and delivery methods, fetal weight, risk factors are closely related. The main causes of uterine atony, placental factors, soft birth canal laceration, coagulation disorders related. Strengthening prenatal, delivery and postnatal perinatal care, the correct treatment of labor is the key to reducing postpartum hemorrhage.