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目的:产后出血危险因素分析及防治措施探讨,降低产后出血的发生率,提高产妇在分娩过程中的安全性。方法:选取哦我院从2011年3月到2013年3月于我院产科接受的112例发生产后出血的产妇作为本文的研究对象。回顾性分析入选产妇的一般资料,并且统计分析产妇出现产后出血的相关原因等,分析总结导致产后出血的危险因素。结果:子宫因素导致产后出血的比率为42.9%,胎儿因素的未16.9%,胎盘因素的占17.9%,产道因素的占22.3%。其中相关的导致产后出血的因素,最多的是子宫收缩乏力,其次是阴道裂伤,接着是多胎妊娠。结论:重视产前检查,加强产后的检测,掌握剖宫产的手术指征等,加强宫缩乏力的防治,有利于产后出血的发生。
Objective: To analyze the risk factors of postpartum hemorrhage and to discuss the prevention and treatment measures to reduce the incidence of postpartum hemorrhage and improve the safety of the mother during childbirth. Methods: Choose from our hospital in March 2011 to March 2013 in our hospital obstetrics received 112 cases of postpartum hemorrhage mothers as the object of this study. Retrospective analysis of the general information on selected mothers, and statistical analysis of maternal postpartum hemorrhage related causes, analysis and summary of risk factors leading to postpartum hemorrhage. Results: The rate of postpartum hemorrhage was 42.9% due to uterine factors, 16.9% of non-fetal factors, 17.9% of placental factors and 22.3% of birth canal factors. Among them, the most common cause of postpartum hemorrhage was uterine atony, followed by vaginal laceration, followed by multiple pregnancy. Conclusion: Emphasis on prenatal care, postnatal care to strengthen the detection of cesarean section indications and other surgery to strengthen the prevention and treatment of uterine inertia is conducive to the occurrence of postpartum hemorrhage.