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目的:探讨干预第3产程对产后出血的影响。方法:采用干预第3产程50例即胎儿前肩娩出时静脉推注生理盐水20ml加缩宫素20单位,胎儿娩出后适当用力按摩子宫底,并适度牵脐带,胎盘10分钟未娩出者行胎盘徒手剥离术。与期待处理第3产程50例,即不使用宫缩剂,等待胎盘自然娩出作为对照。结果:积极处理组第3产程时间明显缩短,产后2小时出血量也明显减少。结论:积极干预第3产程能有效增强子宫收缩,缩短第3产程,减少产后出血的发生。
Objective: To investigate the intervention of the third stage of labor on postpartum hemorrhage. Methods: 50 cases of intervention in the third stage of labor, that is, when the anterior fetal shoulder was delivered by intravenous injection of normal saline 20ml plus oxytocin 20 units, the fetus after delivery appropriate force to massage the bottom of the uterus, and moderate traction with the umbilical cord, placenta 10 minutes did not deliver placenta Free hand stripping surgery. With the expectation of treatment of the third stage of labor in 50 cases, that is, do not use uterotonics, waiting for placenta naturally delivered as a control. Results: In the active treatment group, the duration of the third stage of labor was significantly shortened, and the amount of bleeding 2 hours after delivery was also significantly reduced. Conclusion: The active intervention of the third stage of labor can effectively enhance uterine contractions, shorten the third stage of labor and reduce the incidence of postpartum hemorrhage.