摘要
目的探讨产后出血的发生原因和预防措施。方法对我院(2010年1月至2010年12月)分娩9741例产妇中发生产后出血的140例进行回顾性分析。结果产后出血发生率为1.4%;出血原因主要为子宫收缩乏力,胎盘因素,软产道裂伤。其中剖宫产分娩比阴道分娩发生产后出血要高,有人工流产史,引产史比初产妇发生产后出血要高,差异有统计学意义(P<0.01)。结论认为做好产前,产时,产后监测,合理掌握剖宫产指征,可以有效降低产后出血率。
Objective To investigate the etiology prevention and management of postpartum hemorrhage. Methods A total of 140 patients who had postpartum hemorrhage during delivery in our hospital from Janurary 2010 to December 2010 was analyzed retrospectively. Results The rate of postpartum hemorrhage was 1.4%. Uterine inertia, placenta abnormity and soft birth canal injure were the mainly causes of postpartum hem- orrhage. The occurring rate of postpartum hemorrhage was significantly higher in cesarean birth than in viginal delivery（ P 〈 0. 01 ）. The rate of postpartum hemorrhage in puerpera with manul abortion, induced labor history was significantly higher than in primipara（ P 〈 0.01 ）. Conclusion The rate of postpartum hemorrhage can be efficiently recuced by monitoring properly in antepartum, intrapartum, postpartum and controlling the indication of cesarean section.
出处
《中国实用医药》
2012年第4期110-111,共2页
China Practical Medicine
关键词
产后出血
防治
剖宫产分娩
阴道分娩
Postpartum hemorrhage
Prevention and management
Cesarean birth
Viginal delivery
