摘要
目的了解高龄孕妇阴道分娩产后出血的危险因素。方法选取87例阴道分娩产后出血、100例无产后出血高龄孕妇,Logistic回归分析产后出血危险因素。结果高龄初产妇、孕周>40周、体质量指数≥25 kg/m^(2)、新生儿体质量≥3.5 kg、第三产程≥15 min的高龄孕妇,阴道分娩产后出血发生率均较高(P<0.01或0.05)。多因素logistic回归分析结果显示新生儿体质量≥3.5 kg、第三产程≥15 min是产后出血的独立危险因素(P<0.01)。结论新生儿体质量较大、第三产程较长是高龄孕妇阴道分娩产后出血的危险因素。
Objective To analyze the risk factors of postpartum hemorrhage(PH)in elderly pregnant women(EPWs)undergoing vaginal delivery.MethodsClinical data of 87 EPWs with PH and 100 EPWs without PH undergoing vaginal delivery were collected.The risk factors of PH were analyzed by logistic regression analysis.Results Elderly primipara,>40 gestational weeks,body mass index≥25 kg/cm^(2),newborn weight≥3.5 kg,and third stage of labor≥15 minutes were associated with higher PH(P<0.01 or 0.05).Multiple logistic regression analysis showed that newborn weight≥3.5 kg,and third stage of labor≥15 minutes were independent risk factors of PH(P<0.01).Conclusion The newborn weight≥3.5 kgand third stage of labor≥15 minutes are the main risk factors for 87 EPWs with PH.
作者
卢文琼
廖珊
黄沛清
LU Wen-qiong;LIAO Shan;HUANG Pei-qing(Department of Obstetrics and Gynecology,Foshan First People's Hospital,Foshan 528000,China)
出处
《广东医科大学学报》
2022年第1期96-98,共3页
Journal of Guangdong Medical University
关键词
高龄孕妇
阴道分娩
产后出血
危险因素
elderly pregnant women
vaginal delivery
postpartum hemorrhage
risk factors