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目的:探讨产后出血相关因素特点及防控。方法:观察组共选择40例产后出血患者作研究对象,并与同期收治的对照组40例产后无出血孕产妇资料加以比较,回顾引起出血的相关因素,并针对性预防。结果:观察组产后出血量为450~3 500ml,其中严重出血28例,占70%;产后2h内出血30例,占75%。统计出血原因,宫缩乏力出血29例,占72.5%;胎盘因素7例,占17.5%;软产道因素2例,占5%;凝血功能障碍1例,占2.5%;其它1例,占2.5%,为社会心理因素引起。宫缩乏力为诱发产后出血的主要因素,与其它比较差异有统计学意义(P<0.05)。比较两组一般资料,分娩方式、妊娠并发症两组差异明显有统计学意义(P<0.05),为主要诱导产后出血的因素。结论:分析产后出血因素,行针对性防控,是减少产后出血率,保障母婴安全,提高分娩质量的关键。
Objective: To explore the characteristics of postpartum hemorrhage related factors and prevention and control. Methods: Forty patients with postpartum hemorrhage in the observation group were selected as the study subjects, compared with 40 cases of postpartum hemorrhage without maternal data in the control group. The related factors of hemorrhage were reviewed and targeted prevention was given. Results: The postpartum hemorrhage in the observation group was 450-3 500 ml, of which 28 cases were severe hemorrhage, accounting for 70%. Thirty cases were hemorrhage within 2 hours after delivery, accounting for 75%. The causes of bleeding, uterine inertia bleeding in 29 cases, accounting for 72.5%; placental factors in 7 cases, accounting for 17.5%; soft birth in 2 cases, accounting for 5%; coagulation disorders in 1 case, accounting for 2.5%; the other 1, accounting for 2.5 %, Caused by social psychological factors. Uterine atony was the main factor inducing postpartum hemorrhage, with statistical significance (P <0.05). Comparison of two groups of general information, mode of delivery, complications of pregnancy was significantly different between the two groups (P <0.05), as the main factor inducing postpartum hemorrhage. Conclusion: Analysis of postpartum hemorrhage factors, targeted prevention and control, is to reduce the rate of postpartum hemorrhage, to protect the safety of mothers and babies and improve the quality of childbirth.