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目的分析高龄产妇产后出血危险因素和措施,为临床预防高龄产妇产后出血提供学科依据。方法选取2013年1月—2016年3月平顶山市妇幼保健院收治的135例待产高龄产妇,观察高龄产妇产后出血的原因,采用条件分析法分析产后出血相关危险因素及预防措施。结果经研究发现,宫缩乏力(42.9%)及胎盘相关因素(28.6%)是造成高龄产妇产后出血的主要原因。高龄产妇年龄、孕次(≥2次)、产次(≥2次)、分娩周期、妊娠并发症、分娩方式、多胎妊娠、巨大新生儿等因素是造成高龄产妇产后出血的高危因素。结论需要加强高龄产妇健康教育及保健知识宣教,加强对高危高龄产妇的早期干预,做好妊娠管理,降低剖宫产率。
Objective To analyze the risk factors and measures of postpartum hemorrhage in elder mothers and provide a scientific basis for clinical prevention of postpartum hemorrhage in elder mothers. Methods From January 2013 to March 2016, 135 cases of elder expectant mothers were treated in Pingdingshan Maternal and Child Health Hospital, and the causes of postpartum hemorrhage were observed. The risk factors of postpartum hemorrhage and the preventive measures were analyzed by conditional analysis. Results The study found that uterine inertia (42.9%) and placenta-related factors (28.6%) are the main causes of postpartum hemorrhage in older mothers. Elderly maternal age, gestational age (≥2 times), delivery time (≥2 times), delivery cycle, pregnancy complications, mode of delivery, multiple pregnancy, huge newborn and other factors are the risk factors for postpartum hemorrhage in older mothers. Conclusion It is necessary to strengthen the health education of old maternal health and education of health knowledge, strengthen the early intervention of high-risk maternal age, do pregnancy management and reduce the rate of cesarean section.