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目的与顺产对比分析新式剖宫产产后出血情况,探讨预防和治疗新式剖宫产产后出血的有效措施。方法对2010年1月-2011年6月6005例在珠海市妇幼保健院顺产和行新式剖宫产术的产妇发生产后出血的情况进行统计,对比两种分娩方式在产后出血的发生率、出血量以及出血时间上的差异,进一步在出现产后出血的孕妇中,分析其分娩指征,综合各项临床数据对产后出血的原因。结果新式剖宫产产后出血的发生率为17.39%,高于顺产产后出血率(5.33%),两者相比差异有统计学意义(P<0.05)。新式剖宫产术后2 h内出血最多见。产后出血原因主要有宫缩乏力、胎盘因素以及手术操作等,尤以宫缩乏力最为常见。结论新式剖宫产产后出血有较高的发生率,规范产前检查,疏导孕妇的心理,严格剖宫产手术指征,选择最适合孕妇分娩的方式,提高产科医护人员的专业技能,能使新式剖宫产术后产妇发生产后出血的风险降低。
Objective To compare and analyze the new-type postpartum hemorrhage after cesarean section and to discuss the effective measures to prevent and treat the new-type postpartum hemorrhage after cesarean section. Methods From January 2010 to June 2011,6005 cases of newborn cesarean section in Zhuhai Maternal and Child Health Hospital, the incidence of postpartum hemorrhage statistics, compared the two modes of delivery in the incidence of postpartum hemorrhage, bleeding And bleeding time differences, and further in pregnant women with postpartum hemorrhage, analysis of their indications for delivery, the various clinical data on the causes of postpartum hemorrhage. Results The incidence of new cesarean section postpartum hemorrhage was 17.39%, which was higher than that of postpartum hemorrhage (5.33%). The difference was statistically significant (P <0.05). New cesarean section within 2 h after bleeding the most common. The main causes of postpartum hemorrhage, uterine inertia, placental factors and surgical operations, especially in the most common uterine inertia. Conclusions The new type of cesarean section postpartum hemorrhage has a higher incidence, standardize prenatal care, psychological counseling to ease pregnant women, cesarean section strict indications, choose the most suitable way for pregnant women to deliver, improve obstetric medical staff professional skills, The risk of postpartum hemorrhage is reduced in new mothers after cesarean section.