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本文报告1992年1月～10月,观察128例产妇,其中初产妇123例(59例有人流史),经产妇5例;平均年龄26岁。顺产93例,阴道手术产35例。 在第三产程处理中,胎盘娩出方式有三种①胎盘自然娩出109例,胎盘于10分钟内娩出占98.17％,平均产后出血113.81ml。②胎盘粘连14例中有人流史10例,胎盘娩出大于10分钟有10例。平均产后出血165.36ml。③另有5例,胎盘已剥离而滞留宫腔内,平均出血122.5ml。应重视第四产程观察。 通过临床实践,我们体会到要降低产后出血率,减少出血量,必需①正确掌握胎盘剥离征象,因为过早干预或娩出过晚都会增加出血量,并有胎盘残留的可能。
This article reports January-October 1992 and observed 128 mothers, of which 123 were primipara (59 had a history of abortion) and 5 were mothers. The average age was 26 years. 93 cases of spontaneous delivery, 35 cases of vaginal surgery. In the third stage of treatment, there are three ways to deliver the placenta: ① placenta naturally delivered 109 cases, the placenta delivered within 10 minutes accounted for 98.17%, the average postpartum hemorrhage 113.81ml. ② placenta adhesion in 14 cases of flow history in 10 cases, more than 10 minutes of placental delivery in 10 cases. The average postpartum hemorrhage 165.36ml. ③ In another 5 cases, the placenta has been stripped and retained in the uterine cavity, the average bleeding 122.5ml. Should pay attention to the fourth stage of labor observation. Through clinical practice, we understand that to reduce the rate of postpartum hemorrhage and reduce blood loss, it is necessary to correctly grasp the signs of placental abruption, because premature intervention or prolonged delivery will increase the amount of bleeding, and the possibility of residual placenta.