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目的探讨不同分娩方式产后出血特点,分析不同分娩方式产后出血的主要原因。方法对我院2008年1月至2012年6月收治的3000例产妇的临床资料进行回顾性分析,探究不同分娩方式产后出血的特点。结果出现产后出血情况的产妇38例,其中剖宫产产妇22例,自然阴道分娩产妇16例;产后2小时内出现出血情况30例,2-24小时之间出血8例;自然阴道分娩产妇中子宫收缩乏力引发出血8例,软组织损伤引发出血2例,胎盘粘连或残留引发出血4例,其他情况引发出血2例;产后出血性休克患者5例,采取输血手段进行救治6例;剖宫产产后出血率和出血量均大于自然阴道分娩。结论剖宫产较自然阴道分娩更容易出现产后出血情况,在临床过程中应该鼓励具备条件的产妇进行自然阴道分娩,在进行剖宫产手术时应该严格手术操作,有效预防产妇产后出血情况的发生。
Objective To investigate the characteristics of postpartum hemorrhage in different modes of delivery and to analyze the main causes of postpartum hemorrhage in different modes of delivery. Methods The clinical data of 3000 pregnant women admitted from January 2008 to June 2012 in our hospital were retrospectively analyzed to explore the characteristics of postpartum hemorrhage with different modes of delivery. Results There were 38 cases of postpartum hemorrhage, including 22 cases of cesarean section, 16 cases of spontaneous vaginal delivery, 30 cases of bleeding within 2 hours postpartum and 8 cases of bleeding between 2 and 24 hours. In natural vaginal delivery women Uterine contraction caused by bleeding in 8 cases, 2 cases of soft tissue injury caused by bleeding, placental adhesion or residue caused by bleeding in 4 cases, 2 cases caused by bleeding in other cases; 5 cases of postpartum hemorrhagic shock, transfusion to rescue 6 cases; cesarean section Postpartum hemorrhage and bleeding were greater than the natural vaginal delivery. Conclusion Cesarean section is more prone to postpartum hemorrhage than spontaneous vaginal delivery. In clinical practice, pregnant women should be encouraged to have spontaneous vaginal delivery. During cesarean section, surgical operation should be strictly controlled to prevent postpartum hemorrhage .