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目的了解怀化市产后出血的发病情况,并探讨存在的高危因素。方法收集2013年怀化市助产服务机构住院分娩产妇资料,运用多元logistic回归分析产后出血的相关因素。结果怀化市产后出血率1.84%,影响产后出血的高危因素分别为产妇孕次、年龄、孕周、胎盘因素、多胎、新生儿体重、Apgar评分、助产机构级别,而新生儿早吸吮是产后出血的保护因素。其中胎盘因素(OR=5.296,95.0%CI:3.400~8.248)对产后出血的影响最大。结论怀化市孕产妇存在多种导致产后出血的高危因素,需针对性的采取措施降低产后出血的发生。
Objective To understand the incidence of postpartum hemorrhage in Huaihua City and to explore the existing risk factors. Methods The maternal data of hospital delivery in midwifery service of Huaihua city in 2013 were collected, and multivariate logistic regression analysis was used to analyze the related factors of postpartum haemorrhage. Results The postpartum hemorrhage rate was 1.84% in Huaihua City. The risk factors for postpartum hemorrhage were maternal times of pregnancy, age, gestational age, placenta, multiple births, newborn weight, Apgar score and midwifery level. Bleeding protection factors. The placental factors (OR = 5.296, 95.0% CI: 3.400 ~ 8.248) had the greatest impact on postpartum hemorrhage. Conclusion There are many risk factors for postpartum hemorrhage in pregnant women in Huaihua City, and some measures should be taken to reduce the incidence of postpartum hemorrhage.