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目的对妇产科阴道分娩产后出血相关因素进行分析并采取有效的应对措施。方法选择25例于2012年10月至2013年9月在我院行阴道分娩产后出血治疗的患者资料进行研究和分析,对相关出血因素进行回顾,并采取有效的预防措施。结果 14例产妇由于子宫收缩乏力导致产后出血,8例产妇由于胎盘因素导致产后出血,3例产妇由于软产道损伤导致产后出血,子宫收缩乏力为引发子宫出血的最主要因素。18例产妇产后出血量为500~1 000 ml,7例产妇产后出血量超过1 000 ml。25例产后出血患者中3例产妇胎膜早破,9例产妇有妊娠高血压。结论对妇产科阴道分娩产后出血相关因素进行分析并采取针对性的预防措施,能够使产后出血发生率获得有效降低,改善和优化母婴的身心健康。
Objective To analyze the factors related to postpartum hemorrhage in vaginal delivery in obstetrics and gynecology and to take effective measures. Methods The data of 25 patients who underwent vaginal delivery postpartum hemorrhage in our hospital from October 2012 to September 2013 were studied and analyzed. Relevant bleeding factors were reviewed and effective preventive measures were taken. Results 14 cases of maternal postpartum hemorrhage due to uterine atony, 8 cases of maternal postpartum hemorrhage due to placental factors, 3 cases of maternal labor due to injury caused by postpartum hemorrhage, uterine atony is the most important factor leading to uterine bleeding. 18 maternal postpartum hemorrhage was 500 ~ 1 000 ml, 7 maternal postpartum hemorrhage more than 1 000 ml. Three cases of preterm premature rupture of membranes in 25 patients with postpartum hemorrhage, 9 cases of pregnancy-induced hypertension. Conclusions Analysis of the factors related to postpartum hemorrhage in vaginal delivery in obstetrics and gynecology and the targeted preventive measures can effectively reduce the incidence of postpartum hemorrhage and improve and optimize the physical and mental health of the mother and infant.