目的 了解新生儿性别和产妇心理对产后出血的影响。方法 采用症状自评量表(SCL-90),自制问卷对300例产妇进行评定;精确测量产后2h出血量;按新生儿性别分两组进行比较。结果 女婴组产妇SCL-90分比男婴组高,尤其经产妇明显,P<0.01,有显著意义。女婴组产后2h出血量及产后出血发生率均高于男婴组,经产妇更显著(P<0.01)。结论期盼男婴的产妇心理状态有影响,当对新生儿性别不满意时可引起产后宫缩乏力从而导致产后出血。产科医护人员应对期盼男婴的产妇进行心理疏导。 Objective To understand the impact of neonatal gender and maternal psychology on postpartum hemorrhage. Methods SCL-90 and self-made questionnaires were used to evaluate 300 maternal women. The amount of bleeding was measured 2 hours postpartum. The neonatal sex was divided into two groups according to sex. Results The female infant group maternal SCL-90 points higher than the male infant group, especially by the maternal significantly, P <0.01, significant. The rate of bleeding and the rate of postpartum hemorrhage in the female infant group at 2 hours after delivery were all higher than those in the male infant group, and were more significant in the pregnant women (P <0.01). Conclusions The expectant mothers’ maternal psychological status is expected to be affected. When they are dissatisfied with the newborn’s sex, they may cause postpartum uterine atony and lead to postpartum hemorrhage. Obstetric health care workers should expect psychological counseling of mothers baby boy.