产后出血的原因及预防对策

The Prevention Measures of Postpartum Hemorrhage

目的探讨预防产后出血的原因及防治对策。方法将60例单胎、头位、无难产因素的产妇随机分为观察组和对照组,观察组于第二产程末胎头将娩出时口服米索前列醇片600ng,胎肩娩出后肌肉注射催产素;对照组胎肩娩出后肌肉注射催产素。结果两组产妇的总产程、新生儿体重无统计学意义,第三产程所需时间及产后2h出血量有显著性差异(P<0.05)。结论第二产程末口服米索前列醇预防产后出血是高效安全的良好措施。

Objective To investigate the reason and the prevention and cure metlaod of postpartum hemorrhage. Methods 60 lying - in mothers with single birth, head birth and have no birth difficulty were grouped randomly by the observation group and control group. The observation group took orally misoprostol 600ngs when fetal head would be expulsion after the second birth process end,the foetus shoulder would be expulsion intramuscular injection alpha hypophamine;the control group the foetus shoulder would be expulsion intramuscular injection alpha hypophamine. Results Two sets of pregnant womans total stage of labor, new bom＇s weight didnt have statistic difference. The third birth process time and postnatal period 2 hours hemorrhage had shown significant difference （ P 〈 0.05 ）.Conclusion Taking orally misoprostol after the end of the second birth process was an efficiently safe good measure for prevention of postpartum hemorrhage.