产后出血21例临床分析

Clinical analysis on 21 cases of postpartum hemorrhage

目的:探讨产后出血的原因,提出合理的防治措施。方法:以我院2008年分娩的产妇738例作为观察对象,将胎儿娩出后24h内出血量≥500ml定义为产后出血,观察产妇一般情况、妊娠合并症及并发症、产后出血的危险因素。采用容积法+面积法测量产后出血量。结果:738例产妇中发生产后出血21例,发生率为2.8%,引起产后出血的原因排位为:宫缩乏力占66.7%,胎盘因素占28.6%,软产道损伤占4.7%。结论:加强孕前宣教及孕期管理,严格掌握剖宫产指征、降低剖宫产率,恰当处理产程,产后严密观察阴道流血、子宫收缩情况对于降低产后出血起着重要的作用。

Objective： To discuss the causes and preventive of postpartum hemorrhage. Methods： 21 cases of postpartum hemorrhage among 738 pregnancy in 2008 were analyzed. Results： Main causes of postpartum hemorrhage included poor uterine contraction （66.7%）, placent problems （28.6%）, incision laceration （4.7 %）. Conclusion： Training of parturien, close observation of labor stages, correction of obnormal birth process, improvement to operation skill are all necessary provision to decrease postpartum hemorrhage.