161例产后出血的原因分析及预防

The analysis on the reasons of postpartum hemorrhage and preventive measures in 161 cases

目的探讨引起产后出血的原因及预防。方法对我院2009年1～12月的161例产后出血病例进行回顾性分析。结果导致产后出血的原因有子宫收缩乏力(60.25%)、胎盘因素(31.68%)、产科损伤(6.21%)、其他因素(1.86%);产后出血发生率剖宫产高于顺产,高龄产妇高于低龄产妇,经产妇高于初产妇,差异均有统计学意义(P<0.05)。结论早期认识高危妊娠,积极产前检查,产时、产后严密观察,降低剖宫产率,对产后出血的正确处理可有效地降低产后出血率。

Objective To study the reasons of postpartum hemorrhage and the preventive measures.Methods The data of 161 patients with postpartum hemorrhage was analyzed retrospectively.Results The causes resulting to postpartum hemorrhage was uterine inertia（60.25%）,placental factors（31.68%）,obstetric injuries（6.21%） and other factors（1.86%）.Postpartum hemorrhage rate of caesarean section,elderly paturients,the multiparas was higher than that of vaginal spontaneous delivery,younger pregnant women,the primipara that there was significant difference（P0.05）.Conclusion The ways to reduce the postpartum hemorrhage rate included knowing high risk pregnancy earlier,prenatal check-up actively,carefully observations on prenatal and delivering,reducing the rate of caesarean section and proper treatment.