产后出血相关危险因素分析及对策

Risk Factors of Postpartum Hemorrhage and Countermeasures

目的:分析产后出血相关危险因素,提出合理的防治措施。方法:对本院2007年1月-2010年10月508例产妇的资料进行回顾性分析,筛选出与产后出血相关的主要危险因素。结果:508例产妇中,产后出血34例,产后出血发生率6.69%。宫缩乏力是导致产后出血的首位因素(58.1%),其次为胎盘因素(25.8%)。产后出血与分娩方式、孕产次及多胎妊娠等关系密切。结论:产后出血仍然是威胁产妇生命最严重的产科并发症,通过分析影响产后出血的高危因素,可采取相应的预防措施,对控制或减少产后出血、降低产后死亡率起着重要的作用。

Objective：To analyze the risk factors of postpartum hemorrhage,reasonable mitigation measures.Method：In our hospital from January 2007 to October 2010 508 cases of maternal were retrospectively analyzed for postpartum hemorrhage associated with selected major risk factors.Results：In 508 cases of maternal 31 cases happeled postpartum hemorrhage,the rate was 6.10%.Uterine inertia was the first factors of postpartum hemorrhage（58.1%）,followed by placental factors（25.8%）.Postpartum hemorrhage was associated with mode of delivery,maternal time and multiple births pregnancy.Conclusion：Postpartum hemorrhage remains the most serious life-threatening maternal obstetric complications.Analyzing the risk factors of postpartum hemorrhage can take appropriate preventive measures to control or reduce postpartum bleeding,and reduce post-natal mortality rate.