湖南省产后出血监测分析

Analsis on the monitoring of Postpartum haemorrhage of Hunan Province

目的 探讨我省产后出血的发生状况、原因构成及影响因素。方法 设立３２ 个产后出血监测点，监测产妇８ １２６例。使用统一的监测个案卡，由监测点接生人员在产妇分娩２４小时后及时填写按季上报。然后计算机录入汇总并分析。结果 产后出血发生率为４３４％ （３５３／８１２６），城乡无显著差异（Ｐ＞ ００５）。产后出血死亡专率为９８６０／１０万。出血原因构成顺位依次为宫缩乏力、胎盘因素、软产道损伤、凝血功能障碍等。有前高危因素的产妇中产后出血的发生率显著高于正常产妇。结论 加强高危监护、处理好产程特别是第三产程是防治产后出血的重要环节。

Objective To study the state、causes and influent factors of postpartum haemorrhage in Hunan province. Methods Set up a 32 monitoring stations of postpartum haemorrhage and 8 126 cases were monitoried. Every case had a monitoring card filled in by midwife within 24 hours after parturition. The cards were Collected seasonly and all data were analysed by conputer. Results The postpartum haemorrhage lnciderce of Hunan Province is 4.34%, with no significant difference between urban and Rural areas(P>0 05). The postpartum haemorrhage mortality is 98.6 per 100,000. The order of causes of postpartum haemorrhage are oterinenertia、Placental factor、laceration of birth canal、disturbance of blood congulation. Postpartum haemorrhage incidence of high risk pregnant group is much higher than that of nomal group. Conclusion Intensification of the monitoring of high risk pregnant group and good management of birth process. The third stage of labor are very important to the prevention and cure of postpartum haemorrhage. [