产后2h定时按摩子宫预防产后出血的效果观察

Effect Observation of Kneading Uterus on Postpartun Hemorrhage after Parturition

目的产后2h按摩子宫对预防产妇产后出血的效果探讨。方法选择2010年1-11月在我所自然分娩的1000例正常初产妇，随机分为观察组与对照组各500例。观察组于产后2h每隔15min定时给予产妇按摩子宫1次，直到子宫收缩变硬，轮廓清晰；对照组500例只给予常规处理及观察。比较两组产妇产后2h出血情况。结果观察组产后2h出血率比对照组明显减少，两组比较，P〈0．01，差异具有统计学意义。结论产后2h内定时给予产妇按摩子宫，可明显减少产后出血率．值得临床推广应用。

Objective To investigate the effects of kneading uterus on postpartun hemorrhage after parturition.Methods 600 healthy parturients admitted from Jan to Nov 2009 were equally randomized into observation group and comtrol group：the latter group was managed in routine way and the former group was given uterus kneading 2hours after parturition every 15minutes untihhe uterus turned stiff and resumed to its clear outline .Result The vaginal hemorrhage in observed group was significantly Less than that in the control group 2hours after parturition （P〈0.O1）.Conclusion Kneading uterus 2 hours after parturition periodically could effectively reduce the amount if vaginal hemorrhage and the incidence rate of postpartum hemorrhage.