不同分娩方式对产后出血的影响

Different delivery methods on the influence of postpartum hemorrhage

目的:探讨不同分娩方式和产后出血相互关系及其防治措施。方法:对我院2008年7月至2012年8月的3607例分娩产妇中177例发生产后出血的临床资料进行回顾性研究。结果:相对于阴道自然分娩,剖宫产有相对较高的产后出血率,差异有统计学意义(P<0.05)。结论:做好产前诊断,积极准备好产前、产中及产后的检测和相关护理,正确掌握手术指征,可以有效减少产后出血率。

Objective：To study the relation between the different delivery ways and postpartum hemorrhage,and study measures about how to prevent and control them.Methods：data from our hospital（July 2010 to August 2012） about 3607maternity,of which 177 cases occurred postpartum hemorrhage,to this retrospective study samples.Results：The study occurred postpartum hemorrhage rate is 4.9%;By comparing different delivery way of maternal postpartum hemorrhage rate difference,relative to the vaginal natural childbirth,cesarean section have relatively higher postpartum hemorrhage rate,the difference was statistically significant（P 0.05）;And the cause of postpartum hemorrhage reasons mainly have：contractions caused by weak hemorrhage in 124 cases,accounting for 70.1%;Placental factors caused by bleeding 30 cases,accounting for 16.9%;Soft birth canal laceration cause bleeding in 14 cases,accounting for 7.9%;coagulopathy cause bleeding 5.0%.Conclusion：completes the prenatal diagnosis and preparations,testing and related nursing,correctly grasp the operation indications,can effectively reduce postpartum hemorrhage rate.