不同分娩方式与孕妇分娩后出血量的关系

Relationship of postpartum hemorrhage and different delivery ways

目的探讨不同分娩方式与孕妇分娩后出血量的关系。方法对靖江市人民医院产科2008年7月至2011年7月住院分娩的2667例孕产妇的，临床资料进行回顾性分析和总结。结果2667例中阴道分娩1156例，产后出血47例，产后出血发生率为4．06％；剖宫产1407例，产后出血86例，产后出血发生率为6．11％；阴道助产104例，产后出血8例，产后出血发生率为7．69％。阴道分娩与剖宫产产后出血比较差异有统计学意义（χ^2=16．20，P=0．00），阴道助产与阴道分娩或剖宫产相比差异无统计学意义（P〉0．05）。结论剖宫产产后出血的发生率高于阴道分娩。重视孕期产前检查，一旦发生产后出血，应积极对因处理并及时行补充血容量、抗休克等综合治疗。

Objective To investigate the relationship between the postpartum hemorrhage circumstance and puerperal ways. Methods The clinical data of 2667 gravidas and parturients delivered in Jingjiang people＇ s hospital from July 2008 to July 2011 were retrospectively analyzed and overviewed. Re- sults There were 1156 cases of spontaneous delivery and 47 cases with postpartum hemorrhage （ incidence was 4.06% ） ; 1407 cases received uterine-incision delivery and there were 86 cases with postpartum hem- orrhage （incidence was 6.11% ）, 104 cases received vaginal delivery and 8 cases with postpartum hemorrhage （ incidence was 7. 69% ）. There was significant difference for postpartum hemorrhage between spontaneous delivery and uterine-incision delivery （χ^2 = 16.20, P =0.00）, but there was no significant difference between vaginal delivery and spontaneous delivery or uterine-incision delivery （ P 〉 0. 05）. Conclusions The incidence of postpartum hemorrhage in uterine-incision delivery is superior to that in spontaneous delivery. It is required to handle operative indicators strictly in uterine-incision delivery; meanwhile, it is suggested to conduct spontaneous delivery and antenatal examination in duration of pregnancy.