446例产后出血的临床观察及护理对策探讨

Investigation and nursing strategy for postpartum hemorrhage in 446 cases of vaginal delivery

目的探讨经阴道分娩产后出血的原因及护理对策。方法对某院446例产妇的临床资料进行回顾性分析。重点分析产后2～24h出血总量，对产后出血的原因进行分析、总结。结果446例阴道分娩产后2h内出血量为（279．15±75．00）ml，产后2～24h出血量为（108．09±42．31）ml，产后24h出血总量为70～1840ml，平均为（390．96±89．74）ml。结论产后出血不仅发生在产后2h内，也容易发生在产后2～24h。因此，要加强产后24h之内的临床护理、观察及宣教。

Objective To investigate causes and nursing management of postpartum hemorrhage. Methods Retrospective analysis of postpartum hemorrhage in 446 cases of vaginal delivery. Total volume of hemorrhage within 24 hours were recorded,and the causes of postpartum hemorrhage were analyzed. Results For 446 cases the volume of postpartum hemorrhage within 2 hours after delivery were （279.15± 75.00） ml, and （108.09 ± 42.31 ） ml during 2 - 24 hours. Total volume within 24 hours after delivery were averaged（390.96± 89.74） ml,from 70 - 1840 ml. Conclusion Postpartum hemorrhage was prompt to develop with 2 hours as well as 2 - 24 hours after delivery . It was very important to intensify clinical nursing, observation and heahh education over 24 hours after delivery.