产后出血高危预警及防范

Prediction and prevention of postpartum hemorrhage in women with high-risk pregnancies

产后出血是我国孕产妇死亡的第一位因素,子宫收缩乏力、胎盘胎膜残留、软产道损伤、凝血功能异常是常见原因。孕妇分娩前体重指数(BMI)>25.9、贫血、宫高>34.5cm,高龄,瘢痕子宫等均是发生产后出血的临床预警信息。对具备这些警示信息的孕产妇,应及时采取针对性防范措施,以降低产后出血的发生率。

Postpartum hemorrhage is still the first fac- tor of global maternal deathsl. Weakness of uterine contraction, placenta residue, soft birth canal inju- ry, and coagulation function dysfunction are the com- mon causes. BMI 〉 25.9 before delivery, anemia, palace high 〉 34. 5 cm,age 〉35years, and scarred uterus are all the clinical early warning information of postpartum hemorrhage. In order to reduce the oc- currence of postpartum hemorrhage, we should take timely targeted preventive measures to these pregnant women with high risks.