剖宫产与阴道分娩产后出血的相关因素分析

Relative factors analysis of postpartum hemorrhage in cesarean section and vaginal delivery

目的探究患者产后出血的基本原因,并对不同分娩方式下产后出血的差异情况进行对比。方法对在我院妇科分娩的患者进行分娩方式统计,并对其中因为剖宫产和阴道分娩而产后出血的情况进行对比,比较两者出血频率、出血原因以及出血量等。结果剖宫产产后出血量明显高于阴道分娩(P<0.05);两种分娩方式出血时间无显著性差异(P>0.05);阴道分娩产后出血主要原因为宫缩乏力,剖宫产主要原因为手术与体位因素。结论分析剖宫产与阴道分娩产后出血情况与原因的差异,有利于控制产后出血。

Objective To explore the basic reason of postpartum hemorrhage patients, and compare the differences of postpartum hemorrhage in the different delivery modes, in order to serve the clinical treatment. Methods The delivery modes in gynecological patients in our hospital were input to statistical analysis, the postpartum hemorrhage in cesarean section and vaginal delivery were comparative study, the difference in bleeding frequency, hemorrhage cause, blood loss of two groups were compared. Results The blood loss of caesarean section was significantly higher than that of vaginal delivery （P〈0.05）. The difference of bleeding time in two delivery modes was not significant （P〉0.05）.The main reason for vaginal delivery of postpartum hemorrhage was uterine inertia, while the main reason for hemorrhage of cesarean section was operation factors or position. Conclusion Clinical analysis of postpartum hemorrhage in cesarean section and vaginal delivery situation and the reason of difference is helpful to the prevention and the control of maternal postpartum hemorrhage.