产后出血的原因及预防护理体会

Summary of the reason, prevention and nursing of postpartum hemorrhage

目的提高对产后出血的护理质量,降低产后并发症及母婴死亡率。方法总结本院5年间产后出血资料,分析出血原因和高危因素。结果产后出血主要原因是子宫宫缩乏力,产后出血高危因素是前置胎盘、人工流产。结论产后出血主要原因为子宫收缩乏力,也不可忽视胎盘因素及其他原因。提高产科护理质量,重视产前保健,正确处理产程,加强产后观察及进行必要产后保健指导,能有效降低产后出血的发生率。

Objective To improve the nursing quality of postpartum hemorrhage and to reduce postpartum complications and maternal and infant mortality.Methods Data of postpartum hemorrhage in our hospital in the recent five years were summarized, and reasons of hemorrhage and high risk factors were analyzed.ResultsThe main reason for postpartum hemorrhage was uterine inertia, and the high risk factors for postpartum hemorrhage were placenta previa and abortion.ConclusionThe main reason for postpartum hemorrhage was uterine inertia, but factors of placenta and other reasons should not be ignored. In order to effectively reduce the incidence of postpartum hemorrhage, obstetrical nursing quality should be improved, antenatal care should be enhanced, stage of labor should be properly managed, postpartum observation should be strengthened, and necessary postpartum health care should be promoted.