87例产后出血原因及相关因素分析

Analysis about causes and related factors of postpartum hemorrhage in 87 cases

目的探究产后出血的原因及危险因素,为产后出血防治提供科学依据。方法对我院2009年2月—2013年2月收治的87例产后出血患者的临床资料进行回顾性分析。结果产后出血发生率为2.29%,产后出血原因中宫缩乏力占68.97%,软产道裂伤占9.19%,胎盘因素占18.39%,凝血功能障碍占3.45%。结论产后出血的主要原因时宫缩乏力。影响产后出血的相关因素主要为流产或分娩史、巨大儿、妊娠期高血压、精神因素、双胎等。

Objective To explore the causes of postpartum hemorrhage and its related factors,and to strengthen prevention and control. Methods The Fifth Affiliated hospital of Zhengzhou University from 2009 February- 2013 year in February admitted 87 cases of postpartum hemorrhage in patients with clinical data were retrospectively analyzed. Results the incidence rate of postpartum hemorrhage was 2. 29%,the main causes of postpartum hemorrhage of uterine atony accounted for 68. 97%,soft birth canal laceration accounted for 9. 19%,placental factors accounted for 18. 39%,accounting for 3. 45% of coagulation dysfunction. Conclusion The cause of postpartum hemorrhage is uterine atony. lnfluencing factors related to postpartum hemorrhage mainly for abortion or birth history,macrosomia,pregnancy induced hypertension,mental factors,twin etc.