晚期产后出血的预防

The prevention of secondary postpartum hemorrhage

晚期产后出血的病因有子宫复旧不全、凝血机制异常、剖宫产术后子宫切口感染或裂开、胎盘植入、子宫血管异常等。预防措施有适当使用宫缩剂,预防子宫切口感染,严格掌握剖宫产指征,合理选择子宫切口,按解剖结构缝合,加强胎盘植入患者的随访监测。

Secondary postpartum hemorrhage is caused by subinvolution of uterus, coagulopathy, infection or wound dehiscence of cesarean section incision, placenta increta, abnormalities of uterine vasculature, and so on. The precautions of secondary postpartum hemorrhage are using oxytocin appropriately, preventing uterine incision infection, following the cesarean delivery indication strictly, selecting the uterus incision reasonably, suturing the incision by anatomical structure, and monitoring the placenta increta patients closely by following up.