基层医院产后出血的预防和处理

Prevention and management of postpartum hemorrhage in primary hospitals

产后出血是我国孕产妇死亡的首要原因,而我国大部分孕产妇的分娩是在基层医院完成,如何做好基层医院产后出血的预防和处理非常重要。本文从产后出血高危因素的识别和处理,积极处理第三产程,增强孕产妇对产后出血的耐受能力,产后出血的识别与"第四产程"的处理,及时转诊及安全转诊等方面进行了阐述。

Postpartum hemorrhage is the leading cause of maternal mortality in our country. As most pregnant women deliver the baby in primary hospitals, so it is pretty important to prevent and treat the postpartum hemorrhage well in primary hospitals. In this article, the authors elaborate several issues： recognizing and treating the risk factors of postpartum hemorrhage, managing the third stage of labor actively, increasing the postpartum hemorrhage bearing capacity of pregnant women, recognizing postpartum hemorrhag and settle ＂the fourth-stage of labor＂, and transfer the patient timely and safely.