产后出血的原因及相关因素分析

Analysis of Postpartum Hemorrhage Causes and Related Factors

目的探讨产后出血原因及相关因素,为防治产后出血提供科学依据。方法对我院产科收治的80例产后出血患者的临床资料进行分析。结果产妇产后出血率为4.26%,剖宫产引起产后出血的概率是阴道产的1.67倍,其中由于宫收缩乏力情况的有45例占56.25%,胎盘因素的有19例占23.75%,软产道裂伤情况的有11例占13.75%,凝血功能障碍情况的有5例占6.25%。另外,流产、分娩史、精神因素、妊娠并发症等也是影响产后出血的主要因素。结论造成产妇出现产后出血的影响因素较多,因此需做到早发现、早诊断、早治疗,实行综合的干预措施,从而降低产后出血的发生率。

Objective To explore the causes and related factors of postpartum hemorrhage, and provide a scientific basis for the prevention of postpartum hemorrhage. Methods The clinical data of 80 cases of postpartum hemorrhage in our hospital were analyzed. Results The postpartum hemorrhage rate was 4.26%, the probability of postpartum hemorrhage caused by cesarean section was 1.67 times of vaginal birth, among them there were 45 cases of uterine atony（56.25%）, 19 cases of placental factors（23.75%）, 11 cases of soft birth canal laceration（13.75%）, 5 cases of coagulation disorders（6.25%）. In addition, abortion, childbirth, psychological factors, pregnancy complications and other factors also influence postpartum hemorrhage. Conclusion The causes of maternal postpartum hemorrhage were relatively multiple, we need to ensure the detection, diagnosis and treatment as soon as possible, and implement comprehensive interventions to reduce the incidence of postpartum hemorrhage.