剖宫产产后出血相关危险因素的Logistic回归分析

Logistic regression analysis on risk factors of postpartum hemorrhage after cesarean section

目的探讨影响产后出血的危险因素,以控制产后出血的发生。方法选取我院2013年7月～2015年12月施行剖宫产术2560例产妇为剖宫产组,同期选取来我院进行阴道分娩的1800例产妇为对照组,对两组中产妇的基本情况进行回顾性分析,观察导致产妇出现产后出血的相关因素。结果统计学结果显示,导致剖宫产后出血的危险因素主要有术后感染,胎盘因素,多胎妊娠,巨大胎儿等。结论剖宫产产后出血发生的危险因素众多且复杂,对有胎盘因素和可能导致宫缩乏力的产妇在剖宫产手术过程中要积极采取措施,以有效避免产后出血的发生。

Objective To study the factors influencing the risk of postpartum hemorrhage, in order to control the occurrence of postpartum hemorrhage.Methods Our hospital in July 2013 to December 2015, during the implementation of cesarean section, a total of 2560 cases of maternal as a cesarean delivery group, and select the period to our hospital 1800 cases of maternal vaginal delivery, listed in the control group, the basic situation of women in the two groups were analyzed retrospectively, the observed result in maternal related factors of postpartum hemorrhage.Results The statistical results show that the main risk factors leading to hemorrhage after cesarean section are postoperative infection, placental factors, multiple births, macrosomia, etc.Conclusion The incidence of postpartum hemorrhage occurred in complex risk factors, with the placenta factor and may cause contractions anemic mothers should actively take measures in the process of cesarean delivery operation.