不同时间娩出胎盘在阴道分娩产妇中出血量的观察

目的:探讨两种时间娩出胎盘在阴道分娩产妇中出血量的观察。方法:200例来我院阴道分娩产妇分为实验组和对照组组各100例,其中实验组胎儿娩出后延迟3min^8min后娩出胎盘,对照组胎儿娩出后即刻剥离胎盘,比较2组产时、产后2h和产后24h出血量,产后72h RBC和Hb水平及并发症发生情况。结果:实验组剔除8例,对照组剔除14例胎盘超时娩出的产妇,对比两组剩余产妇,发现实验组产时及产后2h出血量、产后24h出血量均明显低于对照组,差异均有统计学意义(p<0.05),两组产妇均未发生宫缩乏力,其中胎盘残留,产褥感染,产后发热及盆腔疼痛发生率,比较差异无统计学意义(P>0.05)。结论:阴道分娩胎儿娩出后不应30秒内即刻手取快速娩出胎盘,而应在应用促子宫收缩药物及待胎盘有娩出迹象后再协助胎盘娩出,可以有效的减少产时及产后出血量。

Objective: to study the two time childbirth placental blood loss of observation in the vaginal delivery women. Methods: 200 cases come from vaginal delivery women were divided into experimental group and the control way all the 100 cases, of which the experimental group after fetal childbirth after 3 min ~ 8 min delay childbirth the placenta, the control group after fetal childbirth immediate detachment of the placenta, compare the two groups produced, 2 h and 24 h postpartum postpartum haemorrhage amount, postpartum 72 h and complications of RBC and Hb level. Results: 8 cases, control group out of 14 cases of placenta and timeout childbirth puerpera, compared two groups of remaining maternal, found that the experimental group intrapartum and postpartum 2 h and 24 h postpartum haemorrhage amount were significantly lower than the control group, the differences were statistically significant(p < 0.05), two groups of women has not been occurred contractions fatigue, including the placenta residual, puerperal infection, postpartum fever and incidence of pelvic pain, comparison there was no statistically significant difference(p > 0.05). Conclusion: vaginal delivery within 30 seconds after fetal childbirth should not immediately hand take quick themselves the placenta, and should stay in application to promote uterine contractions drugs and placenta signs to assist in the placenta, after childbirth can effectively reduce the intrapartum and postpartum blood loss.