Analysis of the Incidence and influencing Factors of postpartum Hemorrhage in Patients with placental Abruption
Objective To explore the influencing factors of postpartum hemorrhage(PPH)in patients with placental abruption.Methods A retrospective analysis was conducted on the clinical data of 182 patients with placental abruption admitted to Shangcai County People's Hospital from June 2020 to July 2022.The incidence of PPH was calculated and divided into two groups:PPH group,non-PPH group.Confirmed patients were included in the group of patients with PPH,while those without PPH were included in the group of patients without PPH.Basic patient information was also collected,and the influencing factors of PPH in patients with placental abruption were identified through univariate and multivariate analysis.Results Among 182 patients with placental abruption,29 cases(15.93%)developed PPH;153 cases of PPH did not occur,accounting for 84.07%.There were statistically significant differences(P＜0.05)in the location and severity of placental abruption,serum D-dimer(D-D)levels,placental adhesions,and uterine contractions between patients with PPH and those without PPH.There was no statistically significant difference in age,gestational age,and gestational frequency between the two groups(P＞0.05).Logistic regression analysis showed that posterior placental abruption,severity of placental abruption at gradeⅢ,serum D-D level≥2 mg/L,placental adhesion,and uterine atony were independent risk factors for PPH in patients with placental abruption,with statistically significant differences(OR＞1,P＜0.05).The incidence of neonatal asphyxia,uterine stroke,perinatal disseminated intravascular coagulation,and hysterectomy in patients with PPH was higher than that in patients without PPH,and the difference was statistically significant(P＞0.05).Conclusion Patients with placental abruption have a higher risk of developing PPH,and factors such as posterior wall placental abruption,grade Ⅲ placental abruption,high serum D-D levels,placental adhesions,and uterine contractions are the influencing factors for PPH in placental abruption patients.PPH can increase the risk of adverse maternal and infant outcomes,and reasonable prenatal interventions should be carried out based on this to reduce the risk of PPH.
国家科技期刊平台
NSTL
万方数据
维普
