摘要
目的：分析产后出血的原因及与分娩方式的关系，合理防治，降低产后出血率。方法对95例产后出血患者临床资料进行回顾性分析。结果产后出血的原因中，宫缩乏力占62．11％（59/95），胎盘因素占26．31％（25/95），软产道损伤占7．37％（7/95），凝血功能障碍占4．21％（4/95）；分析产后出血与分娩方式的关系，产后出血总发生率2．54％（95/3740），自然分娩产后出血率1．42％（29/2040），阴道助产（包括胎头吸引术和臀位助产术）产后出血率5．35％（6/112），剖宫产产后出血率3．78％（60/1588）。结论产后出血在剖宫产及阴道助产中发生率高于自然分娩，积极提高自然分娩率是降低产后出血的重要措施。
Abstract
Objective Analyzing the causes of postpartum hemorrhage and its relationship with childbirth mode ,seeking reasonable means of prevention and cure, so as to cut down the morbidity of postpartum hemorrhage .Methods Clinical data of 95 cases of postpartum hemorrhage was analyzed retrospectively .Results Among the four mayor reasons of postpartum hemorrhage,uterine contraction accounted for 62.11%(59/95),26.31%(25/95)were placenta factors,7.37%(7/95)was the injury of soft birth canal,4.21%(4/95)due to coagulation disorders;We analyzed the relationship between childbirth mode and postpartum hemorrhage,the total morbidity of postpartum hemorrhage was 2.54%(95/3740),the morbidity of postpartum hemorrhage in spontaneous delivery group was 1.42%(29/2040),the ratio in assisted vagi-nal delivery group was 5.35%(6/112),the ratio in cesarean group was 3.78%(60/1588).Conclusion The morbidity of postpartum hemorrhage in assisted vaginal de-livery group and cesarean group was higher than the spontaneous delivery group .We should try our best to improve the ratio of spontaneous delivery in order to diminish the morbidity of postpartum hemorrhage .
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