68例产后出血临床分析

目的:探讨产后出血发生的相关因素和原因.方法:对某院发生的 68例产后出血进行回顾性统计分析,统计学处理 方法采用四格表卡方检验.结果:以产后出血率进行比较,剖宫产者产后出血率高于阴道自然分娩,差异有显著性, P<0.05.有 2次以上人流或分娩史者产后出血率高于无人流或分娩史者,差异有显著性, P<0.05.第三产程时间 大于 10分钟者产后出血率高于小于 10分钟者,差异有显著性, P<0.005.结论:与产后出血相关的高危因素主要有 剖宫产、多次人流及分娩史、第三产程时间.宫缩乏力是产后出血的首要原因.应严格掌握剖宫产指征,对有高危因 素者提高警惕,做好预防工作,产后出血是可以有效防治的.

The clinical analysis of 68 cases of postpartum hemorrhage

Objective To study the correlative factors of postpartum hemorrhage.Methods 68 cases of postpartum hemorrhage (PHH) in our hospital were analyzed retrospectively. Results Caesarean birth group has higher rate of PHH than vaginal delivery group. PHH rate of multiparous group is higher than nulliparous group. The PHH rate was increased when the third stage of labor delaying more than 10 minutes.Conclusion The major factor of postpartum hemorrhage is Uterine atony. We should control caesarian birth strictly and pay attention to the women with the high risk factors in order to prevent them from postpartum hemorrhage.