影响产后出血的相关因素及防治措施

目的探讨影响产后出血的相关因素及防治措施，降低孕产妇的死亡率。方法对本院1998年3月至2009年3月发生产后出血的137例病例资料进行回顾性分析。结果导致产后出血的原因中，子宫收缩乏力居首位（78．8％），其次为胎盘因素（11．7％）。产后出血与分娩方式、孕产次及多胎妊娠等关系密切。结论要大力宣传计划生育，加强避孕措施，减少人工流产刮宫及妊娠次数；重视高危产妇产前、产时、产后围产期保健，提高产科质量，正确处理产程，降低剖宫产率，减少产后出血的发生，从而降低孕产妇死亡率。

Influencing factors related to postpartum hemorrhage and preventive measures

Objective To investigate the impact of postpartum hemorrhage associated factors and prevention measures,reducing maternal mortality rates. Methods In March 1998 to March 2009 postpartum bleeding occurred in 137 cases retrospective analysis of data. Results As a result of the reasons for postpartum hemorrhage, uterus tops（78. 8 percent） ,followed by the placenta（ 11.7% ）. Postpartum hemorrhage and delivery and motherhood and multiple pregnancies, ete, were dosely releted. Conclusion We should publicize family planning, strengthen of contraceptive measures to reduce the number of induced abortion curettage and pregnancy; pay attention to high-risk antenatal, intrapartum, postnatal perinatal care, improving obstetrical quality, the correct handling of labor;reduce the caesarean section rate, reduce the occurrence of postpartum hemorrhage, thereby reducing maternal mortal.