新生儿性别和心理护理对产后出血的影响

目的了解新生儿性别和心理护理对产后出血的影响。方法采用症状自评量表(SCL-90)及自制问卷对500例产妇进行评定;精确测量产后2小时出血量;按新生儿性别分组进行比较。结果女婴组SCL-90评分高于男婴组,经产妇尤其明显(P<0.01)。女婴组产后2小时的出血量及产后出血发生率高于男婴组,经产妇显著(P<0.01)。期盼男婴的产妇心理状态有影响,当对新生儿性别不满意时可引起产后宫缩乏力而导致产后出血。结论加强产前、产时心理护理可降低期盼男婴产妇的产后2小时出血量。

Effect of Neonatal Sex and Psychical Nursing on Postpartum Hemorrhage

Objective To study the effect of neonatal sex and psychical nursing on postpartum hemorrhage. Methods Evaluated 500 parturiens with symptom checklist(SCL-90)and self-restraint question naire; Precisely measured the volume of hemorrhage 2 hours after parturition; Divided parturiens into groups according to neonate sex and compared the result. Results The SCL-90 scores of partariens from female infant group( F group)was higher than that of parturiens from male infant group( M group),especially the multiparas, P<0.01. If mother prefer boys to girls, they are surely disappointed when they delivered girl babies instead of boy babies. Resentment for having delivered girl babies can cause postpartum uterine atony which inturn results in postpartum hemorrhage. Conclusion Strengthenning psychical nursing for antepartum and intrapartum can decrease hemorrhage volume of parturiens who expected male infant 2 hours after parturition. [