产后出血量的影响因素分析

目的 阐明影响产后出血量的相关因素，提高围产期的保健质量。方法 对２４１例孕妇在孕期产后进行问卷式调查，分娩时测量产后出血量。用相关、方差等统计方法分析。结果 影响产后出血量的因素涉及生理病理、心理、社会环境等诸多方面。其中生理病理因素为：①剖宫产术，②胎位异常，③腹围过大，④会阴裂伤，⑤胎盘晚出不全；心理因素为：珍贵胎儿，孕期、产时、产后情绪波动；社会环境因素为：孕期使用吸尘器、电话，上班路途径

Factors influencing the amount of postpartum bleeding

Objective To elucidate the risk factors associated with the amount of post partum bleeding for improving the quality of perinatal care.Methods 241 pregnant women were surveyed prospectively by questionnaire before and after labor and the amount of bleeding during labor was measured.Data were analyzed by statistical methods including correlation,F test,etc.Results Many factors contributed to postpartum bleeding,including physiological factors:Cesarean section,abnormal fetal position,abdomen in circumference,perineum laceration,incomplete placenta expulsion;psychological factors:an anxious state of mind during pregnancy and labor and after labor,environmental factors:using dust catcher during pregnancy,telephone,far way for going to work.Conclusion The contents of care in pregnancy should not only include physical checkup,but also include relieving mental burden and guiding life habit of the pregnant women.