摘要
目的:通过对产后出血发生的高危因素分析,探讨预防和减少产后出血措施。方法:对我院2008年1～12月住院分娩发生产后出血的316例产妇相关因素进行分析,通过多元Logistic回归分析评价各危险因素的相对危险性。结果:产后出血发生率为15.65%,相对独立的多个独立危险因素作用大小的顺位为:前置胎盘、胎盘粘连或植入、多胎妊娠及胎儿体重≥4 000 g、分娩次数≥3次及剖宫产分娩、妊娠高血压疾病、妊娠合并中重度贫血及妊娠合并血小板减少、绒毛膜羊膜炎。在阴道分娩的产妇中,作用相对的独立危险因素顺位为:胎盘粘连或植入、第三产程时间、妊娠合并中重度贫血、妊娠高血压疾病。结论:做好育龄妇女计划生育工作宣传,避免产前非意愿妊娠以减少前置胎盘、胎盘粘连或植入;减少巨大儿、多胎妊娠发生;积极治疗妊娠并发症及合并症;倡导阴道分娩,控制剖宫产率,有助于预防和减少产后出血。
Objective： To discuss the measures in preventing and reducing postpartum hemorrhage by analyzing the high risk factors of it.Methods： The relative factors of postpartum hemorrhage in 316 cases delivered in our hospital from January to December in 2008 were analyzed,the relative fatalness of every risk factors were evaluated by multi logistic regression analysis.Results： The incidence rate of postpartum homorrhage was 15.65%,the order of the relatively independent risk factors were： placenta praevia,placental adherence or placental implantation,superfoetation and fetal weight≥4 000 g,times of delivery≥3 and cesarean section,HDCP,gestation complicated moderate to severe anemia or thrombocytopenia,chorioamnionitis.The order in vaginal delivery was： placental adhesion or placental implantation,the time of placental stage,gestation complicated moderate to severe anemia,HDCP.Conclusion： Propagandize family planning policy to women of child-bearing period,avoid unwanted pregnancy to reduce the happening of placenta previa,placental adhesion or placental implantation,fetal macrosomia,multifetation;treat the complications actively;advocate vaginal delivery;control cesarean rate can preventing and reducing postpartum hemorrhage.
出处
《中国医药导报》
CAS
2011年第2期46-49,共4页
China Medical Herald
关键词
产后出血
高危因素
胎盘
Postpartum hemorrhage
High risk factor
Placenta
