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目的:探讨产后出血的高危因素及防治措施。方法:采用回顾性分析方法,对2009年6月～2011年6月在吉林省妇幼保健院住院发生产后出血的128例患者的资料进行分析。结果:流产史、巨大儿、妊娠期高血压疾病、胎膜早破、双胎、妊娠合并中度贫血等产前存在的高危因素是导致产后出血的重要原因。产程异常、助产技术、产后观察等为产时及产后存在的高危因素。结论:重视孕前、孕期、产时、产后的高危因素,加强保健工作,提高医生的助产技术,是有效降低产后出血发生率的重要措施。
Objective: To explore the risk factors of postpartum hemorrhage and its prevention and treatment. Methods: The retrospective analysis was used to analyze the data of 128 patients with postpartum hemorrhage who were hospitalized in the MCH from June 2009 to June 2011. Results: Prenatal risk factors such as miscarriage history, macrosomia, gestational hypertension, premature rupture of membranes, twins and pregnancy complicated with moderate anemia are the important causes of postpartum hemorrhage. Abnormal labor, midwifery techniques, such as postpartum observation for the production and post-natal high-risk factors. Conclusion: It is an important measure to reduce the incidence of postpartum hemorrhage effectively by emphasizing the risk factors before pregnancy, during pregnancy, during labor and after delivery, strengthening health care and improving the midwifery skills of doctors.