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目的:探讨产妇精神因素及分娩方式对产后出血的影响,并制定针对性护理对策。方法:选取我院2014年3月-2015年6月所收治产妇86例,根据分娩方式进行分组,分为自然分娩组和剖宫产组,各43例。分娩前评价两组产妇焦虑、抑郁程度,并记录两组产妇产后出血量。结果:剖宫产组产后出血率为18.6%,显著高于自然分娩组的2.33%,差异具有统计学意义(P<0.05)。产后出血产妇产前平均焦虑评分及抑郁评分分别为(14.25±7.12)、(14.11±5.26),显著高于产后未出血产妇的(6.12±4.23)、(5.88±4.71),差异具有统计学意义(P<0.05)。结论:产前过度焦虑、抑郁会加剧产后出血发生;剖宫产分娩也会在一定程度上增加产后出血发生几率。
Objective: To investigate the influence of maternal mental factors and mode of delivery on postpartum hemorrhage and to develop targeted nursing strategies. Methods: Totally 86 maternal women were selected from March 2014 to June 2015 in our hospital. According to the mode of delivery, they were divided into natural delivery group and cesarean section group, with 43 cases in each group. Before delivery, two groups of maternal anxiety, depression, and postpartum hemorrhage were recorded. Results: The rate of postpartum hemorrhage in cesarean section group was 18.6%, which was significantly higher than that in spontaneous delivery group (2.33%, P <0.05). The average prenatal anxiety and depression scores of postpartum hemorrhage were (14.25 ± 7.12) and (14.11 ± 5.26), respectively, which were significantly higher than those of postpartum hemorrhage (6.12 ± 4.23 and 5.88 ± 4.71, respectively) (P <0.05). Conclusion: Excessive pre-natal anxiety and depression may aggravate the occurrence of postpartum hemorrhage. Cesarean delivery will also increase the incidence of postpartum hemorrhage to a certain extent.