孕妇严重产后出血原因及抢救措施分析

【摘要】 目的 探讨严重产后出血发生原因的及抢救措施,进一步提高临床救治水平。方法 选择2015年12月至2017年8月严重产后出血产妇77例为观察组,2013年7月至2015年11月严重产后出血52例为对照组,分析严重产后出血发生的原因。结果 瘢痕子宫、妊娠期高血压疾病、巨大儿、妊娠期糖尿病、胎盘因素、双胎妊娠、试产失败是发生严重产后出血的危险因素,其中瘢痕子宫、妊娠期高血压疾病、巨大儿是发生严重产后出血的主要因素,差异有统计学意义(P<0.05)。结论 瘢痕子宫、妊娠期高血压疾病、巨大儿是发生严重产后出血的主要因素,应加强孕期管理,合理饮食,提高预警,提高助产技术,促进自然分娩,严格掌握剖宫产指征,降低剖宫产率,避免因产后出血的诊断及处理延误,造成严重产后出血的发生。更多还原

【Abstract】 Objective To explore the causes of severe postpartum hemorrhage and rescue measures,further improve the clinical treatment level and ensure the safety of the mother and baby. Methods 77 cases of severe postpartum hemorrhage from December 2015 to August 2017 were selected as observation group and 52 cases of severe postpartum hemorrhage from July 2013 to November 2015 as control group. Results Scar uterus, gestational hypertension disease.macrosomia,gestational diabetes, placental factors, twin pregnancy, trial—produce failure were serious risk factors of postpartum hemorrhage, the scar uterus, gestational hypertension disease, macrosomia was the main factor of severe postpartum hemorrhage occurs, the difference was statistically significant(P<0.05). Conclusions Cicatricial uterus, hypertensive disorder complicating pregnancy and macrosomia are the major causes of severe postpartum hemorrhage. We should strengthen the management of pregnancy, make a reasonable diet, improve early warning, improve midwifery technology, and promote natural childbirth. We should strictly grasp the indications of cesarean section and reduce the rate of cesarean section to avoid the occurrence of severe postpartum hemorrhage caused by delayed diagnosis and treatment of postpartum hemorrhage.更多还原