Trend analysis of postpartum hemorrhage rate and blood loss among delivery women at a ClassⅢ Grade A hospital from 2014 to 2018
10.3760/cma.j.cn115682-20190720-02592
- VernacularTitle:2014—2018年某三甲医院产妇产后出血率及出血量变化趋势分析
- Author:
Yang XU
1
;
Zhaoyan PANG
;
Yanting CHEN
;
Zhaonian WANG
;
Linya LI
;
Xiaorui CHEN
;
Jing ZHAO
Author Information
1. 中日友好医院产科，北京 100029
- Keywords:
Postpartum hemorrhage;
Puerpera;
Blood loss;
Change trend;
High-risk factors
- From:
Chinese Journal of Modern Nursing
2020;26(10):1297-1302
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the trend of postpartum hemorrhage after two-child policy and to analyze the high-risk risks of postpartum hemorrhage so as to put forward intervention measures to reduce the postpartum hemorrhage.Methods:We retrospectively selected 8 784 delivery women with routine production inspection and hospitalized at a ClassⅢ Grade A hospital from 2014 to 2018. We collected the general information, record of production inspection, delivery record and analyzed the trend of postpartum hemorrhage rate, blood loss and related high-risk factors.Results:From 2014 to 2018, there were statistical differences in the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss ( P<0.05) . The trend showed an increasing trend. In 2017, the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss were 16.9%, 6.1% and (540.1±758.2) ml respectively highest in those years. From 2014 to 2018, the percentage of delivery women with advanced ages, multiple pregnancy, pregnancy times≥2, history of cesarean section≥2 were increasing; delivery women with the prenatal hemoglobin≤110 g/L and percentage of natural labor were decreasing with a statistical difference ( P<0.05) ; the percentage of emergency cesarean section was on the rise; the percentage of placental expulsion time from 15 to 30 minutes declined with statistical differences ( P<0.05) ; the percentage of placental expulsion time≥30 minutes and above was no significant trend. Conclusions:From 2014 to 2018, the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss did not show an increasing trend. However, the percentage of high-risk pregnant and delivery women increased gradually. Therefore, we should carry out the pregnancy risk assessment rating for pregnant and delivery women and formulate a suitable high-risk assessment tool for postpartum hemorrhage so as to reduce the incidence of postpartum hemorrhage.
