Analysis of the related factors of postpartum hemorrhage via vaginal delivery
10.3760/cma.j.issn.1008-6706.2016.09.001
- VernacularTitle:阴道分娩产后出血的相关因素分析
- Author:
Ailan YAN
;
Xiuyan WANG
- Publication Type:Journal Article
- Keywords:
Natural delivery;
Postpartum hemorrhage;
Relevant factors;
Prevent
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(9):1281-1283,1284
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the relevant factors of vaginal delivery postpartum hemorrhage,and discussion how to prevent postpartum hemorrhage.Methods 2 417 maternal women who hospitalized vaginal delivery were selected.Preeclampsia,macrosomia,placental abruption,obesity,premature rupture of membranes,high blood pressure,gestational age,maternal age,maternal time,the number of abortion,scar uterus vaginal delivery,oxytocin induced labor,misoprostol for cervical mature,forceps midwifery,and the correlation of postpartum hemorrhage were analyzed.Results The incidence rate of postpartum hemorrhage was 15.22%.Pre -eciampsia,macrosomia,placental abruption had significant association with postpartum hemorrhage(χ2 =26.75,0.16,22.26,all P <0.01).Obesity, premature rupture of membranes were associated with postpartum hemorrhage(χ2 =6.53,4.98,all P <0.05).High blood pressure,gestational age,maternal age,maternal time,the number of abortion,scar uterus vaginal delivery had no statistical correlation with postpartum hemorrhage (P >0.05 ).Oxytocin induced labor,misoprostol for cervical mature,forceps midwifery were significantly associated with postpartum hemorrhage(χ2 =45.66,21.77,88.06,all P <0.01 ).Conclusion Prenatal maternal and neonatal weight control,prevention of preeclampsia,placental abruption occurred to prevent postpartum hemorrhage;Intrapartum avoid no indications oxytocin,misoprostol for cervical mature,forceps midwifery and reduce postpartum hemorrhage;Postpartum accurately estimated blood loss, active treatment,avoid serious complications.
