Analysis of Risk Factors of Hemorrhage During Cesarean Section in Multiparous Women with Advanced Delivery Age
- VernacularTitle:高龄经产妇剖宫产术中出血风险因素分析
- Author:
Xiao-jun CHEN
1
;
Bing-ye LIAO
2
;
Meng-yi LIN
2
;
Qiu-yi OUYANG
2
;
Wen-jin LIN
2
;
Hui-min LI
2
;
Feng-qiu GONG
2
;
Yu JIN
1
Author Information
1. School of Public Health， Sun Yat-sen University
2. Operating Theatre The First Affiliated Hospital of Sun Yat-sen University， Guangzhou 510080， China
- Publication Type:Journal Article
- Keywords:
advanced maternal age;
multipara;
cesarean section;
intraoperative hemorrhage;
risk
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2021;42(1):133-138
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the risk factors of hemorrhage during cesarean section in multiparous women with advanced delivery age， and provide a theoretical basis for the prevention and treatment of hemorrhage during cesarean section. MethodsWe retrospectively analyzed the clinical data of 1 838 women with advanced maternal age undergoing cesarean section in the First Affiliated Hospital of Sun Yat-sen University from January 2015 to December 2019. According to whether the intraoperative blood loss of the parturient is ≥ 500 mL， they were divided into hemorrhage group and non-hemorrhage group. The correlations of various factors such as basic maternal data， intraoperative factors， placental factors and intraoperative hemorrhage， and obtain the results by multi-factor binary logistic regression analysis independent risk factors were analyzed. ResultsLogistic regression analysis showed that operation time ［OR=1.069， 95% CI： （1.050， 1.089）， P<0.001］， placenta delivery method ［OR=3.131， 95%CI： （1.259， 7.782）， P=0.014］， fetal distress ［OR=4.727， 95% CI： （1.191， 18.763）， P=0.027］， surgical grade ［OR=21.494， 95%CI： （6.031， 76.611）， P<0.001］， anesthesia method ［OR=2.904， 95%CI： （1.158， 7.281）， P=0.023］ and weak uterine contractions ［OR=7.255， 95%CI： （4.413， 11.927）， P<0.001］ were independent risk factors for intraoperative hemorrhage. ConclusionsOperation time， fetal distress， operation level， anesthesia， uterine weakness， and placental delivery are the main influencing factors for bleeding during cesarean section in elderly women who have undergone cesarean section. Clinical measures should be taken to reduce the risk of hemorrhage during cesarean section.
