Incidence and influencing factors of hemorrhage after cesarean section in puerpera with diabetes
10.3760/cma.j.cn115682-20200620-03980
- VernacularTitle:妊娠糖尿病产妇剖宫产术后大出血发生率及影响因素分析
- Author:
Menglin ZHOU
1
;
Hua GAO
;
Yanying MA
;
Qianyong ZHU
Author Information
1. 复旦大学附属妇产科医院产房，上海 200011
- Keywords:
Diabetes, gestational;
Cesarean section;
Postpartum hemorrhage;
Puerpera;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2021;27(9):1210-1214
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the incidence of hemorrhage after cesarean section in puerpera with gestational diabetes and its influencing factors.Methods:From October 2015 to October 2019, the convenience sampling method was used to retrospectively select the case data of 305 puerpera with gestational diabetes who underwent cesarean section in the Obstetrics and Gynecology Hospital of Fudan University. The self-designed questionnaire was adopted to collect general data of gestational diabetic puerpera undergoing cesarean section. Binomial Logistic regression was used to analyze the influencing factors of hemorrhage after cesarean section in puerpera with gestational diabetes.Results:Among 305 puerpera with gestational diabetes who underwent cesarean section, 30 had postpartum hemorrhage, the incidence was 9.84%, and the amount of bleeding was (1 635.02±235.74) ml. Binary Logistic regression analysis showed that pre-pregnancy body mass index (BMI) , scarred uterus, abnormal placenta, blood coagulation dysfunction, and uterine inertia were the influencing factors of hemorrhage after cesarean section in puerpera with gestational diabetes with a statistical difference ( P<0.05) . Conclusions:The incidence of hemorrhage after cesarean section in puerpera with diabetes is high. Pre-pregnancy BMI, scarred uterus, abnormal placenta, blood coagulation dysfunction, and uterine inertia are the influencing factors of hemorrhage after cesarean section in gestational diabetic puerpera.
