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我院2005年1月至2010年12月6年共分娩2100人次,胎盘滞留103例占4.9%,发病率近3年明显上升,且以初产妇居多。在103例中初产妇64例占62.1%,究其原因,与宫腔手术增多有密切关系。本文103例胎盘滞留,55例有宫腔手术史,其中不足一年妊娠38例,连续做两次人流的6例,3次的2例,说明有宫腔手术史者胎盘滞留的危险性大。为了降低该病的发生率,笔者认为:提倡避孕一胎化可减少病理妊娠、分娩、产褥病的发生率。深入宣传避孕法,减少人流率,严格操作规程,人流、清宫不足一年又怀孕者应视为高危孕产妇。
Our hospital from January 2005 to December 2010 6 years a total of 2100 births, 103 cases of placenta retention accounted for 4.9%, the incidence increased significantly in recent 3 years, and the majority of primipara. In 103 cases, 64 cases of primiparas accounted for 62.1%, the reason, and increased intrauterine surgery are closely related. This article 103 cases of placenta accreta, 55 cases of a history of uterine surgery, of which 38 cases of less than one year of pregnancy, continuous abortion in 6 cases, 3 cases in 2 cases, indicating a history of intrauterine surgery, the risk of placenta accreta . In order to reduce the incidence of the disease, the author believes that: to promote contraception unilaterally can reduce the incidence of pathological pregnancy, childbirth, puerperal disease. In-depth promotion of contraception, reduce the flow rate, strict operating procedures, abortion, less than one year of Qing palace pregnancy should be considered as high-risk pregnant women.