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目的:了解常州市武进区近3年产后出血发生情况,探讨减少产后出血发生、提高孕产妇生命安全的措施。方法:对2008—2010年常州市武进区产后出血个案进行汇总分析。结果:产后出血绝大多数发生在产时及产后2h,有高危因素的产妇占产后出血病例的68.85%,剖宫产产后出血率明显高于阴道分娩,宫缩乏力仍是产后出血的主要原因。结论:做好产时、产后2h的监护是预防产后出血的关键;要重视产前保健、选择合适的分娩方式、积极治疗宫缩乏力,预防产后出血的发生。
Objective: To understand the occurrence of postpartum hemorrhage in recent 3 years in Wujin District, Changzhou City, and to explore ways to reduce the incidence of postpartum hemorrhage and improve the safety of pregnant women. Methods: The 2008-2010 Wujin District, Changzhou City, postpartum hemorrhage cases were summarized. Results: The majority of postpartum hemorrhage occurred during delivery and 2 hours postpartum. The risk factors for postpartum hemorrhage were 68.85%. The postpartum hemorrhage rate was significantly higher than that of vaginal delivery. Uterine atony was still the main cause of postpartum hemorrhage . Conclusion: Obstetrics and gynecology is the key to preventing postpartum hemorrhage when giving birth and giving birth 2h postpartum. Emphasis should be placed on prenatal care, appropriate delivery mode, active treatment of uterine inertia and prevention of postpartum hemorrhage.