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目的:探讨妊娠晚期贫血与产后出血量的相关性,提出降低产后出血量的措施。方法:对2009年4～9月分娩的初产妇单胎、无严重内科疾病、孕产期合并症及并发症病例共254例,进行前瞻性检测产前及产后24小时血红蛋白(Hb)、红细胞比容(HCT),观察组分娩前诊断为贫血97例,对照组分娩前诊断为非贫血157例,比较两组Hb、HCT差值,计算出血量,同时统计产后出血量。结果:产前及产后24h血红蛋白差值观察组与对照组无统计学意义,红细胞比容差值观察组高于对照组(P<0.05),产后出血量观察组高于对照组(P<0.05)。结论:妊娠晚期贫血分娩产后出血量大于非贫血产妇,应加强孕期贫血女性的管理,产程中加强监护,产后及时用药,预防产后出血。
Objective: To explore the correlation between late pregnancy anemia and postpartum hemorrhage, and to propose measures to reduce postpartum hemorrhage. Methods: A total of 254 cases of primipara, no serious medical problems, complications during pregnancy and complications in April ~ September 2009 were prospectively tested for hemoglobin (Hb), red blood cells Specific volume (HCT), the observation group of 97 cases of anemia diagnosed before delivery, control group before delivery diagnosis of non-anemia in 157 cases, the two groups were compared Hb, HCT difference, calculate the amount of bleeding, while statistics of postpartum hemorrhage. Results: There was no significant difference between pre-and post-partum hemoglobin observation group and control group, hematocrit difference observation group was higher than that of control group (P <0.05), postpartum hemorrhage observation group was higher than that of control group (P <0.05 ). Conclusion: The amount of postpartum hemorrhage during late pregnancy is higher than that of non-anemic mothers. The management of anemic women during pregnancy should be strengthened. The guardianship should be strengthened during delivery and prompt postpartum medication should be taken to prevent postpartum hemorrhage.