摘要
对９５１例农村妇女妊娠及分娩的６０个指标进行调查、分析。结果表明：宫缩乏力、多胎妊娠、滞产、第二产程延长、妊娠高血压综合征、新生儿体重＞３５００ｇ，是导致产后出血的主要因素。胎盘因素、第三产程＞１０分钟、产次＞２次及产妇年龄＞３０岁，是引起产后出血的另一类因素。提示：目前农村防治产后出血的重点，是通过对接产人员的培训，提高其防治宫缩乏力及正确处理产程的能力。
ixty variables during pregnancy,labor and deliv-erv of 951 rural women were analyzed to identify therisk factors of postpartum hemorrhage. The resultshowed that uterine atony (RR= 13.30,95%CI=8.23～21. 50) and its related factors were the major risk fac-tors of postpartum hemorrhage; The related factors in-cluded prolonged labor(3.49,1. 98～6.15), prolongedsecond stage of labor(2.72,1.54～4.78), pregnancyinduced hypertension(mild 2.35,1.11～4.99;≥mod-erate 3.04,1.38～6.70),neonatal weight≥3500g(2.55,1.66～3.91 ).Another category of postpartumhemorrhage risk factors were placental factors( 6.32,2. 35～17.01), the third stage of labor≥10 minutes(2.65,1;74～4,01),parity≥2(2. 61,1. 69～4.01)and maternal age≥30(2.19,1.13～4.24).The au-thors recommends that thestress should be on themanagement of labor and delivery,to prevent andtnanagement of postpartum hemorrhage,through train-ing the birth attendants to promote their ability to pre-vent and manage uterme atony and correct managementof labor and deivery.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1994年第10期582-585,共4页
Chinese Journal of Obstetrics and Gynecology
关键词
产后出血
危险因素
宫缩乏力
Hemorrhage, postpartum Riskfactor Uterine inertia
