Objective: to analyze the effect of high quality nursing intervention on postpartum hemorrhage of pregnant women with hypertension treated in our hospital. Methods: the patients with pregnancy induced hypertension and...Objective: to analyze the effect of high quality nursing intervention on postpartum hemorrhage of pregnant women with hypertension treated in our hospital. Methods: the patients with pregnancy induced hypertension and postpartum hemorrhage treated in our hospital from 2019 to 2021 were divided into two groups according to the order of admission. The number of patients included in this study was 80. Among the two groups, one group was set as the routine group (40 cases, routine nursing) and the other group was set as the research group (40 cases, high-quality nursing). Then, the nursing effect between groups was evaluated. Results: there was no significant difference in blood pressure data between the two groups before nursing;However, after different nursing interventions, the control levels of diastolic and systolic blood pressure in the study group were better than those in the conventional group (P;Evaluation and analysis of psychological status (SAS and SDS) of each group: before nursing intervention, there was no significant difference in the scores of each group, but after nursing intervention, the two psychological scores of the study group were lower than those of the conventional group (P < 0.05);Evaluation of bleeding volume in each group: the bleeding volume in the study group at 2h and 24h after delivery was less than that in the conventional group (P < 0.05);The scores of quality of life and satisfaction of each group: the scores of the study group were higher than those of the routine group (P < 0.05);Evaluation of the probability of complications in each group: in the study group, there were 1 case of premature rupture of membranes and 1 case of infection, with a total probability of 5.00%;In the conventional group, there were 3 cases of premature rupture of membranes, 3 cases of infection and 3 cases of postpartum hemorrhage, with a total probability of 22.50%;Compared with the total probability of the two groups, the study group is relatively lower( χ 2 value =5.164, P < 0.05);Nursing effect: the total nursing effect probability of these patients with pregnancy induced hypertension and postpartum hemorrhage included in the study group was 95.00%;Higher than 75.00% of the conventional group( χ 2 value =6.274, P < 0.05). Conclusion: by applying the high-quality nursing model to the nursing of patients with pregnancy induced hypertension and postpartum hemorrhage, this study can effectively control their blood pressure level, improve their quality of life, and reduce the probability of complications during pregnancy. The nursing effect is significant.展开更多
Objective: to study the effect of B-Lynch suture procedure on the success rate and complications of the postpartum hemorrhage. Methods: 100 patients with weak postpartum hemorrhage were selected to compare the treatme...Objective: to study the effect of B-Lynch suture procedure on the success rate and complications of the postpartum hemorrhage. Methods: 100 patients with weak postpartum hemorrhage were selected to compare the treatment effect of the two groups. Results: the observation group was better effective than the control group (P 0.05). Conclusion: patients with weak postpartum hemorrhage were treated by B-Lynch suture.展开更多
Objective: To describe the challenges in diagnosing concealed postpartum bleeding,a rare but potentially life-threatening condition,and to highlight key factors in identifying and managing this condition.Methods: We r...Objective: To describe the challenges in diagnosing concealed postpartum bleeding,a rare but potentially life-threatening condition,and to highlight key factors in identifying and managing this condition.Methods: We reviewed clinical cases and diagnostic approaches where concealed postpartum bleeding was suspected,focusing on the role of imaging,serologic markers,and angiography.We examined instances of hemodynamic instability,the utility of pelvic space analysis via computed tomography,and the limitations of digital angiography,particularly in identifying bleeding sources in the posterior iliac internal artery division.Results: Concealed postpartum bleeding often originates from venous damage or,less commonly,arterial injury.Hemodynamic instability was noted to occur periodically,despite negative findings on vaginal examination and ultrasound,leading to diagnostic delays.Digital angiography often yields negative results when the focus is limited to the anterior division of the internal iliac artery.Bleeding typically arises from damage to the vaginal muscular layer or levator ani muscle,both supplied by branches of the internal pudendal artery(posterior iliac division).In some cases,laparotomy also failed to locate the source due to the bleeding being in the subperitoneal spaces.Conclusion: Concealed postpartum bleeding presents a diagnostic challenge due to intermittent hemodynamic instability and often negative imaging results.A detailed pelvic space analysis and awareness of posterior iliac internal artery involvement are crucial.Advanced expertise,along with serologic markers of hidden bleeding,is essential for timely diagnosis and management.展开更多
Objective: to study and analyze the clinical effect of postpartum hemorrhage by using Xinmopei. Methods: a total of 60 patients were diagnosed with postpartum hemorrhage in the obstetrics and gynecology department for...Objective: to study and analyze the clinical effect of postpartum hemorrhage by using Xinmopei. Methods: a total of 60 patients were diagnosed with postpartum hemorrhage in the obstetrics and gynecology department for nearly two months, and these patients were randomly divided into two groups, with 30 patients each in the control and intervention groups. The patients in the intervention group used the postpartum hemorrhage with uterine muscle to deal with the postpartum hemorrhage. The total amount of each infusion was about 250ug. When the puerpera had multiple massive bleeding, the remediation could be implemented, while the control group implemented conventional hemostasis measures. The patient side reactions were observed after administering the patient, and the maternal bleeding volume, efficacy, adverse reactions and the patient satisfaction during the process were recorded. Conclusion: the number of patients in the postpartum bleeding group was significantly less than that in the control group, with different statistical significance (P <0.05).Using conventional hemostatic muscle treatment measures of patients in 13 cases, 9 cases, failure 8 cases, total high efficiency of 73.3%, muscle injection of postpartum bleeding group patients 15 cases, 14 cases, failure 1 case, total high efficiency of 96.7%, the two groups effect has different statistical significance (P <0.05).Comparing the results of the incidence of two serious adverse reactions, the overall incidence of the control group was 13.33%, and the overall incidence of uterine muscular injection was 30%, which was statistically significant (P <0.05).After remission, all diseases have resolved within one day. In the patient satisfaction survey, we showed that the control group was 73.3% satisfied with the treatment effect of medical workers and 96.7% satisfied with the method of uterine muscle perfusion. The difference between the two effects was of great statistical value (P <0.05).Conclusion: the use of hemabate is safe and reliable to handling postpartum bleeding, so it is very worth popularizing and using in medical practice.展开更多
Objective: to analyze the practical effect of postpartum hemorrhage. Methods: 94 women were included in the experimental study and divided into group A (observation group) and group B (control group), with 47 cases in...Objective: to analyze the practical effect of postpartum hemorrhage. Methods: 94 women were included in the experimental study and divided into group A (observation group) and group B (control group), with 47 cases in each group. To group B maternal to carry out general care, for group A maternal maternity midwife nursing care, during, the midwife needs to record the corresponding observation indicators, compare the final nursing effect, namely maternal evaluation of nursing mode, postpartum bleeding phenomenon, natural delivery, newborn asphyxia and maternal production time and postpartum time of bleeding. Results: In terms of the evaluation of the care mode in the two maternal groups, Most women in group A rated higher patterns of care, The total satisfaction rate was 97.9%, However, group B was relatively low, The total satisfaction rate was 78.7%, The gap between the two groups was significant (P <0.05);In terms of postpartum bleeding in both maternal groups, Few women had postpartum bleeding in group A, Only 4.3% of the total was represented, Relatively many women had postpartum bleeding in group B, For 14.9%, The gap between the two groups was significant (P <0.05);In terms of natural birth rates and neonatal asphyxia in both groups, More women gave natural naturally in group A, For 87.23%, And very few newborns have suffocation, The total chance of occurrence was only 4.26%, However, the natural delivery rate in group B was 74.47%, Among them, neonatal asphyxia is relatively many cases, For 10.64%, The gap between the two groups was significant (P <0.05);In terms of production time and 2h in 2 h and 24h, Maternal took a short time in group A, And the amount of bleeding at 2h and 24h postpartum was relatively normal, And Group B women took a relatively long production time, More bleeding occurred at 2h and 24h postpartum, The gap between the two groups was significant (P <0.05).In conclusion, the nursing effect of group A was significantly better. Conclusion: maternity midwife nursing is crucial to prevent postpartum bleeding, and the application effect is very significant. On the one hand, it has a certain control and preventive effect on the maternal postpartum hemorrhage, which can also promote the rapid recovery of maternal prognosis, which is worth vigorously promoting and popularizing.展开更多
Objective: to discuss the value of self-made intrauterine water sac in the treatment of uterine weakness in cesarean section. Methods: from August 2020 to August 2021, 72 cases of puerpera with cesarean section in the...Objective: to discuss the value of self-made intrauterine water sac in the treatment of uterine weakness in cesarean section. Methods: from August 2020 to August 2021, 72 cases of puerpera with cesarean section in the hospital were selected and randomly assigned as the control group (conventional method) and the observation group (conventional method + self-made intrauterine water sac), and the relevant data and information of the two groups after treatment were compared and analyzed. Including postpartum bleeding, adverse reactions, puerpera satisfaction level of treatment. Results: the symptoms of puerpera in both groups were alleviated after treatment, but compared with the control group, the observation group had significantly more advantages in postpartum hemorrhage, adverse reactions and puerpera satisfaction level of treatment (P<0.05). Conclusions: in cesarean section uterine contractions in weak postpartum bleeds treatment of uterine cavity water use homemade sac, can guarantee the overall level of treatment effect, to a large extent will help maternal postpartum haemorrhage amount is controlled in the range of reasonable, avoid the occurring of postpartum hemorrhage, reduce adverse reactions, enhance the level of maternal job satisfaction to treatment and is conducive to the maternal postpartum recovery.展开更多
Objective:To summarize the first aid and nursing of the operating room due to serious complications caused by postpartum massive bleeding.Methods:One case of emergency hemorrhage was ineffective in emergency hysterect...Objective:To summarize the first aid and nursing of the operating room due to serious complications caused by postpartum massive bleeding.Methods:One case of emergency hemorrhage was ineffective in emergency hysterectomy.Results:The uterus was successfully removed and the bleeding was successfully stopped.It was transferred to the ICU under general anesthesia.Conclusion:For pregnant women with postpartum massive bleeding and hemorrhagic shock and diffuse intravascular coagulation(DIC),targeted surgical treatment and complete operating room emergency care are of great significance to save maternal lives.展开更多
文摘Objective: to analyze the effect of high quality nursing intervention on postpartum hemorrhage of pregnant women with hypertension treated in our hospital. Methods: the patients with pregnancy induced hypertension and postpartum hemorrhage treated in our hospital from 2019 to 2021 were divided into two groups according to the order of admission. The number of patients included in this study was 80. Among the two groups, one group was set as the routine group (40 cases, routine nursing) and the other group was set as the research group (40 cases, high-quality nursing). Then, the nursing effect between groups was evaluated. Results: there was no significant difference in blood pressure data between the two groups before nursing;However, after different nursing interventions, the control levels of diastolic and systolic blood pressure in the study group were better than those in the conventional group (P;Evaluation and analysis of psychological status (SAS and SDS) of each group: before nursing intervention, there was no significant difference in the scores of each group, but after nursing intervention, the two psychological scores of the study group were lower than those of the conventional group (P < 0.05);Evaluation of bleeding volume in each group: the bleeding volume in the study group at 2h and 24h after delivery was less than that in the conventional group (P < 0.05);The scores of quality of life and satisfaction of each group: the scores of the study group were higher than those of the routine group (P < 0.05);Evaluation of the probability of complications in each group: in the study group, there were 1 case of premature rupture of membranes and 1 case of infection, with a total probability of 5.00%;In the conventional group, there were 3 cases of premature rupture of membranes, 3 cases of infection and 3 cases of postpartum hemorrhage, with a total probability of 22.50%;Compared with the total probability of the two groups, the study group is relatively lower( χ 2 value =5.164, P < 0.05);Nursing effect: the total nursing effect probability of these patients with pregnancy induced hypertension and postpartum hemorrhage included in the study group was 95.00%;Higher than 75.00% of the conventional group( χ 2 value =6.274, P < 0.05). Conclusion: by applying the high-quality nursing model to the nursing of patients with pregnancy induced hypertension and postpartum hemorrhage, this study can effectively control their blood pressure level, improve their quality of life, and reduce the probability of complications during pregnancy. The nursing effect is significant.
文摘Objective: to study the effect of B-Lynch suture procedure on the success rate and complications of the postpartum hemorrhage. Methods: 100 patients with weak postpartum hemorrhage were selected to compare the treatment effect of the two groups. Results: the observation group was better effective than the control group (P 0.05). Conclusion: patients with weak postpartum hemorrhage were treated by B-Lynch suture.
文摘Objective: To describe the challenges in diagnosing concealed postpartum bleeding,a rare but potentially life-threatening condition,and to highlight key factors in identifying and managing this condition.Methods: We reviewed clinical cases and diagnostic approaches where concealed postpartum bleeding was suspected,focusing on the role of imaging,serologic markers,and angiography.We examined instances of hemodynamic instability,the utility of pelvic space analysis via computed tomography,and the limitations of digital angiography,particularly in identifying bleeding sources in the posterior iliac internal artery division.Results: Concealed postpartum bleeding often originates from venous damage or,less commonly,arterial injury.Hemodynamic instability was noted to occur periodically,despite negative findings on vaginal examination and ultrasound,leading to diagnostic delays.Digital angiography often yields negative results when the focus is limited to the anterior division of the internal iliac artery.Bleeding typically arises from damage to the vaginal muscular layer or levator ani muscle,both supplied by branches of the internal pudendal artery(posterior iliac division).In some cases,laparotomy also failed to locate the source due to the bleeding being in the subperitoneal spaces.Conclusion: Concealed postpartum bleeding presents a diagnostic challenge due to intermittent hemodynamic instability and often negative imaging results.A detailed pelvic space analysis and awareness of posterior iliac internal artery involvement are crucial.Advanced expertise,along with serologic markers of hidden bleeding,is essential for timely diagnosis and management.
文摘Objective: to study and analyze the clinical effect of postpartum hemorrhage by using Xinmopei. Methods: a total of 60 patients were diagnosed with postpartum hemorrhage in the obstetrics and gynecology department for nearly two months, and these patients were randomly divided into two groups, with 30 patients each in the control and intervention groups. The patients in the intervention group used the postpartum hemorrhage with uterine muscle to deal with the postpartum hemorrhage. The total amount of each infusion was about 250ug. When the puerpera had multiple massive bleeding, the remediation could be implemented, while the control group implemented conventional hemostasis measures. The patient side reactions were observed after administering the patient, and the maternal bleeding volume, efficacy, adverse reactions and the patient satisfaction during the process were recorded. Conclusion: the number of patients in the postpartum bleeding group was significantly less than that in the control group, with different statistical significance (P <0.05).Using conventional hemostatic muscle treatment measures of patients in 13 cases, 9 cases, failure 8 cases, total high efficiency of 73.3%, muscle injection of postpartum bleeding group patients 15 cases, 14 cases, failure 1 case, total high efficiency of 96.7%, the two groups effect has different statistical significance (P <0.05).Comparing the results of the incidence of two serious adverse reactions, the overall incidence of the control group was 13.33%, and the overall incidence of uterine muscular injection was 30%, which was statistically significant (P <0.05).After remission, all diseases have resolved within one day. In the patient satisfaction survey, we showed that the control group was 73.3% satisfied with the treatment effect of medical workers and 96.7% satisfied with the method of uterine muscle perfusion. The difference between the two effects was of great statistical value (P <0.05).Conclusion: the use of hemabate is safe and reliable to handling postpartum bleeding, so it is very worth popularizing and using in medical practice.
文摘Objective: to analyze the practical effect of postpartum hemorrhage. Methods: 94 women were included in the experimental study and divided into group A (observation group) and group B (control group), with 47 cases in each group. To group B maternal to carry out general care, for group A maternal maternity midwife nursing care, during, the midwife needs to record the corresponding observation indicators, compare the final nursing effect, namely maternal evaluation of nursing mode, postpartum bleeding phenomenon, natural delivery, newborn asphyxia and maternal production time and postpartum time of bleeding. Results: In terms of the evaluation of the care mode in the two maternal groups, Most women in group A rated higher patterns of care, The total satisfaction rate was 97.9%, However, group B was relatively low, The total satisfaction rate was 78.7%, The gap between the two groups was significant (P <0.05);In terms of postpartum bleeding in both maternal groups, Few women had postpartum bleeding in group A, Only 4.3% of the total was represented, Relatively many women had postpartum bleeding in group B, For 14.9%, The gap between the two groups was significant (P <0.05);In terms of natural birth rates and neonatal asphyxia in both groups, More women gave natural naturally in group A, For 87.23%, And very few newborns have suffocation, The total chance of occurrence was only 4.26%, However, the natural delivery rate in group B was 74.47%, Among them, neonatal asphyxia is relatively many cases, For 10.64%, The gap between the two groups was significant (P <0.05);In terms of production time and 2h in 2 h and 24h, Maternal took a short time in group A, And the amount of bleeding at 2h and 24h postpartum was relatively normal, And Group B women took a relatively long production time, More bleeding occurred at 2h and 24h postpartum, The gap between the two groups was significant (P <0.05).In conclusion, the nursing effect of group A was significantly better. Conclusion: maternity midwife nursing is crucial to prevent postpartum bleeding, and the application effect is very significant. On the one hand, it has a certain control and preventive effect on the maternal postpartum hemorrhage, which can also promote the rapid recovery of maternal prognosis, which is worth vigorously promoting and popularizing.
文摘Objective: to discuss the value of self-made intrauterine water sac in the treatment of uterine weakness in cesarean section. Methods: from August 2020 to August 2021, 72 cases of puerpera with cesarean section in the hospital were selected and randomly assigned as the control group (conventional method) and the observation group (conventional method + self-made intrauterine water sac), and the relevant data and information of the two groups after treatment were compared and analyzed. Including postpartum bleeding, adverse reactions, puerpera satisfaction level of treatment. Results: the symptoms of puerpera in both groups were alleviated after treatment, but compared with the control group, the observation group had significantly more advantages in postpartum hemorrhage, adverse reactions and puerpera satisfaction level of treatment (P<0.05). Conclusions: in cesarean section uterine contractions in weak postpartum bleeds treatment of uterine cavity water use homemade sac, can guarantee the overall level of treatment effect, to a large extent will help maternal postpartum haemorrhage amount is controlled in the range of reasonable, avoid the occurring of postpartum hemorrhage, reduce adverse reactions, enhance the level of maternal job satisfaction to treatment and is conducive to the maternal postpartum recovery.
文摘Objective:To summarize the first aid and nursing of the operating room due to serious complications caused by postpartum massive bleeding.Methods:One case of emergency hemorrhage was ineffective in emergency hysterectomy.Results:The uterus was successfully removed and the bleeding was successfully stopped.It was transferred to the ICU under general anesthesia.Conclusion:For pregnant women with postpartum massive bleeding and hemorrhagic shock and diffuse intravascular coagulation(DIC),targeted surgical treatment and complete operating room emergency care are of great significance to save maternal lives.
