Objective: To evaluate the management process and the guidelines for management of postpartum hemorrhage due to uterine atony at the General Hospital Vienna, Medical University Vienna. Material and Methods: A retrospe...Objective: To evaluate the management process and the guidelines for management of postpartum hemorrhage due to uterine atony at the General Hospital Vienna, Medical University Vienna. Material and Methods: A retrospective analysis was carried out on all 24 cases of postpartum hemorrhage due to uterine atony with an estimated blood loss of more than 800 mL, in which standardized guidelines were obtained. We included all women who gave birth at the General Hospital of Vienna, the Medical University Vienna, during the period from January 1st 2003 and December 31st 2009 and who suffered blood loss 800 mL at minimum due to uterine atony. Results: The guidelines were in use for 14% - 71%. The average blood loss of the 24 cases with uterine atony was 1342 mL. Conclusion: The management process of postpartum hemorrhage due to uterine atony deviates from the hospital’s guidelines in many cases.展开更多
目的分析间苯三酚对产妇阴道分娩产程、母婴结局以及新生儿脐动脉血气的影响。方法选取2020年1月至2022年12月于青岛市胶州中心医院进行阴道分娩的800例产妇并采用随机数字表法分为对照组(400例,接受常规产科干预)与观察组(400例,在对...目的分析间苯三酚对产妇阴道分娩产程、母婴结局以及新生儿脐动脉血气的影响。方法选取2020年1月至2022年12月于青岛市胶州中心医院进行阴道分娩的800例产妇并采用随机数字表法分为对照组(400例,接受常规产科干预)与观察组(400例,在对照组基础上在产程中增加应用间苯三酚),比较两组产妇的产程、妊娠结局、新生儿结局及新生儿脐动脉血气结果。结果观察组第一产程、第二产程均小于对照组(P<0.05);观察组产妇产后大出血率、宫颈撕裂率均低于对照组(P<0.05);观察组胎儿窘迫率低于对照组,且1 min Apgar评分高于对照组(P<0.05);1 min时,观察组PaO_(2)、pH值高于对照组,PaCO_(2)水平低于对照组(P<0.05)。结论产程中应用间苯三酚可显著缩短产妇产程,改善产妇妊娠结局,同时有利于减少不良新生儿结局,对胎儿血气指标有一定程度改善效果。展开更多
文摘Objective: To evaluate the management process and the guidelines for management of postpartum hemorrhage due to uterine atony at the General Hospital Vienna, Medical University Vienna. Material and Methods: A retrospective analysis was carried out on all 24 cases of postpartum hemorrhage due to uterine atony with an estimated blood loss of more than 800 mL, in which standardized guidelines were obtained. We included all women who gave birth at the General Hospital of Vienna, the Medical University Vienna, during the period from January 1st 2003 and December 31st 2009 and who suffered blood loss 800 mL at minimum due to uterine atony. Results: The guidelines were in use for 14% - 71%. The average blood loss of the 24 cases with uterine atony was 1342 mL. Conclusion: The management process of postpartum hemorrhage due to uterine atony deviates from the hospital’s guidelines in many cases.
文摘目的分析间苯三酚对产妇阴道分娩产程、母婴结局以及新生儿脐动脉血气的影响。方法选取2020年1月至2022年12月于青岛市胶州中心医院进行阴道分娩的800例产妇并采用随机数字表法分为对照组(400例,接受常规产科干预)与观察组(400例,在对照组基础上在产程中增加应用间苯三酚),比较两组产妇的产程、妊娠结局、新生儿结局及新生儿脐动脉血气结果。结果观察组第一产程、第二产程均小于对照组(P<0.05);观察组产妇产后大出血率、宫颈撕裂率均低于对照组(P<0.05);观察组胎儿窘迫率低于对照组,且1 min Apgar评分高于对照组(P<0.05);1 min时,观察组PaO_(2)、pH值高于对照组,PaCO_(2)水平低于对照组(P<0.05)。结论产程中应用间苯三酚可显著缩短产妇产程,改善产妇妊娠结局,同时有利于减少不良新生儿结局,对胎儿血气指标有一定程度改善效果。
