论文部分内容阅读
目的 了解产后出血的相关因素 ,以便制定相应预防措施。方法 在武汉地区所有开展接生的县级以上医疗机构、城区各乡镇、农场卫生院、郊区部分乡镇卫生院调查 1997年分娩产妇 42 0 75例 ,填写调查表 ,用数据库软件、SAS软件包对资料进行分类统计和统计学检验。结果 产后出血发生率为 1.6 0 % ,有人流引产史产妇对无人流引产史产妇发生产后出血的相对危险度为 1.87,产后出血病例中有孕期合并症或并发症的产妇占 6 0 .75 % ,剖宫产和阴道手术产对自然产的相对危险度分别为 1.74和 1.90 ,大学附属医院和省市级医院产后出血发生率相对较高 ,其次是接生站及产家。结论 产后出血的危险因素包括各种孕期合并症、并发症及多胎妊娠、胎位不正、手术助产、剖宫产、人流引产史等。不同分娩地点、分娩方式产后出血发生率明显不同
Objective To understand the relevant factors of postpartum hemorrhage in order to formulate corresponding preventive measures. Methods A total of 420 women of childbirth in 1997 were surveyed in all medical institutions above the county level in urban areas, townships and townships, farm health centers, and suburban rural hospitals in Wuhan. The questionnaires were filled out, and database software and SAS software packages were used to analyze data. Perform classification statistics and statistical tests. Results The incidence rate of postpartum hemorrhage was 1.60%. The relative risk of postpartum hemorrhage was 1.87 for the history of induced labor with no return of labor, and 60.75% for postpartum hemorrhage with maternal complications or complications. The relative risks of cesarean section and vaginal surgeries for natural births were 1.74 and 1.90, respectively. The incidence of postpartum hemorrhage was relatively high in university hospitals and provincial and municipal hospitals, followed by delivery stations and birthplaces. Conclusion Risk factors for postpartum hemorrhage include various complications during pregnancy, complications and multiple pregnancies, malposition, surgical midwifery, cesarean section, and history of abortion. The incidence of postpartum hemorrhage is different in different delivery locations and delivery methods