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目的:分析产后出血的原因,提出干预措施,提高围产期保健质量,降低产后出血发生率。方法:对北仑区2008～2009年420例产后出血进行回顾性分析。结果:产后出血的原因依次是子宫收缩乏力、胎盘因素、软产道损伤、凝血功能障碍,产后出血的发生与孕产妇的文化程度、地域分布、孕产次、分娩方式、孕期并发症或合并症等因素有关。结论:应加强产前、产期保健,预防宫缩乏力,正确处理产程;扩大外来孕产妇保健的覆盖率,加大对专业人员技术培训力度,降低产后出血的发生率。
Objective: To analyze the causes of postpartum hemorrhage and propose interventions to improve the quality of perinatal care and reduce the incidence of postpartum hemorrhage. Methods: 420 cases of postpartum hemorrhage in Beilun district from 2008 to 2009 were analyzed retrospectively. Results: The causes of postpartum hemorrhage were uterine atony, placental factors, soft birth canal injury, coagulation dysfunction, postpartum hemorrhage and maternal educational level, geographical distribution, maternity time, mode of delivery, complications during pregnancy or comorbidity And other factors. Conclusions: Prenatal and maternity care should be strengthened to prevent uterine atony and correct the labor process. The coverage rate of maternal health should be expanded and the technical training of professionals should be strengthened to reduce the incidence of postpartum hemorrhage.