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产后出血的原因分析及护理对策

     

摘要

Objective To analyze the cause and discuss nursing measures on postpartum hemorrhage. Methods The causes of postpartum hemorrhage on seventy-eight recent-received patients in our department were retrospectively analyzed, and nursing management interventions were adopted. Results Apart from factors such as uterine inertia, placenta, soft birth canal injury and coagulation disorders, the incidence of postpartum hemorrhage was higher on those parturients who have multiple birth history, multifetation, no antenatal examination or antenatal examination not in time. Conclusion To lower the incidence of postpartum hemorrhage efficiently, the propaganda of health education knowledge of prenatal diagnosis should be enlarged, the maternal care consciousness should be promoted, the propaganda of family planning knowledge should be strengthened, the unwilling pregnancy incidence should be decreased, and to the pregnant women with high risk factors, they should stay in hospital before planning date for delivery. At the meantime, the prenatal care, parturient process observation and postpartum monitoring should be intensified.%  目的探讨产后出血的原因及护理对策。方法回顾性分析广西省武宣县人民医院近年来收治的78例产后出血患者的出血原因,并针对性地实施护理干预措施。结果除宫缩乏力、胎盘因素、软产道损伤及凝血功能障碍等因素外,有多次人工流产史、多次分娩、多胎、未按时产检或未产检者的产妇产后出血发生率增加。结论加强产前检查的健康教育知识宣教,提高孕妇保健意识,加强计划生育知识宣教,减少非意愿妊娠,对有高危因素的产妇要提前入院待产,加强产前保健、产程观察及产后监护,才能有效地降低产后出血的发生率。

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