Objective To approach the reasons and effective diagnosis and treatment methods of postpar-tum hemorrhage. Methods The clinical data of 38 lying-in women with postpartum hemorrhage who were ac-cepted by our hospital from January to December 2010 were retrospectively analyzed. Results The incidence rate of puerperal hemorrhage was 3.06 %. With the increase of parity, incidence of postpartum hemorrhage was increased;with the increase of fetal weight,incidence of postpartum hemorrhage was significantly increased. The postpartum hemorrhage incidence of vaginal delivery was significantly higher than cesarean section. Conclusion Postpartum hemorrhage is relevant to parity,mode of delivery,fetal weight and so on;the primary causes in-clude uterine inertia,placenta factors,injury of soft birth canal and coagulation functions. Therefore,to enhance perinatal care, correctly handle the birth process, and enhance postnatal observation can effectively reduce the incidence of postpartum hemorrhage and maternal mortality.%目的 探讨产后出血的原因及有效诊疗方法.方法 回顾性分析我院2010年1月至2010年12月38例产妇产后出血的临床资料.结果 产后出血发生率3.06%,随着胎次的增多,产后出血发生率增高,随着胎儿体质量的增高,产后出血发生率也明显增高,阴道分娩产后出血发生率明显高于剖宫产.结论 产后出血与胎次、分娩方式、胎儿体质量等有明显关系,主要原因与宫缩乏力、胎盘因素、软产道损伤及凝血功能有关.故加强围生期保健,正确处理产程,加强产后观察能有效降低产后出血发生率及孕产妇病死率.
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