A Clinical Analysis On The 69 Cases Of Postpartum Haemorrhage

Postpartum haemorrhage(PPH)can mostly cause the death of parturients.Postpartum haemorrhage(PPH)can be divided into froepart postpartum haemorrhage and late postpartum haemorrhage. It's froepart postpartum haemorrhage that volume of blood from vagina is more than 500ml after fetal disengagement within 24 hours and It's late postpartum haemorrhage that hystera hemorrhea occurs beyond 24 hours after accouchement.It's sudden and violent,so often endanger parturients'lives.To get the message of the cause of PPH and to research,the prophylaxis and therapeutic measure of PPH,aiming directly at the causes,is unode to step down maternal mortality rate.Objective:To analysis the relative high risk factors in occurring PPH.To provide evidence for taking appropriate preventive measure and try to reduce the occurring of PPH.Materials and methods:To adopt a method of retrospective analysis to review 69 cases of PPH and 138 cases of no performing in the past 3 years since the beginning of November 2004 in gynecology and obstetrics hospital of Changchun and our hospital(2004—2007).According to different standards,that could be divided into different groups and design statistical table. Comparison was made too.It's including the total numbers of delivery,age of patients,average pregnancrates,delivery rates,and the function of delivery.All the data come from the records in hospital.Statistical analysis was carried out usingχ~2 analysis,as P＜0.05 statistical significance.SPSS 10.0 software package was also used.Mean values from difierent groups were compared using analysis of variance.Results:From beginningof Nov 2004 to last of Oct 2007,there were 11260 cases of delivery.69 cases of PPH were reviewed.The occurrence rate was about 0.6%.Atony of uterus is the main reason of PPH.According to the results of theχ~2 test,puerperas who have doen health maintenance on time have lower incidence rate of PPH than those who haven't doen.Gravidas who have been given Prophylactic intervention when antepartum or(and)intrapartum have lower incidence rate of PPH.According to the results of variance analysis,uterine-incision delivery has larger proneness than spontaneous delivery.Conclusion:It is acknowledged that to carry out the policy of family planning serious and health examination of gravidas, Prophylactic intervention when antepartum or(and)intrapartum,to reduce the necessity of performing caesarean section and to improve the technology of operation,can reduce the risk of PPH utilityly.There are many kinds of methods for the treatment of PPH,but Application of interventional therapy in Obstetric bleeding is helpful for young women to get physical and mental health,and improve their livelihood.