Clinical Analysis Of 102 Cases Of Postpartum Hemorrhage

Objective:To analyze the causes of postpartum hemorrhage, preven-tion and treatment of postpartum hemorrhage and effective way.Methods:First Affiliated Hospital of Dalian Medical University from January 2002 to January 2010 6,053 cases of maternal hospital delivery,102 cases of postpartum hemorrhage to admission time, the first four years 45 cases were divided into two groups,57 patients after four years. Record the general condition of patients, may lead to the risk factors of postpartum hemorrhage, bleeding, blood loss, bleeding time, treatment of postpartum hemorrhage were analyzed retrospectively.Results:(1) Two sets of maternal age, pregnant, pregnant and deliveries of comparison, there were no statistical differences (P>0.05). (2) 8 years Cesarean incidence of postpartum hemorrhage (0.79%) is higher than the vaginal delivery rate (2.37%), two groups have statistical difference (P<0.05). Postpartum hemorrhage occurred four years before the rate of 0.69%, after four years of 0.87%, comparing the two groups (no statistical differences between the (P> 0.05) Cesarean postpartum hemorrhage after four years of the incidence of (2.03%) is lower than the previous four years (2.92%), the two groups are more statistical difference (P<0.05).. (3) placental factors, four years higher than the previous four years, significant difference between the two groups (P<0.05)., uterine atony, the soft birth canal injury, coagulation dysfunction four years after the first four years and showed no statistical differences (P>0.05).(4), postpartum hemorrhage occurred within 2h post-natal and post-2h after the first four years after four years with no significant difference (P>0.05). After four years of postpartum hemorrhage, blood loss less than the previous four years, the two groups were significantly different (P<0.05). (5)The application of hemabate four years after the effective control of postpartum hemorrhage, postpartum hemorrhage between the two groups were significantly different between treatments (P<0.05).Conclusion:(1)Cesarean occur postpartum hemorrhage is significantly higher than vaginal delivery, dealing with maternal related knowledge, and encourage have vaginal delivery conditions of maternal actively select natural childbirth. (2)The uterus is the main reason for postpartum hemorrhage, the placenta in postpartum hemorrhage causes of morbidity has a significant upward trend. (3)In the treatment of postpartum hemorrhage, the use hemabate as soon as possible to reduce the incidence of intractable postpartum hemorrhage, and reduced complications. (4)A positive screening for postpartum hemorrhage risk factors, the right to judge the causes of postpartum hemorrhage, skilled use of effective methods to stop bleeding, can reduce maternal mortality, improve maternal quality of life.