Clinical Analysis Of190Cases Postpartum Hemorrhage

Clinical Analysis Of190Cases Postpartum HemorrhageObject: Discussion on the causes and prevention of postpartumhemorrhage, to deepen the understanding of postpartum hemorrhage, reducethe maternal mortality.Methods: On190cases of postpartum hemorrhage patients clinicaloutcomes were retrospectively analyzed，elaborates the postpartum hemorrhagehigh-risk factor and the cause of disease. To introduce the time our hospital wasestablished maternity for dividing line, time before inpatient delivery maternal2773cases, in postpartum hemorrhage94cases of group A；after1813cases,inpostpartum hemorrhage96cases of group B. Causes of postpartum hemorrhagein patients with risk factors for placenta previa, to introduce the time maternityestablished for dividing line, time before patients48cases, after67cases.Compare the different treatment measures before and after maternityestablished for postpartum hemorrhage incidence, blood loss, uterus removalrate and postpartum hemorrhage of complications related to the effects of.Results:1.190cases of postpartum hemorrhage, its incidence4.14%.27cases of vaginal delivery,14.21%,；163cases of Cesarean delivery,85.79%.Postpartum hemorrhage of Cesarean rates significantly higher than with vaginaldelivery.2. Uterine atony and placenta factor is the main cause of postpartumhemorrhage,uterine atony of94cases (49.47%),85cases of placental factors(44.73%); placenta previa in115cases, in postpartum hemorrhage47cases,accounting for55.29%(47/85) of the placenta factors.3.42cases ofhysterectomy, contractions weakness in13, accounts for30.95%(13/42),placental factors accounted for29cases. Placental factors is the secondlargest cause of postpartum hemorrhage caused by placental factors, is theprimary factor for obstetric hysterectomy.4. For the bleeding after delivery, the risk factors for patients, especially in patients with placenta previa,after theestablishment of the obstetrician， positive and effective rescue processobviously decrease the blood loss of postpartum hemorrhage and uterusremoval rate，and to shorten the time of the operation、reducing the day inhospital patients and reduce the economic burden has the positive role.Conclusion: Postpartum hemorrhage is due to multiple causes andmultiple risk factors, pay attention to and to prevent postpartum hemorrhage ofrisk factors, on prevention of postpartum hemorrhage are significant;Postpartum hemorrhage increased incidence of risk factors placenta previa,, theproportion of the placenta factors leading to the bleeding after delivery isincrease, placenta factors is lead to the first element of maternity hysterectomy;Strict control of caesarean indications, reducing caesarean section rates areimportant ways to reduce postpartum hemorrhage; The postpartum blood lossand hysterectomy rate obviously decreased due to improve preoperativepreparation and evaluation、prophylactic use of hemabate during the operationand perfect rescue process. But timely, decisive hysterectomy for treatment ofobstetric haemorrhage, maternal lives saved is an important method.