Clinical Analysis Of289Cases Of Postpartum Hemorrhage

Objective:To explore the reasons, influencing factors, prevention and treatment measures of postpartum hemorrhage.Methods:Collected289cases of postpartum hemorrhage patient history, laboratory examination and treatment more than50index from2002January to2011December in our hospital,, sorting and statistical processing, a retrospective analysis epidemiology, clinical features diagnosis and treatment method of postpartum hemorrhage.Results:The incidence rate of postpartum haemorrhage is1.1%, the causes of postpartum hemorrhage were uterine atony, placenta accreta, placenta adhesion, retained placenta, blood coagulation dysfunction, laceration of birth canal, uterine bleeding, uterine rupture and inversion of uterus. Vaginal birth postpartum hemorrhage occurred at a rate of0.7%, forceps delivery of1.1%, cesarean section of0.93%, the difference was statistically significant (P<0.05). Placenta previa, anemia, placental abruption, gestational hypertension and multiple pregnancy rate of postpartum hemorrhage were2.26%,2.17%,2.07%,1.96%and1.56%, compared with the maternal of without pregnancy complications, the rate of postpartum hemorrhage was significant difference (P<0.05).85.47%of postpartum hemorrhage occurs within2hours postpartum. The efficiency of massage of uterus and uterine contraction was27.34%, the efficiency of intrauterine gauze packing was63.93%,the efficiency of uterine artery ligation and B-lynch suture was61.02%.,,the efficiency of bilateral uterine arterial embolization was79.31%. Postpartum hemorrhage due to uterine resection was49cases, accounted for16.96%; hemorrhagic shock was147cases, accounted for50.87%; transferred to the center of the ICU monitoring was40cases, accounted for13.84%;3cases rescue invalid death because of secondary to disseminated intravascular coagulation. The rate of perinatal infants in neonatal intensive care room because of jaundice was increased with the rate of the amount of postpartum hemorrhage. The perinatal mortality of postpartum hemorrhage patients was1.33%in our hospital。Conclusion:the main cause of postpartum hemorrhage is uterine atony and placental factors, pregnancy complications and risk factors for postpartum hemorrhage. Massage of uterus, Application of uterine contraction agents, blood component transfusion, intrauterine gauze packing, B-lynch suture and uterine artery embolization is the effective method of treatment of postpartum hemorrhage. Active treatment of the causes of postpartum hemorrhage, prevent serious complications.