79 cases of postpartum hemorrhage and nursing observation.docVIP

 PAGE \* MERGEFORMAT 8 79 cases of postpartum hemorrhage and nursing observation Postpartum hemorrhage is within 24h after the fetus more than vaginal bleeding 500ml, mostly occurring within 2h after delivery is a serious complication of childbirth, if handled improperly, the rescue is not timely, would endanger the safety of mothers. Caused by postpartum haemorrhage due to uterine atony, placental factors, the soft birth canal laceration and blood coagulation disorders, including postpartum hemorrhage, uterine atony accounting for 70% -80% of the total, controlling postpartum bleeding, reduce morbidity and mortality, the key is to do a good job of postpartum hemorrhage prevention, observation, first aid and care. 1. Clinical Data November 2006 to October 2009 in our hospital’s maternal postpartum hemorrhage in 79 cases, the youngest 23 years old, maximum 44-year-old primigravida of 57 cases, the mothers in 22 cases, including 46 cases of cesarean section, forceps Midwifery in 4 cases, 29 cases of natural labor. causes of bleeding: 56 cases of uterine atony, placental factors in 17 cases, 5 cases of soft birth canal lacerations, coagulopathy in 1. bleeding :500-800ml49 cases ,800-1000ml23 cases 7 cases of more than 1000ml. These cases are measured by weighing method. outcome: 1 patients underwent hysterectomy, and the remaining patients were hemostasis success, no deaths. 2. Good prenatal prevention to reduce the incidence of postpartum hemorrhage. 2.1 good pregnancy health, pregnant women asked in detail about past history, history of pregnancy and delivery, timely identify high-risk pregnancy and postpartum hemorrhage risk factors such as: twin, polyhydramnios, large children, pregnancy-induced hypertension and placenta previa, etc., with proper prevention, treatment, reducing the incidence of postpartum hemorrhage has important significance and role. 2.2 The strengthening of labor monitoring and care, close observation of the