On the diagnosis and treatment of postpartum hemorrhage.docVIP

 PAGE \* MERGEFORMAT 10 On the diagnosis and treatment of postpartum hemorrhage [Abstract] postpartum hemorrhage is the baby within 24 hours after delivery, vaginal bleedinggt; = 500ml, is one of the important reasons of maternal mortality. Postpartum hemorrhage rate of about 2% of total number of deliveries to 3%, occurred at 2 hours post-partum months (about 80% of postpartum bleeding above). Therefore, understanding the etiology of postpartum hemorrhage, diagnosis, treatment and prevention of perinatal mortality for the reduction is very important. [Keywords:] diagnosis and treatment of postpartum hemorrhage First, the diagnosis Postpartum hemorrhage occurred within 2 hours after birth, accounting for about 24 hours, 50% of the total amount of bleeding, so early diagnosis is very important to postpartum hemorrhage. Postpartum hemorrhage due to various reasons, have different clinical features: 1. Uterine inertia uterine inertia is the most common cause of postpartum hemorrhage. Showed active bleeding placenta after delivery, quantity, color dark red, mixed with blood clots, lower abdominal bulge can not see the uterus, palpation of the uterus soft, contour unclear, after the contraction of the uterus harden massage, a large blood clot from the blood or vaginal discharge, uterine massage and relaxation stop soft, with uterine bleeding after dose reduced or stopped. 2. Placental factors of bleeding before the placenta retained placenta should first think of bleeding. (1) of placental separation are stranded after placental separation, should continue to rely on uterine muscle contraction, forced down to the lower uterine segment placenta, abdominal pressure to quickly discharge a little. If the baby is delivered, due to overactive bladder filling, oppression, the lower uterine segment and hinder the placenta decline of contraction, coupled with excessive maternal abdominal relaxation, lack of abdominal pressure, leading to r