Postpartum hemorrhage hysterectomy nursing.doc

 PAGE \* MERGEFORMAT 11 Postpartum hemorrhage hysterectomy nursing Postpartum hemorrhage is one of the factors leading to maternal mortality, maternal mortality has continued to hold the country’s first [1]. Obstetric uncontrollable bleeding, hysterectomy is the timely rescue of the most important means of maternal life, but the maternal have an impact on physical and mental health. Now in our hospital in October 1997 - December 2003, due to postpartum hemorrhage by a variety of ways to handle invalid, the last line of hysterectomy were retrospectively analyzed, and reported as follows Nursing. 1 Clinical data 1.1 General Information October 1997 - December 2003 14,689 visitors total number of deliveries, 586 cases of postpartum hemorrhage (4.0%), ineffective treatment through a variety of bleeding, hysterectomy in 19 cases, accounting for the total number of deliveries 1.3 ‰, the same period in the vagina delivery 9608 cases (65.4%), hysterectomy in 5 cases, accounting for vaginal delivery of 0.5 ‰, cesarean section 5081 cases (34.6%), hysterectomy in 14 cases, accounting for the same period in cesarean section 2.8 ‰. age of patients 24 to 39 years (mean 29.7 years), gestational age 31 to 40 + 5 weeks (mean 38 + 1 weeks); primipara 111 cases (57.9%), the maternal in 8 cases (42.1%). 1.2 pregnancy history of 12 patients, respectively, or with both abortion, spontaneous abortion, induced abortion in the pregnancy, curettage, cesarean section and so on. Graviditygt; = 2 times in 12 patients (up to 5 times), seven patients led pregnancy and delivery times. 1.3 hysterectomy causes placental factors in 9 cases (47.4%), in which the placenta implants in 4 cases, 4 cases of placenta previa, placental abruption in 1 case, uterine inertia in 6 cases (31.6%), amniotic fluid embolism in 4 cases (21.1%) The above reasons or a combination of sharing the other four related risk factors, such as severe preeclampsia, pregnancy, uterine fibroids,