Prevention of vaginal delivery and nursing of postpartum hemorrhage.doc

 PAGE \* MERGEFORMAT 8 Prevention of vaginal delivery and nursing of postpartum hemorrhage [Abstract] Objective To analyze the causes of postpartum hemorrhage, proposed preventive measures, proper handling of labor, effective methods of care, to prevent maternal mortality. Methods The subjects in January 2006 -2009 took place in December of postpartum hemorrhage after vaginal delivery 34 cases were analyzed retrospectively. Results 34 patients were cured. Conclusions do prevention and care of postpartum hemorrhage, postpartum hemorrhage is to control and reduce the morbidity and mortality the key. [Keywords:] postpartum hemorrhage; prevention; care Postpartum hemorrhage refers to the fetus of blood loss within 24h after more than 500ml, as serious complications during delivery, the incidence rate of the total number of deliveries of 2% to 3% [1], ranking first in China’s cause of maternal death. Controlling postpartum bleeding, reduce the incidence of rate and mortality rate is the key to good prevention and care of postpartum hemorrhage. 1 Clinical data 1.1 General Information January 2006 -2009 Division I in December 6332 cases of hospital delivery, postpartum hemorrhage and 43 cases (0.68%); of which 3811 cases of vaginal delivery, postpartum hemorrhage and 34 cases (0.89%); 21 cases of primipara, the maternal 13 patients, aged 18 to 43 years, mean 29.3 years .34 cases of uterine inertia in 23 cases, the soft birth canal injury in 2 cases, 5 cases of placenta (placenta, placental membranes residues, incomplete placental separation, placenta accreta), placenta implantation in 3 cases, coagulation disorder in 1 case, exclusion of primary medical disorders, are simple obstetric hemorrhage. 1.2 Results 34 patients were cured, 6 cases uterine tamponade, a routine subtotal hysterectomy, 33 cases of uterine preservation. 2 and determine the causes of postpartum hemorrhage Four of postpartum hemorrhage due to uterine atony (70% -90%), birth c