产后出血2011八年制.pptxVIP

Postpartum Hemorrhage Zhu Jieping Shanghai Jiaotong University Affiliated Sixth Peoples Hospital, Dept of Obs Gyn Definition A blood loss of 500 ml or more in the first 24 hours after delivery A description, not a diagnosis The primary cause of maternal mortality Predisposing factors and causes Uterine atony Placenta abnormity Trauma to the genital tract Coagulation defects 1. Uterine Atony (子宫收缩乏力) Obstetric factor Prolonged labor 滞产 Precipitate delivery (delivery 3 hrs) 急产 Pregnant complications placenta previa placental abruption chorioamnionitis(绒毛膜羊膜炎) Oxyto