产后大出血的原因（The cause of postpartum hemorrhage）.doc

产后大出血的原因（The cause of postpartum hemorrhage） Brief introduction of editing of postpartum hemorrhage after delivery of fetus to include delivery of the placenta before delivery of the placenta to postpartum 2 hour and 2 hours to 24 hours during the 3 period, occurred in the first two. Postpartum hemorrhage is one of the important causes of maternal mortality, ranking first in china. Once the maternal bleeding, postpartum prognosis of severe shock, heavy continued for a long time, even though there may still be rescued, hypopituitarism occurred severe secondary anterior pituitary (Sheehan syndrome (Sheehan syndrome)) the sequelae, should pay special attention to prevention and cure. 2, the diagnosis, editing, postpartum hemorrhage, in addition to the amount of bleeding from the diagnosis, but also to make a clear diagnosis of the cause, can begin to make timely and correct treatment. 1. uterine inertia should be vigilant sometimes although the placenta has been discharged, uterine relaxation, a large amount of blood accumulation in the uterine cavity, and only a small amount of vaginal bleeding, maternal excessive bleeding symptoms, so in addition to pay close attention to postpartum vaginal bleeding, should also pay attention to the uterine contraction. The estimated amount of vaginal bleeding is much less than actual blood loss, so it must be measured with a curved disc. Uterine atony performance before delivery, and delivery of the placenta after delivery of excessive bleeding, diagnosis when no difficulties, but be wary of the recessive postpartum hemorrhage and may exist simultaneously with the birth canal laceration or placental factors. 2. soft birth canal laceration, cervical laceration on both sides, may also be petals. If laceration is serious, when affecting palace neck blood vessel, can produce much haemorrhage. The laceration of the cervix can be split into the lower uterine segment. Most of the vaginal laceration occurred in the vaginal wall, posterior w