产后出血产后出血.pdfVIP

产后出血 产后出血 Postp artum Hemorrhage,PPH Postpartum Hemorrhage,PPH 马润玫 昆明医学院第一附属医院妇产科 Department of Obstetrics Gynecology, 1st Affiliated Hospital of Kunming Medical University Background （背景） Background （背景） ä Maternal death （孕产妇死亡）: ä Maternal death （孕产妇死亡）: - Death occurring within 1 year of delivery - Death occurring within 1 year of delivery ä Major health issue great challenge ä Major health issue great challenge worldwide worldwide ä Estimated by WHO in 1990 ：annual ä Estimated by WHO in 1990 ：annual maternal death ＞585,000，25% of which maternal death ＞585,000，25% of which died of OB haemorrhage died of OB haemorrhage ä 98% occurring in the developing world ！ ä 98% occurring in the developing world ！ Maternal mortality rate (MMR , Maternal mortality rate (MMR , 孕产妇死亡率） 孕产妇死亡率） • The number of maternal deaths per • The number of maternal deaths per 100,000( 多少个/十万 ）deliveries in 1 100,000( 多少个/十万 ）deliveries in 1 year year 为什么会发生孕产妇死亡呢？ 为什么会发生孕产妇死亡呢？ Major causes for maternal death Major causes for maternal death ä Obstetric hemorrhage(产科出血） ä Obstetric hemorrhage(产科出血） st (the 1st leading cause of maternal death in the (the 1 leading cause of maternal death in the developing world) developing world) ä Hypertensive diseases of pregnancy （妊娠期 ä Hypertensive diseases of pregnancy （妊娠期 高血压疾病） 高血压疾病） ä Medical complications （内科并发症） ä Medical complications （内科并发症） In （感染） ä f ection ä Inf ection