缩短第三产程对预防产后出血的影响  

Effect of shortening the third stage of labor on prevention of postpartum hemorrhage

作　　者：刘国杰[1] 张莹[1] 王敏[1] 郭永[1] 代秀云[1] Liu Guojie;Zhang Ying;Wang Min;Guo Yong;Dai Xiuyun(Department of Obstetrics, Weifang maternal and child health hospital, Weifang, Shandong 261021)

机构地区：[1]山东省潍坊市妇幼保健院产科,山东潍坊261021

出　　处：《中外女性健康研究》2020年第17期93-94,共2页Women＇s Health Research

摘　　要：目的:探究缩短第三产程对预防产后出血的影响。方法:抽取本院2017年3月至2019年2月潍坊市妇幼保健院收入的经阴道平产分娩的患者总计100例,按照随机数字表法分为两组,各50例,对照组胎儿娩出后不予以干预手段,观察组在胎儿娩出后适时予以人工干预,比较两组出血及预后情况。结果:观察组第三产程时间、产后2h出血量、产后24h出血量少于对照组,两组差异显著(P<0.05),观察组产后出血率为4.00%,低于对照组的16.00%,两组差异显著(P<0.05)。结论:产妇第三产程胎盘剥离时适当予以人工干预,并缩短第三产程所需时间,可有效降低产后出血发生率,降低产后出血风险。Objective:To explore the effect of shortening the third stage of labor on the prevention of postpartum hemorrhage.Methods:A total of 100 patients with vaginal delivery in Weifang maternal and child health hospital from March 2017 to February 2019 were selected and divided into two groups according to the random number table method,50 cases in each group.The control group was not intervened after the birth of the fetus,and the observation group was given timely manual intervention after the birth of the fetus.The bleeding and prognosis of the two groups were compared.Results:The time of the third stage of labor,the amount of postpartum hemorrhage in 2 hours and 24 hours after delivery in the observation group were less than those in the control group(P<0.05).The postpartum hemorrhage rate of the observation group was 4.00%,which was lower than that of the control group(16.00%).The difference between the two groups was significant(P<0.05).Conclusion:Appropriate manual intervention and shortening the time required for the third stage of labor can effectively reduce the incidence of postpartum hemorrhage and reduce the risk of postpartum hemorrhage.

关 键 词：第三产程 预防 产后出血 预后 

分 类 号：R71[医药卫生—妇产科学]