产后持续性母子早接触减少产后出血的效果分析  

Analysis of the effect of continuous maternal child early contact in postpartum on reducing postpartum bleeding

作　　者：陈秀妮 赵玉梅 韦佳佳 蔡笃婉 张宏玉[2] Chen Xiuni;Zhao Yumei;Wei Jiajia;Cai Duwan;Zhang Hongyu(Department of Obstetrics and Gynecology,Shanghai Children's Medical Center Affliated to Shanghai Jiao Tong University School of Medicine,Sanya 572022,China;Hainan Medical College,Haikou 571119,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心海南分院妇产科,海南三亚572022 [2]海南医学院,海南海口571119

出　　处：《实用妇科内分泌电子杂志》2024年第9期1-4,共4页Electronic Journal of Practical Gynecological Endocrinology

基　　金：海南省卫生健康行业科研项目(编号22A200332)。

摘　　要：目的探讨产后持续性母子早接触减少产后出血的效果。方法选取2022年3088例自然分娩产妇为对照组、2023年2199例自然分娩产妇为试验组,对照组新生儿娩出后采取常规新生儿护理,试验组在常规新生儿护理的基础上采取产后持续性母子早接触,比较两组的产后出血率,并分析影响因素。结果对照组产妇产后出血发生率为6.3%,高于试验组的2.9%(P<0.05)。Logistic回归分析结果发现,年龄、第三产程用时、麻醉镇痛分娩、产钳助产、会阴侧切、并发症是产后出血的影响因素(P<0.05)。结论产后出血的影响因素较多,产后实施持续性母子早接触能有效降低产后出血发生率,值得推广应用。Objective To explore the effect of continuous maternal and child early contact after childbirth on reducing postpartum hemorrhage.Methods 3088 natural childbirth women in 2022 were selected as the control group,and 2199 natural childbirth women in 2023 were selected as the experimental group.The control group received routine newborn care after delivery,while the experimental group received continuous postpartum mother child early contact on the basis of routine newborn care.The postpartum hemorrhage rates of the two groups were compared,and the influencing factors were analyzed.Results The postpartum hemorrhage rate of the control group was 6.3%,which was higher than the experimental group's 2.9%(P<0.05).The results of logistic regression analysis showed that age,duration of the third stage of labor,anesthesia analgesia delivery,forceps delivery,perineal lateral resection,and complications were the influencing factors of postpartum hemorrhage(P<0.05).Conclusion Postpartum hemorrhage has a significant impact,and implementing continuous mother child early contact after childbirth can effectively reduce the incidence of postpartum hemorrhage,which is worth promoting and applying.

关 键 词：产后持续性母子早接触 产后出血 影响因素 

分 类 号：R473.71[医药卫生—护理学]