How to prevent adverse pregnancy outcomes of postpartum hemorrhage patients

doi:10.3877/cma.j.issn.2095-3259.2015.03.004

Abstract

Abstract:

Postpartum hemorrhage(PPH) is an obstetrical emergency, and it is a major cause of maternal morbidity all over the world. Recognizing the risk factors at early stage, evaluating blood loss precisely, and taking effective measures to prevent or treat PPH, all above are conductive to improve the pregnancy outcome. This paper reviews the progress made in the risk factors, evaluation blood loss, prevention and management of the PPH.

Key words: Postpartum hemorrhage, Pregnancy outcome

Jing Liu, Qian Chen. How to prevent adverse pregnancy outcomes of postpartum hemorrhage patients[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2015, 04(03): 140-145.

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References 49

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作者	发表年份	严重产后出血/总数(例)	高危因素(例)	OR	95%CI
Mhyre等^[3]	2013	406/690 742(1998－2007年)	胎盘异常(113)	18.5	14.7～23.3
?	?	?	胎盘早剥(78)	14.6	11.2～19.0
?	?	?	重度子痫前期(53)	10.4	7.7～14.2
?	?	?	胎死宫内(45)	5.5	3.9～7.8
Kramer等^[4]	2013	25 906/8 571 209(1999－2008年)	宫颈裂伤(3 309)	94.0	87.3～101.2
?	?	?	子宫破裂(381)	11.6	9.7～13.8
?	?	?	胎盘前置或早剥(3 099)	7.0	6.6～7.3
?	?	?	子痫前期(2 860)	3.1	2.9～3.3
?	?	?	羊膜炎(1 415)	2.9	2.5～3.4
?	?	?	多胎妊娠(1 095)	2.8	2.6～3.0
?	?	?	子宫纤维瘤(626)	2.0	1.8～2.2
?	?	?	阴道助产(2 472)	1.5	1.4～1.6
?	?	?	年龄大于35岁(5 134)	1.5	1.5～1.6
?	?	?	剖宫产(10 541)	1.4	1.3～1.5
Ekin等^[5]	2015	125/536(2011－2014年)	急诊剖宫产(68)	4.75	1.32～12.96
?	?	?	产程延长(52)	3.62	3.21～4.03
?	?	?	缩宫素使用(63)	3.32	2.05～5.93
?	?	?	剖宫产史(47)	3.15	1.02～10.30

作者	发表年份	严重产后出血/总数(例)	高危因素(例)	OR	95%CI
Mhyre等^[3]	2013	406/690 742(1998－2007年)	胎盘异常(113)	18.5	14.7～23.3
?	?	?	胎盘早剥(78)	14.6	11.2～19.0
?	?	?	重度子痫前期(53)	10.4	7.7～14.2
?	?	?	胎死宫内(45)	5.5	3.9～7.8
Kramer等^[4]	2013	25 906/8 571 209(1999－2008年)	宫颈裂伤(3 309)	94.0	87.3～101.2
?	?	?	子宫破裂(381)	11.6	9.7～13.8
?	?	?	胎盘前置或早剥(3 099)	7.0	6.6～7.3
?	?	?	子痫前期(2 860)	3.1	2.9～3.3
?	?	?	羊膜炎(1 415)	2.9	2.5～3.4
?	?	?	多胎妊娠(1 095)	2.8	2.6～3.0
?	?	?	子宫纤维瘤(626)	2.0	1.8～2.2
?	?	?	阴道助产(2 472)	1.5	1.4～1.6
?	?	?	年龄大于35岁(5 134)	1.5	1.5～1.6
?	?	?	剖宫产(10 541)	1.4	1.3～1.5
Ekin等^[5]	2015	125/536(2011－2014年)	急诊剖宫产(68)	4.75	1.32～12.96
?	?	?	产程延长(52)	3.62	3.21～4.03
?	?	?	缩宫素使用(63)	3.32	2.05～5.93
?	?	?	剖宫产史(47)	3.15	1.02～10.30

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