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《Chinese Journal of Clinical Medicine》 2006-02
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Qinical Analysis of Severe Postpartum Hemorrhage about Cesarean Section:a 65 Cases Report

JIN Mei Department of Obstetrics and Gynecology,Central Hospital of Fenxian District,Shanghai 201400  
Objective:To study correlative factors,prevention and treatment methods of severe postpartum hemorrhage (PPH). Methods: 65 patients with severe postpartum hemorrhage after cesarean section from January 1997 to June 2005were inclycled. Severe PPH was defined as blood loss more than 1000 ml or with shock. Results:The incidence rate of severe PPH after cesarean section was 0. 25%. Among them,87.6% cases occurred between delivery and 2h after child birth, while the incidence of severe PPH in vaginal delivery was 0.14%. The main risk factors of severe PPH afrer cesarean section were placental factors and uterine factors . The placental factor were in the first place . Conclusion:The placental factors were the main risk factor which caused severe PPH about cesarean section . methods reduce the incidence of severe PPH about cesarean section can be listed as follow , strengthens the pre-natal child birth way when the propaganda education and the child birth health care, improve the midwifery technology quality, develop analgesia child birth,and master the indication of cesarean section strictly can efficiently reduce the incidence of cesarean section .
【CateGory Index】: R719.8
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