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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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【Citations】
Chinese Journal Full-text Database 3 Hits
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【Co-citations】
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1 Dongzhi people's Hospial,Dongzhi 247200,Anhui WANG Gen-duo;The application of using the gauze to fill the uterus in cutting uterine's operation[J];Journal of Anhui Health Vocational & Technical College;2007-04
2 FENG Lin (Department of Obstetrics and Gynecology,The Second People's Hospital of Hefei,Anhui Province 230011,China);Evaluation on repeat cesarean section of 86 cases[J];Anhui Medical and Pharmaceutical Journal;2007-10
3 ZHANG Weifeng, WANG Shanmi. (Department of Obstetrics and Gynecology, Peking University People’s Hospital, Beijing 100044,China);Analysis of 346 cases of postpartum hemorrhage in various ages[J];Chinese Journal of Clinical Obstetrics and Gynecology;2006-05
4 YIlinuer, Dilihuma. (Department of Obstetrics and Gynecology, Traditional Chinese Medicine Hospital,Beijing 102200, China);Analysis on changing trend of cesarean section rates and indications of primipara in 21 years[J];Chinese Journal of Clinical Obstetrics and Gynecology;2006-05
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8 ZHOU Jian(Xinyi Mater and child Health Hospital, Xinyi, 525300, China);Analysis of 63 cases with Postpartum Hemorrhage Cesarean Section[J];Hainan Medical Journal;2005-07
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【Secondary Citations】
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1 (Mortality Rate Surveillance Maternal Death Investigation Cooparative Group of China )DING Hui;ZHANG Lingmei(Beijing Municipal Women Health Institute,Beijing 100006);Analysis of National Maternal[J];Chinese Journal of Obstetrics And Gynecology;1999-11
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