Volume 20 Issue 12
Dec.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(12): 2071-2074
HUANG Nan, CHEN Xiang-jun, XU Li-yan, QIU Ya-fen. Status and influencing factors of undiagnosed abnormal postpartum blood loss during caesarean section[J]. Chinese Journal of General Practice, 2022, 20(12): 2071-2074. doi: 10.16766/j.cnki.issn.1674-4152.002772
Citation: HUANG Nan, CHEN Xiang-jun, XU Li-yan, QIU Ya-fen. Status and influencing factors of undiagnosed abnormal postpartum blood loss during caesarean section[J]. Chinese Journal of General Practice, 2022, 20(12): 2071-2074. doi: 10.16766/j.cnki.issn.1674-4152.002772
shu

Status and influencing factors of undiagnosed abnormal postpartum blood loss during caesarean section

doi: 10.16766/j.cnki.issn.1674-4152.002772

  • Department of Obstetrics, Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang 310015, China

Funds:

 2019KY498

  • Received Date: 2022-06-11
    Available Online: 2023-02-07
    Abstract
  •   Objective  To analyse the status of undiagnosed abnormal postpartum blood loss (UPPBL) during caesarean section and related influencing factors.  Methods  The clinical data of 415 women with caesarean section who were hospitalised in Affiliated Hospital of Hangzhou Normal University from January 2019 to June 2020 were retrospectively analysed. Based on the definition of postpartum haemorrhage (PPH) and UPPBL, they were divided into PPH (n=13), UPPBL (n=41) groups and the control group (n=361) without postpartum haemorrhage. The general clinical data of the three groups were compared with the level of haemoglobin (Hb) in the first week before caesarean section and the second day after caesarean section, and the related factors affecting UPPBL in caesarean section were analysed.  Results  The incidence of UPPBL in 415 parturients was 9.88% (41 cases). Compared with the control group, the UPPBL and PPH groups showed significantly higher values in terms of age, gestational order, delivery order, proportion of premature delivery, incidence of hypertension during pregnancy, incidence of placental adhesion and other aspects (all P < 0.05). The age of UPPBL group was significantly higher than that of the PPH group, but the number of pregnancies was significantly lower (all P < 0.05). No significant difference was observed in the Hb level between the three groups 1 week before the caesarean section (P>0.05). The Hb level in UPPBL and PPH groups on the second day after caesarean section was significantly lower than that in the control group (all P < 0.05), and the Hb level before and after caesarean section in the two groups was significantly higher than that in the control group (P < 0.05). Age, gestational order, delivery order, gestational hypertension, placental adhesion and premature delivery were influence factors that affected UPPBL.  Conclusion  The incidence of UPPBL is high in women who deliver by caesarean section. Age, gestational order, delivery order, gestational hypertension, placental adhesion and premature delivery are influence factors affecting the occurrence of UPPBL in women who deliver by caesarean section. Relevant measures should be implemented clinically to reduce the risk of UPPBL.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    张莹, 党冬英. 剖宫产产后出血的危险因素及防治对策[J]. 临床医学研究与实践, 2018, 3(10): 145-146. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS201810069.htm

    ZHANG Y, DANG D Y. Risk factors and prevention countermeasures of postpartum hemorrhage in caesarean section[J]. Clinical Research and Practice, 2018, 3(10): 145-146. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS201810069.htm
    [2]
    宋兰玉. 剖宫产产后出血危险因素及针对性护理措施探究[J]. 世界最新医学信息文摘, 2017, 17(29): 241-242. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201729152.htm

    SONG L Y. Study on risk factors and targeted nursing measures of postpartum hemorrhage after cesarean section[J]. World Latest Medicine Information, 2017, 17(29): 241-242. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201729152.htm
    [3]
    段瑶, 刘欣, 胡晨屿. 未诊断的产后出血160例分析[J]. 国际妇产科学杂志, 2019, 46(3): 321-326. doi: 10.3969/j.issn.1674-1870.2019.03.019

    DUAN Y, LIU X, HU C Y. The Clinical Analysis of 160 Cases of Undiagnosed Postpartum Hemorrhage[J]. Journal of International Obstetrics and Gynecology, 2019, 46(3): 321-326. doi: 10.3969/j.issn.1674-1870.2019.03.019
    [4]
    刘雨琪. 剖宫产未诊断的产后出血临床特点分析[D]. 沈阳: 中国医科大学, 2020.

    LIU Y Q. Clinical characteristics of undiagnosed postpartum hemorrhage in cesarean section[D]. Shenyang: China Medical University, 2020.
    [5]
    GIRAULT A, DENEUX-THARAUX C, SENTILHES L, et al. Undiagnosed abnormal postpartum blood loss: Incidence and risk factors[J]. PLoS One, 2018, 13(1): e0190845. DOI: 10.1371/journal.pone.0190845.
    [6]
    张丹, 孙丽, 赵晶晶. 产后出血危险因素分析以及产后出血预测评分表的应用价值[J]. 天津医药, 2017, 45(10): 1064-1067. doi: 10.11958/20170640

    ZHANG D, SUN L, ZHAO J J. Analysis of risk factors of postpartum hemorrhage and application value of predictive score of postpartum hemorrhage[J]. Tianjin Medical Journal, 2017, 45(10): 1064-1067. doi: 10.11958/20170640
    [7]
    陈宇, 郑晓莉, 伍绍文, 等. 不同年龄段高龄孕产妇临床特点与妊娠结局的分析[J]. 中华妇产科杂志, 2017, 52(8): 508-513. doi: 10.3760/cma.j.issn.0529-567x.2017.08.002

    CHEN Y, ZHENG X L, WU S W, et al. Clinic characteristics of women with advanced maternal age and perinatal outcomes[J]. Chinese Journal of Obstetrics and Gynecology, 2017, 52(8): 508-513. doi: 10.3760/cma.j.issn.0529-567x.2017.08.002
    [8]
    杨丽萍. 高龄初产妇产后出血的危险因素及护理对策[J]. 中外女性健康研究, 2020(10): 81, 83. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWVJ202010053.htm

    YANG L P. Risk factors and nursing of postpartum hemorrhage in elderly primipara[J]. Women's Health Research, 2020(10): 81, 83. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWVJ202010053.htm
    [9]
    张春兰. 前列腺素联合宫腔纱条填塞预防剖宫产产后出血的研究[J]. 中华全科医学, 2015, 13(5): 778-779. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201505034.htm

    ZHANG C L. Investigation on prostaglandin combined with intrauterine packing with gauze in preventing of postpartum hemorrhage of cesarean section[J]. Chinese Journal of General Practice, 2015, 13(5): 778-779. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201505034.htm
    [10]
    韩峥. 46例胎盘因素所致产后出血的临床分析[J]. 中国妇幼保健, 2016, 31(5): 961-963. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201605026.htm

    HAN Z. Clinical analysis of 46 cases of postpartum hemorrhage caused by placental factors[J]. Maternal and Child Health Care of China, 2016, 31(5): 961-963. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201605026.htm
    [11]
    李力, 顾焱, 陈建坤. 妊娠期高血压疾病与产后出血[J]. 中国计划生育和妇产科, 2016, 8(4): 10-12. https://www.cnki.com.cn/Article/CJFDTOTAL-JHFC201604002.htm

    LI L, GU Y, CHEN J K. Hypertensive diseases during pregnancy and postpartum hemorrhage[J]. Chinese Journal of Family Planning & Gynecotokology, 2016, 8(4): 10-12. https://www.cnki.com.cn/Article/CJFDTOTAL-JHFC201604002.htm
    [12]
    陈奕. 我国早产管理现状及展望[J]. 中国医刊, 2019, 54(3): 233-235, 228. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI201903001.htm

    CHEN Y. Current situation and prospect of preterm delivery management in China[J]. Chinese Journal of Medicine, 2019, 54(3): 233-235, 228. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI201903001.htm
    [13]
    杜淑玲. 高龄产妇产后出血的影响因素及预防措施[J]. 中国计划生育学杂志, 2019, 27(4): 530-532. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY201904033.htm

    DU S L. Influencing factors and preventive measures of postpartum hemorrhage in elderly parturients[J]. Chinese Journal of Family Planning, 2019, 27(4): 530-532 https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY201904033.htm
    [14]
    贾利, 丁俊青, 段圆圆, 等. 产后出血的高危因素及干预对策分析[J]. 包头医学, 2019, 43(1): 55-57. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYI201901026.htm

    JIA L, DING J Q, DUAN Y Y, et al. Analysis of high risk factors and intervention strategies of postpartum hemorrhage[J]. Journal of Baotou Medicine, 2019, 43(1): 55-57. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYI201901026.htm
    [15]
    蔡翼飞. 妊娠期高血压疾病与产后出血的相关性[J]. 现代医学与健康研究电子杂志, 2019, 3(16): 62-63. https://www.cnki.com.cn/Article/CJFDTOTAL-XYJD201916031.htm

    CAI Y F. Relationship between hypertensive disorders during pregnancy and postpartum hemorrhage[J]. Modern Medicine and Health Research, 2019, 3(16): 62-63. https://www.cnki.com.cn/Article/CJFDTOTAL-XYJD201916031.htm
    [16]
    杨霄, 罗丹. 目测法与血红蛋白检测法评估产后出血的临床分析[J]. 中华妇幼临床医学杂志(电子版), 2017, 13(6): 663-668. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHFY201706008.htm

    YANG X, LUO D. Clinical analysis of visual observation method and hemoglobin assay method in estimation of postpartum hemorrhage[J]. Chinese Journal of Maternal and Child Clinical Medicine(Electronic edition), 2017, 13(6): 663-668. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHFY201706008.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (178) PDF downloads(2) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return