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尼日利亚一家大学医院的原发性产后出血

Primary post-partum haemorrhage at a university hospital in Nigeria.

作者信息

Adetoro O O

机构信息

University of Ilorin Teaching Hospital.

出版信息

West Afr J Med. 1992 Jul-Sep;11(3):172-8.

PMID:1476960
Abstract

Two hundred and four cases of primary postpartum haemorrhage were compared with the same number of normal post-partum mothers, during a period of two years at a University Hospital in Ilorin, Nigeria. Majority of the women (71%) who suffered from primary post-partum haemorrhage were in the age group 15 to 29 years, and there was no difference in the age distribution between the study and the control groups. Primary post-partum haemorrhage occurred more in the primipara and grand-multipara compared with the control and the differences is statistically significant. Atony of the uterus was the commonest cause of post-partum haemorrhage and this was attributed to mismanagement of labour. Many of the women with post-partum haemorrhage had vaginal delivery but the difference in the mode of delivery between the study and the control groups was statistically significant. Anaemia and hypovolaemic shock were the two commonest avoidable complications and the preventable measures and the need for further investigations of cases of primary post-partum haemorrhage are highlighted.

摘要

在尼日利亚伊洛林的一所大学医院,对204例原发性产后出血病例与相同数量的正常产后母亲进行了为期两年的比较。患有原发性产后出血的大多数女性(71%)年龄在15至29岁之间,研究组和对照组的年龄分布没有差异。与对照组相比,原发性产后出血在初产妇和多产妇中更为常见,差异具有统计学意义。子宫收缩乏力是产后出血最常见的原因,这归因于产程管理不当。许多产后出血的女性进行了阴道分娩,但研究组和对照组之间的分娩方式差异具有统计学意义。贫血和低血容量性休克是两种最常见的可避免并发症,强调了原发性产后出血病例的预防措施以及进一步调查的必要性。

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