Almutairi Wedad M, Ludington Susan M, Quinn Griffin Mary T, Burant Christopher J, Al-Zahrani Ahlam E, Alshareef Fatmah H, Badr Hanan A
Maternity and Child Department, Faculty of Nursing, King Abdulaziz University, Jeddah 21551, Saudi Arabia.
Bolton School of Nursing, Case Western, Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4904, USA.
Nurs Rep. 2020 Dec 25;11(1):1-11. doi: 10.3390/nursrep11010001.
were to (a) determine incidence of postpartum hemorrhage (PPH) in all women delivering between 2009 and 2015, and (b) determine the amount of Estimated Blood Loss (EBL) and duration of the third stage of labor in each subgroup for women with or without PPH, and (c) compare EBL and duration of 3rd stage of labor between subgroups in groups of women with or without PPH. A retrospective chart review conducted using codes for atonic PPH. Records from a University based tertiary setting, 264 charts were reviewed and data from 154 charts were analyzed. One-way ANOVAs followed with post-hocs and a 2-way ANOVA were conducted. PPH rate increased by 47.50% from 2009-2015. For women with PPH, EBL was lower in skin to skin contact (SSC) + Breastfeeding (BF) subgroup. For women without PPH, EBL was lower in SSC only subgroup. Third stage of labor duration was longer in women with PPH. Study confirmed the increasing trends of PPH due to uterine atony and proposed role of SSC and BF in decreasing EBL and shorten the duration of the 3rd stage of labor for PPH women, usefulness of SSC and BF as physiologic practices merit further study.
（a）确定2009年至2015年期间所有分娩妇女的产后出血（PPH）发生率；（b）确定有或无PPH的妇女各亚组的估计失血量（EBL）和第三产程持续时间；（c）比较有或无PPH的妇女亚组之间的EBL和第三产程持续时间。使用宫缩乏力性PPH编码进行回顾性病历审查。在一所大学附属的三级医疗机构，审查了264份病历，分析了154份病历的数据。进行了单因素方差分析及事后检验和双因素方差分析。2009年至2015年期间PPH发生率增加了47.50%。对于有PPH的妇女，皮肤接触（SSC）+母乳喂养（BF）亚组的EBL较低。对于无PPH的妇女，仅SSC亚组的EBL较低。有PPH的妇女第三产程持续时间较长。研究证实了宫缩乏力导致PPH的上升趋势，并提出了SSC和BF在减少有PPH妇女的EBL和缩短第三产程持续时间方面的作用，SSC和BF作为生理措施的有效性值得进一步研究。
