产后出血-英文课件(1).ppt

* * * * * * * * * * Postpartum Hemorrhage产后出血 The Third Affiliated Hospital of Sun Yat-sen University Xuyao Li 《 Obstetrics and Gynecology Nursing 》 The first section of the eleventh chapter Master Understand Know What？—— Definition Why？ —— Etiologies How？—— Treatment Prevention Learning?Goals? Definition Blood loss of 500 ml or more within 24 hours after delivery Etiologies Uterine atony Placental factors Soft birth canal laceration Coagulation disorders? uterine atony Systemic factors Local factors 〔70%-80%〕 ?psychentonia weakness chronic?disease multifetation giant baby fibroid Implantation placental factors Adhesion Incomplete separation Residual 〔10%〕 Completely stripping Exclude? blocked Incarceration Retention ?spasm of internal cervical os placental factors Unable to?exclude filling of bladder 〔10%〕 Perineum Vagina Cervical soft birth canal laceration Hemostasis Increased blood volume Prevention of infection Prescribed medication Treatment The weakness of uterine contraction massage method uterine contraction?drugs To strengthen the contraction other balloon ?tamponade oppressed?artery ligation or embolization of pelvic arteries. hysterectomy Suture?of soft birth canal Remove the residual?of placenta and fetal membrane According to the etiology hemostasis Prevention 1. Should pay attention to?prenatal care ： Early treatment related diseases, timely termination of pregnancy Make contraception work,?reduce the?times of?artificial abortion operation For high risk?pregnant women with?postpartum hemorrhage,?strengthen? inspection and to ?delivery in hospital 2. Correctly deal with the labor process First stage ： Pay attention to?rest and diet,?to prevent fatigue and extend the production process,?the reasonable application of?oxytocin?and Sedatives Second stage ： Pay attention to the protection of perrineum, gentle operation?specification,?using?the right abdominal?pressure Prevention prevention 2.