沈婕

    [摘要] 目的 探讨二胎孕产妇产后出血的原因和高危因素。 方法 回顾性分析2015年6月～2017年6月于肇庆市第二人民医院产科分娩的694例二胎产妇的临床资料，通过单因素和多因素Logistic回归分析二胎孕产妇产后出血的相关因素。 结果 二胎孕产妇产后出血发生率为11.67%。单因素分析结果显示，年龄>35岁、孕龄异常(42周)、有剖宫产史、宫缩乏力、前置胎盘、胎盘粘连、胎盘早剥、软产道损伤以及剖宫产分娩均会显著增加产后出血的发生率，差异有统计学意义(P 35岁、孕龄异常(42周)、软产道损伤以及有剖宫产史均是二胎孕产妇产后出血的危险因素(P < 0.05)。 结论 二胎孕产妇存在多种导致产后出血的高危因素，需针对性的采取措施降低产后出血的发生。

    [关键词] 二胎孕产妇；产后出血；高危因素

    [中图分类号] R714.461 [文献标识码] A [文章编号] 1673-7210(2018)08(b)-0076-04

    [Abstract] Objective To explore the reason and high-risk factors for postpartum hemorrhage in second puerpera. Methods The clinical data of 694 second puerpera in Zhaoqing NO.2 People′s Hospital from June 2015 to June 2017 were retrospectively analyzed. Univariate analysis and multiple Logistic regression analysis were applied to identify the related factors for postpartum hemorrhage in second puerpera. Results The incidence rate of postpartum hemorrhage in second puerpera was 11.67%. Univariate analysis showed that the incidence rate of postpartum hemorrhage was significantly increased in second puerpera with one or more of the following factors： age (>35 years) ......