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产妇的新生儿性别满意度对产后出血的影响

         

摘要

Objective To explore the influence of satisfaction with neonatal sex on postpartum hemorrhage. Methods 357 puerperants with single birth and normal labor were divided into satisfaction group and dissatisfaction group according to the satisfaction degree with neonatal sex. The labor process was recorded; the amount of intrapartum hemorrhage and the amount of hemorrhage 2 hours and 24 hours after parturition, as well as the ratio of postpartum hemorrhage were measured accurately and compared. Results The results showed that in two groups, the labor process and the amount of intrapartum hemorrhage were not significantly different (P>0.05), while the amount of hemorrhage 2 hours and 24 hours after parturition in dissatisfaction group were significantly more than that in satisfaction group (P<0.05). There was significant difference about the ratio of hemorrhage between two groups (P<0.05). Conclusion It indicates that the satisfaction degree with neonatal sex has important effect on both the amount and ratio of postpartum hemorrhage. Psychological education is recommended so as to decrease the incidence of postpartum hemorrhage.%目的 探讨产妇对新生儿性别满意情况对产后出血的影响.方法 将单胎头位顺产的232例初产妇和125例经产妇按照对新生儿性别满意程度分别分为满意组和不满意组.记录产程,测定产时、产后2 h及24 h出血量,计算产后出血发生率.并进行比较分析.结果 初产妇不满意组与满意组总产程、产时出血量比较差异无统计学意义(P>0.05),经产妇不满意组与满意组总产程、产时出血量差异无统计学意义(P>0.05).不满意组产后2 h及24 h出血量多于满意组.产后出血发生率也明显高于满意组(P<0.05),特别是不满意组经产妇产后出血率高达15.5%.结论 产妇对新生儿性别的满意程度与产后出血有一定关系,护士需及时发现潜在的高危因素,给予对新生儿性别不满意产妇必要的心理辅导,以减少产后出血量,降低产后出血发生率,确保产妇的安全.

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