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首页> 外文期刊>The East African medical journal >Risk factors for severe post partum haemorrhage in Mulago hospital, Kampala, Uganda.
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Risk factors for severe post partum haemorrhage in Mulago hospital, Kampala, Uganda.

机译：乌干达坎帕拉穆拉戈医院严重产后出血的危险因素。

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OBJECTIVE: To determine the risk factors for severe postpartum haemorrhage. DESIGN: A case control study. SETTING: Mulago hospital labour wards, Kampala, Uganda. SUBJECTS: One hundred and six mothers with severe postpartum haemorrhage were recruited between 15th November 2001 and 30th November 2002 and were compared with 500 women who had normal delivery. RESULTS: The predictors for postpartum haemorrhage were co-existing hypertension (O.R 9.3, 95% CI: 1.7-51.7), chronic anaemia (OR 17.3, 95% CI: 9.5-31.7), low socio economic background (OR 5.3, 95% CI: 3.0, 9.2), past history of postpartum haemorrhage (OR 3.6, 95% CI: 1.1-11.8), previous delivery by Caesarean section (OR 7.5, 95% CI: 3.5-14.3), long birth interval of more than sixty months (OR 5.2, 95% CI: 2.1-13.0), prolonged third stage (OR 49.1, 95% CI: 8.8-342.8) and non use of oxytocics (OR 4.3%, 95% CI: 1.2-15.3). CONCLUSION: Severe postpartum haemorrhage is common in our environment and is associated with a high maternal morbidity and mortality. The determinants of postpartum haemorrhage are useful in identifying mothers at risk and together with the services of a skilled birth attendant at delivery will prevent postpartum haemorrhage and reduce the maternal morbidity and mortality associated with this condition. In our study, the following risk factors were identified: pre-existing hypertension, chronic anaemia, low socio-economic background, history of postpartum haemorrhage, previous delivery by Caesarean section, longbirth interval of more than sixty months, prolonged third stage and non use of oxytocics were found to be significant.
机译：目的：确定严重产后出血的危险因素。设计：病例对照研究。地点：乌干达坎帕拉的穆拉戈医院劳动病房。研究对象：2001年11月15日至2002年11月30日期间，招募了106名严重产后出血的母亲，并与500名正常分娩的妇女进行了比较。结果：产后出血的预测因素是并存高血压（OR 9.3，95％CI：1.7-51.7），慢性贫血（OR 17.3，95％CI：9.5-31.7），低社会经济背景（OR 5.3，95％） CI：3.0，9.2），既往有产后出血史（OR 3.6，95％CI：1.1-11.8），先前剖腹产分娩（OR 7.5，95％CI：3.5-14.3），生育间隔超过60岁个月（OR 5.2，95％CI：2.1-13.0），延长的第三阶段（OR 49.1，95％CI：8.8-342.8）和不使用催产药（OR 4.3％，95％CI：1.2-15.3）。结论：严重的产后出血在我们的环境中很常见，并且与较高的产妇发病率和死亡率有关。产后出血的决定因素可用于识别有风险的母亲，并与分娩时熟练的接生员一起提供服务，将防止产后出血并降低与此情况相关的母亲发病率和死亡率。在我们的研究中，确定了以下危险因素：既往高血压，慢性贫血，低社会经济背景，产后出血史，剖腹产以前分娩，长寿间隔超过60个月，第三阶段延长和不使用催产素的使用被发现很重要。

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