KẾT QUẢ DỰ PHÒNG BĂNG HUYẾT SAU SINH Ở CÁC SẢN PHỤ NGUY CƠ CAO SINH TẠI BỆNH VIỆN ĐẠI HỌC Y HẢI PHÒNG

Abstract

Objective: Describe the effectiveness of postpartum hemorrhage prevention in high-risk pregnant women giving birth at the Department of Obstetrics and Gynecology, Hai Phong Medicine University Hospital from September 2023 to September 2024. Research subjects and methods: Descriptive cross-sectional study of 260 pregnant women at risk of postpartum hemorrhage receiving prevention at the Department of Obstetrics and Gynecology - Hai Phong Medicine University Hospital from September 2023 to September 2024. Results: 100% of high-risk pregnant women were given postpartum hemorrhage prevention at the Department of Obstetrics and Gynecology, Hai Phong Medicine University Hospital. The rate of postpartum hemorrhage in the group of pregnant women at risk for postpartum hemorrhage giving birth at the Department of Obstetrics and Gynecology, Hai Phong Medicine University Hospital was 3.1%. The blood volume loss below 500ml accounted for the majority (90.8%) of pregnant women at risk of postpartum hemorrhage who received postpartum hemorrhage prevention. No mother required a blood transfusion. Among the risk factors that have been treated for prevention, the group of patients with high risk for postpartum hemorrhage and multiple births increased the rate of postpartum hemorrhage by 5.833 and 8.735, respectively, with p < 0.05. There was a relationship between the decrease in Hb and the volume of anemia before birth and the measures preventing preterm birth. With the linear regression equation: Y = 2.249X₁ – 0.191X₂ + ɛ, in which X₁ was the volume of anemia before birth, X₂ was the use of 2 or more preventive measures. Conclusion: The rate of postpartum hemorrhage in the group of high-risk pregnant women giving birth at the Department of Obstetrics and Gynecology, Hai Phong Medicine University Hospital was 3.1%. Prevention of postpartum hemorrhage in pregnant women at risk reduces the blood volume loss during birth and reduces the impact of risk factors on the amount of blood loss during birth.