XÁC ĐỊNH MỘT SỐ NGUYÊN NHÂN GÂY CHẢY MÁU SAU ĐẺ TẠI BỆNH VIỆN PHỤ SẢN NAM ĐỊNH

Abstract

Objectives: To determine some causes ofpostpartum hemorrhage (PPH) at Nam Dinh Hospital for Obstetrics and Gynecology. Subjects: All pregnant women diagnosed PPH, receiving blood transfusion treatment at Nam Dinh Hospital for Obstetrics and Gynecology from January 1, 2020 to June 30, 2021, meeting the selection criteria. Results: In 87 cases of PPH with blood transfusion at Nam Dinh Hospital for Obstetrics and Gynecologyfrom January 1, 2020 to the end of June 30, 2021, 64.4% of  PPH due to “uterine atony” and accounted for 84% of the causes of PPH inthe vaginal delivery group; “placenta previa”accounted for 24.1%; “placental abruption” is 5.7%; 4.6% due to “genital tract trauma” and “placenta accreta” accounted for the smallest rate of 1.1%. The time to detect PPH is mainly in the first 2 hours after giving birth, accounting for 82.7%. Conclusion: "Uterine atony" is still the main cause of PPH in women with PPH who received blood transfusion at Nam Dinh Hospital for Obstetrics and Gynecology, with a higher rate of causes of PPH in the vaginal delivery group.PPH is detected early, mainly in the first 2 hours postpartum.