CAJ | 학술논문

目的阐明影响产后出血量的相关因素，提高围产期的保健质量。方法对241例孕妇在孕期及产后进行问卷式调查，分娩时测量产后出血量。用相关、方差等统计方法分析。结果影响产后出血量的因素涉及生理病理、心理、社会环境等诸多方面。其中生理病理因素为：①剖官产术，②胎位异常，③腹围过大，④会阴裂伤，⑤胎盘娩出不全；心理因素为：珍贵胎儿，孕期、产时、产后情绪波动；社会环境因素为：孕期使用吸尘器、电话，上班路途远。结论孕期保健的内容，不但应包括生理方面的检查，还要解除其心理负担，指导孕妇的日常生活习惯。
목적천명영향산후출혈량적상관인소，제고위산기적보건질량。방법대241례잉부재잉기급산후진행문권식조사，분면시측양산후출혈량。용상관、방차등통계방법분석。결과영향산후출혈량적인소섭급생리병리、심리、사회배경등제다방면。기중생리병리인소위：①부관산술，②태위이상，③복위과대，④회음렬상，⑤태반면출불전；심리인소위：진귀태인，잉기、산시、산후정서파동；사회배경인소위：잉기사용흡진기、전화，상반로도원。결론잉기보건적내용，불단응포괄생리방면적검사，환요해제기심리부담，지도잉부적일상생활습관。
Objective To elucidate the risk factors associated with the amount of post-partum bleeding for improving the quality of perinatal care. Methods 241 pregnant women were surveyed prospectively by questionnaire before and after labor and the amount of bleeding during labor was measured. Data were analyzed by statistical methods including correlation,F test ,etc. Results Many factors contributed to postpartum bleeding,including physiological factors: Cesarean section,abnormal fetal position ,abdomen in circumference ,perineum laceration ,incomplete placenta expulsion ;psychological factors :an anxious state of mind during pregnancy and labor and after labor ,environmental factors:using dust catcher during pregnancy ,telephone, far way for going to work. Conclusion The contents of care in pregnancy should not only include physical checkup,but also include relieving mental burden and guiding life habit of the pregnant women.