Postpartum hemorrhage
Conditions
Interventions
Modified uterine compression group:Shijiazhuang uterine compression method was used to stop bleeding
Control group:The midwife holds the lower part of the uterus with one hand to close the internal opening, and the other person squeezes the uterine body and fundus vertically on the side of the woman'
Sponsors
The Fourth Hospital of Shijiazhuang
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: For singleton mothers who gave birth in Shijiazhuang Obstetrics and Gynecology Hospital, the management of the first, second and third stages of postpartum hemorrhage was carried out according to the routine of our hospital. After the fetus is delivered, a blood collection bag with a volume scale is placed under the woman's buttocks. Modified uterine compression is initiated when any of the following signs are present: 1. The blood bag under the buttocks shows that the amount of bleeding is up to 400ml; 2. Visual inspection showed that the amount of blood loss was up to 400ml; 3. Rapid vaginal bleeding, large blood clots discharged from the uterine cavity, or changes in vital signs indicate severe bleeding.
Exclusion criteria
Exclusion criteria: 1. Pregnant women with chronic hypertension or gestational hypertension; 2. Women who have not been given labor analgesia; 3. Pregnant women with mental illness; 4. Scarred uterine vaginal delivery; 5. Parturients with ovarian cysts; 6. Other women who cannot tolerate abdominal compression.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The blood volume after delivery for 2 hours;The blood volume after delivery for 1 hour; | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood transfusion;Blood transfusion(because of postpartum hemorrhage);Total blood volume after delivery;Various uterotonics, tranexamic acid dosage;Uterine packing (balloon or gauze);Intervention operation ;laparotomy;hysterectomy;maternal death;Admission to ICU or transfer to a higher-level hospital;Hemoglobin and hematocrit at 24, 48, and 72 hours after delivery; | — |
Countries
China
Contacts
Public ContactHui Du
The Fourth Hospital of Shijiazhuang
Outcome results
None listed