宫腔纱条填塞术在剖宫产术中出血的应用

目的:探讨预防和减少产后出血的有效方法.方法:采用回顾性分析方法对5年间易引起产后出血的病例进行分析和总结.结果:宫腔填塞术的实施使产后出血率降低至4.6%.无一例切除子宫.结论:宫腔填塞在预防产后出血中有重要的临床意义.     

剖宫产术后晚期产后出血22例分析

目的:探讨造成剖宫产术后晚期产后出血原因及预防方法.方法:通过收集近5年来在我院产科发生及由下级医院转来的剖宫产术后晚期产后出血22例临床病历进行回顾性综合分析.结果:因剖宫产术后子宫切口坏死、感染、部分裂开20例,合并胎盘胎膜残留1例,合并产后子宫收缩乏力1例,其中15例切口裂开位于子宫切口角部,5例位于子宫切口中央,13例行全子宫切除术,4例行子宫次全切除术,保守治疗5例.22例患者均治愈.结论:对于剖宫产术后晚期出血,重在预防,应防治结合.     

产后出血的护理心得

笔者对我院住院的11例产后大出血达600ml以上产妇临床资料进行了分析。结果显示:子宫收缩乏力是引起产后出血的首要原因。出血量超过1300ml以上,会严重危及产妇的生命。因此做好产后大出血的预防、监测是护理工作的关键。     

Visualizing Motherhood: A Photo Intervention

This article describes a simple, yet powerful postpartum intervention. The clinician gives each mother an instant photo taken of her with her newborn in the hospital a few hours or days after birth. For mothers, the photo becomes a snapshot-in-time to mark this memorable event. For clinicians, it represents a way to enhance an understanding of the mother with her newborn and facilitate the emotional connections between them.     

Self-Efficacy and Postpartum Depression Teaching Behaviors of Hospital-Based Perinatal Nurses

Based upon the Self-Efficacy Theory, this study examined the relationship between self-efficacy, self-efficacy-related variables, and postpartum depression teaching behaviors of hospital-based perinatal nurses. Findings revealed that teaching new mothers about postpartum depression is related to a perinatal nurse's self-efficacy in postpartum-depression teaching, self-esteem, and the following self-efficacy-related variables: social persuasion (supervisor's expectations for teaching); mastery (postpartum depression continuing education and teaching experience); and vicarious experience (observing other nurses teach new mothers about postpartum depression). Teaching new mothers about postpartum depression can assist mothers in overcoming barriers to depression treatment. Nurse educators and managers play an important role in encouraging postpartum depression education for perinatal nurses.     

“羊水栓塞”抢救1例分析

羊水栓塞为产科急症,可并发DIC引起产后出血。术前应常规备血以抢救失血性休克;当出血较多时可输血浆或冷沉淀纠正凝血因子的缺乏以及时抢救患者的生命。     

Deconstruction Junction: How to Separate the Good Evidence From the Bad (From the Ugly)

In this column, the author reprises recent selections from the Lamaze International research blog, Science & Sensibility. Each selection discusses a new study that demonstrates the need to look closely at research articles to avoid being misled. Examples include new research on the effectiveness of intrapartum antibiotics for preventing early onset Group B streptococcal disease in newborns, a recent study on the incidence of infection after cesarean surgery and vaginal birth, and a new study demonstrating long-term benefits of skin-to-skin contact between the mother and infant after birth.     

Major Survey Findings of Listening to MothersSM III: Pregnancy and Birth: Report of the Third National U.S. Survey of Women’s Childbearing Experiences

To understand the experiences and views of childbearing women in the United States and trends over time, Childbirth Connection carried out the third national Listening to Mothers survey among 2,400 women who gave birth in U.S. hospitals to a single baby from mid-2011 to mid-2012 and could participate in English. Harris Interactive conducted the survey using a validated methodology that includes data weighting to ensure that results closely reflect the target population. Results of the initial survey describe experiences from before pregnancy through the early postpartum period, and were reported in Listening to Mothers III: Pregnancy and Birth. A follow-up survey directed to the same participants explored postpartum experiences, attitudes about maternity care, and some additional pregnancy and birth items.