RESUMEN
Objective To investigate the effect of romethamine injection combined with uterine filling in the treatment of postpartum hemorrhage of preplacental cesarean section .Methods From May 2014 to March 2017 , 100 cases of placenta previa cesarean section postpartum hemorrhage in Jiande Maternal and Child Health Care Hospital Obstetrics and Gynecology were selected as the research objects , and they were randomly divided into observation group and control group according to the digital table ,with 50 cases in each group .The observation group received romethamine injection combined with uterine filling treatment ,the control group received oxytocin combined with uterine cavity filling treatment .The clinical curative effect of the two groups was compared .Results The blood loss during delivery between the two groups had no statistically significant difference ( t =1.335, P >0.05 ). Postpartum 2h and 24h,the blood loss of the observation group were significantly lower than those of the control group [(657.58 ±63.21)mL vs.(875.23 ±65.42)mL,(712.52 ±64.32)mLvs.(958.12 ±74.66)mL],the differences between the two groups were statistically significant (t=8.265,11.356,all P<0.05).Before and after treatment,the heart rate , blood pressure and blood oxygen saturation between the two groups had no statistically significant differences ( t =3.255, 2.365, 3.255, 2.365, t =3.365, 2.658, 4.365, 1.654, all P >0.05 ). Conclusion Romethamine injection combined with uterine filling in the treatment of postpartum hemorrhage of preplacental cesarean section has significant effect ,it is worthy of application .
RESUMEN
Objective To investigate delivery mode of uterine scar pregnancy and analyze the safety of vagi-nal delivery.Methods 210 delivery women with scar uterus after cesarean section and 85 delivery women with non -scar uterus vaginal delivery of maternal selection were collected.According to the different ways of delivery,the preg-nant women in the scar group were divided into A group (72 cases)and B group (138 cases).Delivery outcome, maternal complications and average hospitalization time between the two groups were compared.Results 72 cases of maternal vaginal delivery in scar A group was successful and smooth vaginal delivery in 64 cases,and success rate was 88.89%(64 /72).8 patients maternal modified cesarean section production,accounted for 11.11%(8 /72),including 3 cases of persistent occiput posterior position,2 cases of social factors give up vaginal delivery,2 cases fetal distress, 1 case for incomplete rupture of uterus.138 cases delivery women in scar B group successfully obtained the cesarean section.100 cases of delivery women in non scar group,91 cases successfully got vaginal delivery,and the success rate was 91.00% (91 /100).Another 9 cases of delivery women were replaced with caesarean birth[9.00%(9 /100)],of which 3 cases of fetal distress,2 cases for fetal macrosomia,2 cases of persistent occiput transverse position,2 cases as social factors give up of vaginal delivery.Scar in group A maternal average hospitalization time was significantly shor-ter than scar in group B,and mean postpartum hemorrhage was significantly increased than scar in group B,and the differences were statistically significant (t =15.87,26.32,all P 0.05). The maternal average hospitalization time,mean postpartum hemorrhage,postpartum hemorrhage and incidence rate of neonatal asphyxia between scar group A and non scar group had no significant differences (χ2 =0.88,1.30,1.03, 0.00,all P >0.05).Conclusion When choosing vaginal delivery in scar uterus again pregnancy,we should strictly grasp cesarean section pregnancy after vaginal delivery of the indications.Under strict monitoring,the safety of vaginal delivery was high.It was worth of clinical promotion.