Abstract:

Postpartum hemorrhage is the leading cause of maternal death in China. The main factors leading to postpartum hemorrhage are uterine atony, genital tract trauma, placental factors, anemia and coagulation dysfunction. In recent years, due to the adjustment of China′s birth policy, the average age of pregnant women has gradually increased, and the incidence and severity of postpartum hemorrhage are also on the rise. Medical institutions should identify postpartum hemorrhage according to the actual situation of the parturient, pay attention to the analysis of the causes of postpartum hemorrhage, take timely prevention and effective countermeasures, and then formulate individualized treatment strategies, maintain the stability of maternal hemodynamics, promote uterine contraction, perform appropriate surgical operations and blood infusion, and drugs such as tranexamic acid, recombinant human activating factor Ⅶ and fibrinogen should be used when necessary to improve hemostasis, so that the patients can receive timely and effective treatment, then reduce bleeding-related mortality, and improve the quality of life of patients in the future.

Key words: Postpartum hemorrhage, Oxytocin, Tranexamic acid, Carboprost tromethamine, Misoprostol, Operation, Blood transfusion, autologous, Therapy