产后母亲产后出血的影响因素

Ria Gustiani, Farida Kartini
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摘要

背景:产后出血一般定义为阴道分娩后体内出血500毫升或剖宫产后出血1000毫升。据估计,每年有14万名母亲死于PPH,全世界每4分钟就有1人死于PPH。据世卫组织统计,99%的孕产妇死亡发生在发展中国家,原因是产后出血。根据2020年获得的数据,印度尼西亚的产妇死亡率为每10万例活产305例。目的:在前人研究成果的基础上,探讨影响产后母亲出血发生的因素。方法:使用数据库谷歌Schoolar、PubMed和ProQuest进行范围审查。在文献检索中使用的关键词是“因素”,“产后出血”,“产妇”。检索结果为7篇符合标准的文章。采用The Joana Briggs Institute和PEOS修饰的综合方法对7篇文献进行分析。结果:在99篇有相关标题和摘要的文献中,有7篇符合纳入和排除标准。发现了四个因素,分别是;会阴撕裂,贫血,胎盘并发症,子宫张力,影响产后出血的母亲。结论:影响产后出血发生最常见的因素有产道撕裂、贫血因素、胎盘并发症和子宫张力不全。这些因素可引起并不断增加出血,从而导致产妇死亡率。
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FACTORS AFFECTING POSTPARTUM HAEMORRHAGE ON POSTPARTUM MOTHER
Background: Postpartum haemorrhage in general is defined as blood loss from the body in the amount of 500 ml after vaginal delivery or 1000 ml after cesarian section. Every year it is estimated that there are 140.000 mother’s death caused by PPH or every 4 minutes 1 death occurs worldwide caused by PPH.  According to WHO 99% of all maternal deaths occur in developing countries due to postpartum hemorrhage. Based on data obtained in 2020, the MMR in Indonesia is 305 per 100,000 live births.Purpose: to find out the factors affecting haemorrhage occurrence on postpartum mother based on the results of previous research.Method: Scoping review using databases: Google Schoolar, PubMed, and ProQuest. The keywords used in the literature search are “Factor”, “Postpartum haemorrhage”, “maternity”. The searching results were 7 articles which fulfilled the criteria. The 7 articles then were analyzed by using The Joana Briggs Institute and synthesis method using PEOS modificationResults: Out of 99 articles with relevant title and abstract, obtained 7 articles which fulfilled the inclusion and exclusion criteria. Four factors were found, which are; perineal tear, anemia, placental complications, and uterine atony which affects the haemorrhage on postpartum mother.Conclusion: There are four most frequent factors occurring which affect the occurrence of postpartum haemorrhage namely birth canal tear, anemia factor, placental complication, and uterine atony. Those factors can cause and continuously increase haemorrhage which can lead to maternal mortality rate. 
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