阴道分娩后胎盘因素性产后出血的处理与思考OA北大核心CSTPCD

Postpartum hemorrhage remains a global issue,accounting for nearly one-fourth of maternal mortality causes.Uterine atony has always been the primary cause of postpartum hemorrhage,but in recent years,with changes in the spectrum of maternal co-morbidities,an increase in maternal age at childbirth,increased use of assisted reproductive technologies,and a rise in uterine procedures,postpartum hemor-rhage due to placental factors has shown an upward trend.Among these factors,retained placenta in the third stage of labor is a crucial clinical concern for postpartum hemorrhage following vaginal delivery.If improperly managed,it may lead to severe postpartum hemorrhage,multi-organ dysfunction,and even ma-ternal death.This article explores the identification and proper management of the causes of retained placenta,proposing directions for future research.