Abstract
Objective To explore the influencing factors of uterine atony after cesarean section.Methods A total of 60 parturients with cesarean section admitted to the Department of Obstetrics and Gyne-cology of the Hospital were selected as the research objects from January 2022 to June 2023.The relevant data of parturients were collected,and whether uterine atony occurred after cesarean section was counted.Univari-ate and multivariate logistic regression models were used to analyze and screen the related risk factors affect-ing uterine atony after cesarean section.Results Among the 60 parturients,13 cases of uterine atony after ce-sarean section,the incidence rate was 21.67％.There were statistically significant differences in the proportion of uterine atony after cesarean section among women with different ages,times of abortion,with or without gestational hypertension,placental abnormalities,bad mood,and early maternal-infant contact sucking(P<0.05).There was no significant difference in the proportion of uterine atony after cesarean section among women with different education levels,places of residence,body mass index,fetal gender,neonatal birth weight,and the presence or absence of gestational anemia,gestational diabetes,polyhydramnios,and oxytocin use(P>0.05).Age greater than or equal to 35 years,the number of miscarriages greater than or equal to three,and concomitant gestational hypertension,placental abnormalities and adverse mood were the risk fac-tors for uterine tony after cesarean section,and early maternal and infant contact sucking was a protective fac-tor(β=1.540,1.595,3.018,1.656,1.668,-2.282;OR=4.667,4.926,20.444,5.236,5.304,0.102;95％CI 1.278-17.047,1.329-18.262,2.040-204.900,1.419-19.320,1.398-20.122,0.024-0.427,P<0.05).can prevent the occurrence of uterine atony.Conclusion Uterine atony is easy to occur after cesarean section.The occurrence of uterine atony is the result of many factors,such as age,number of abortions,gestational hypertension,placental abnormalities,bad mood,early maternal and infant contact and sucking.The development of countermeasures for various factors can prevent the occurrence of uterine atony.关键词
子宫收缩乏力/剖宫产术/手术后并发症/影响因素分析Key words
Uterine atony/Cesarean section/Postoperative complications/Analysis of influen-cing factors分类
医药卫生
