我院妇产科同志包括助产士、医生,将产后出血量作了比较仔细的观察,但限于目前条件,仅能先自产房开始,产妇离开产房后尚缺乏精确之统计。自1959年10月至1960年4月的六个月内,住院产妇共629名,除去病理产科初产妇76名、经产妇82名、共158名外,尚有正常分娩初产妇223名、经产妇248名,共471名。统计方法在胎儿娩出后,胎盘娩出前,阴道如有羊水残余,先使流尽。待见有一小股血开始外流,接产者立即将产包内无菌弯盘置于产妇臀下,保留血液,并准备接胎盘。待第三产程处理毕,将盘内血及胎盘血皆置于量杯内测量,并记录之。接生用的纱布及接生单按污染面积及渗透情况估计血量,亦行记入。外阴消毒单撤去后,仍将弯盘持续置于臀下密与臀沟连接,避免血外溢。产后观察一小时,在回休养室前,轻揉子宫底将残余血块推下,如无异常即回体养室。将此一小时内出血总量算出、记录之。以上记录皆由助产士负责并签名。 Obstetrics and Gynecology in our hospital comrades including midwives, doctors, the amount of postpartum hemorrhage was made a more careful observation, but limited to the current conditions, only from the beginning of maternity ward, maternal leave the delivery room after the lack of accurate statistics. During the six months from October 1959 to April 1960, 629 inpatients were discharged, of whom 76 were primipara of pathology and obstetrics, 82 of whom were maternal and there were 158 primiparous mothers with 223 248 mothers, a total of 471. Statistical Methods After delivery of the fetus, the placenta is delivered before the vagina, if there is amniotic fluid residual, first make the flow of exhaust. To see a small stream of blood began to drain, the recipient immediately placed the sterile bag in the maternity pack placed in the mothers hip, keep the blood, and ready to take the placenta. To be completed after the treatment of the third stage, the blood and placental blood are placed in the measurement cup, and record. Delivery of gauze and delivery of a single pollution area and penetration estimates of blood, also credited. Vulva disinfection after a single withdrawal, will continue to be placed under the hip flexor gluteal connected with the buttocks, to avoid blood spills. Postpartum observation for an hour, before returning to recuperation room, gently rubbing the bottom of the uterus to push the remaining blood clots, without exception, back to the body room. The total amount of bleeding within an hour calculated, recorded. The above records are by the midwife responsible and signed.