摘要
产后出血是导致孕产妇死亡的主要原因之一,且大部分可预防或者创造条件可预防。近年,随着产后出血诊疗指南的推广,产时预防产后出血方案在防治产后出血已取得一些进展,但产后出血发生率下降趋势减缓,需要将预防的关口移至产前。由于妊娠期生理变化及特点,缺铁性贫血是妊娠期最常见的贫血原因,也是导致产后出血及输血风险增加的常见危险因素。缺铁性贫血可以通过合理补充铁剂进行预防和治疗,但临床诊疗中容易被忽视,本文对妊娠期缺铁性贫血的保健及诊疗策略进行阐述,以引起产科医护人员高度重视,减少产后出血,保障母婴安全。
Postpartum hemorrhage is one of the leading causes of maternal death, most of which are preventable with or without creating certain conditions. Although, in recent years, with the popularization of the guidelines for diagnosis and treatment of postpartum hemorrhage, concrete progress has been made in the prevention and treatment of postpartum hemorrhage during delivery. However, the rate of decrease in postpartum hemorrhage is slowing, and the notion of prevention must be extended to the prenatal period. Iron deficiency anemia is the most prevalent cause of anemia during pregnancy, owing to the physiological changes and features of pregnancy. It is also a major risk factor for postpartum hemorrhage and a higher risk in blood transfusions. Iron deficiency anemia is preventable and treatable with enough iron supplementation. However, it is frequently ignored in clinical diagnosis and therapy. This article aims to describe the health care and diagnosis and treatment strategies of pregnancy-related iron deficiency anemia, in order to reduce postpartum hemorrhage and ensure the safety of mother and baby.
作者
温洁
陈丹青
Jie Wen;Danqing Chen
出处
《中华产科急救电子杂志》
2022年第4期217-221,共5页
Chinese Journal of Obstetric Emergency（Electronic Edition）
关键词
贫血
妊娠
产后出血
Anemia
Pregnancy
Postpartum hemorrhage
