[Analysis of 18 cases of postpartum haemorrhagic shock in pregnancy with virus hepatitis].
In this article, 147 pregnancies with virus hepatitis admitted to our hospital from Dec 1987 to Jun 1991 were studied. The incidences of postpartum haemorrhage and haemorrhagic shock were 36.05% and 12.24% respectively, and were related to the clinical classification of the hepatitis, with a difference of high significance (P less than 0.01). Analysis of the clinical manifestations and results of the blood tests in 18 cases of shock suggested that the main cause of shock was hepatitis resulting in injury of the liver and thus absence of clotting factors increasing postpartum haemorrhage. Therefore, emphases on antenatal care by keeping the women under the monitoring by obstetrician and physician together. Replenishing clotting factors, rectifying clotting defects; preventing acute hepatitis from proceeding to severe hepatitis and pregnancy-induced hypertension are keys to treat antenatal hepatitis. Close intrapartum care and shortening the duration of labor, especially the third stage, are important to reduce postpartum haemorrhagic and prevent occurrence of haemorrhagic shock.
Xu
H
H
Communicable Disease Hospital, Tianjin.
D000328:Adult; D002353:Carrier State; D005260:Female; D006525:Hepatitis, Viral, Human / Q000150:complications*; D006801:Humans; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000517:prevention & control*