SUN Rongrong,ZHANG Wenmiao,XIAO Biru, et al. Analysis of factors affecting the uterine atony which isn’t sensitive to uterotonic agents in cesarean section[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(12): 910-913.
Abstract：Objective: The purpose of this article was to identify risk factors and etiologiesleading to the uterine atony which wasn’t sensitive to uterotonic agents in cesarean section. Methods: The information of 705 patients who underwent caesarean delivery were collected between January 2014 and July 2016, who were divided into two groups based on the sensitivity of the uterotonic agents. Patients who were insensitive to uterotonic agents named group A (n=84, and the others named group B, n=621). Risk factors and etiologies for the uterine atony which wasn’t sensitive to uterotonic agents were explored using univariate and multivariate logistic regression analyses. Results: Multiple pregnancy (OR=6.495, 95%CI=3.801-11.098), adherent placenta (OR=2.865, 95%CI=1.595-5.144), placenta praevia (OR=4.096, 95%CI=1.912-8.660), general anesthesia (OR=1.470, 95%CI=1.198-1.803) were independently associated with the uterine atony which wasn’t sensitive to uterotonic agents. Conclusion: Multiple pregnancy, adherent placenta, placenta praevia and general anesthesia are the related factors of the uterine atony which isn’t sensitive to uterotonic agents should be pay attention to, we should take positive measures for the prevention and treatment.
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