第三产程处理不当,往往造成失血过多。目前,国外很多产科中心已废弃传统的方法,即不用宫缩剂.等待胎盘剥离征象出现再行处理,而是趋向于积极对待.改良 Brandt-Andrews 法是推荐最多的一种加速胎盘娩出的手法,甚至被列为预防产后出血的积极措施。我院于1979年10月起试用此法积极处理第三产程,效果良好,现报告于下。操作方法参考国外资料,予以改良,我们按照下列步骤处理第三产程:1.于胎儿前肩娩出后,立即静脉注射宫缩剂。一般都用麦角新硷0.2毫克,高血压者改用催产素10单位+生理盐水4毫升。 Improper handling of the third stage of labor often results in excessive blood loss. At present, many obstetric centers abroad have abandoned the traditional method, that is, no contractions.Wait for signs of placental detachment appear again, but tend to be positive.Improved Brandt-Andrews method is the most recommended one to accelerate the delivery of the placenta , And even as a positive measure to prevent postpartum hemorrhage. Our hospital in October 1979 to try this method to actively deal with the third stage of labor, the effect is good, the report is now under. Reference to foreign methods of operation, to be improved, we follow the following steps to deal with the third stage of labor: 1. In the fetus after the shoulder was delivered immediately after intravenous injection of uterotonics. General use ergot new alkali 0.2 mg, hypertensive patients to oxytocin 10 units + saline 4 ml.