提高剖宫产术后再次妊娠阴道试产率

目的 提高剖宫产术后再次妊娠阴道试产(TOLAC)率。方法 开展问题解决型品管圈活动：通过现状调查与原因解析，确定问题真因为宣教形式单一、缺乏专科咨询通道、担心并发症、缺乏TOLAC孕妇评估体系、缺乏TOLAC管理平台、没有阴道分娩经验；提出多项改进措施并实施，包括建立多维度宣传模式、提供优质的TOLAC母婴安全保障服务、优化全孕期TOLAC管理模式、构建“4+1”联动TOLAC互联网+体系等。结果 TOLAC率由活动前的8.33%提高到活动后的13.71%,达成了活动目标。结论 开展品管圈活动可以持续改进TOLAC管理，提高TOLAC率，促进自然分娩，并确保母婴安全。

To Improve the Rate of Trial of Labor after Cesarean

ObjectiveTo improve the rate of trial of labor after cesarean (TOLAC) in patients.MethodsThe problem-solving quality control circle activities were carried out. Through the status investigation and cause analysis, it was determined that the problem was caused by "single form of education", "lack of specialist consultation channel", "worry about complications", "lack of TOLAC pregnant women evaluation system", "lack of TOLAC management platform" and "lack of vaginal delivery experience". A number of improvement measures were put forward and implemented, including "establishing a multi-dimensional publicity mode", "providing high-quality TOLAC maternal and child safety protection services", "optimizing TOLAC management mode during the whole pregnancy", and "building a "4+1" connected TOLAC Internet + system". ResultsTOLAC rate increased from 8.33% before the activity to 13.71% after the activity, achieving the activity goal.Conclusion Carrying out quality control circle activities can continuously improve TOLAC management, increase TOLAC rate, promote natural delivery, and ensure the safety of mother and child.