新产程标准实施后产程中剖宫产指征的变化及妊娠结局观察

目的：分析新产程标准实施后产程中剖宫产指征的变化及妊娠结局。方法：选取我院待产的产妇120例，将所有产妇随机分为两组，各60例。对照组为原产程中自然分娩转剖宫产产妇，观察组为新产程实施后自然分娩转剖宫产产妇，分析比较两组剖宫产指征变化及妊娠结局。结果观察组潜伏期延长、活跃期停滞指征低于对照组，相对头盆不称指征高于对照组，差异显著（P＜0．05）。结论：新产程标准实施可最大限度的给予产妇时间试产，有利于进行阴道分娩，降低剖宫产发生率，但由于试产时间较长，容易引发产后出血，在临床试产过程中需注意观察产妇情况。

Observation on Changes of Cesarean Section Indications and Pregnancy Outcomes after the Criteria of New Labor Applied

Objective:To analyze the changes of cesarean section indications and outcomes of pregnancy after the criteria of new labor applied.Meth-ods:120 cases of the maternal awaiting delivery in the hospital were randomly divided into two groups,60 cases in each.Control group included the maternal who transferred from natural delivery to cesarean section in previous labor,and observation group included the maternal who transferred from natural delivery to cesarean section after new labor applied.The changes of cesarean section indications and outcomes of pregnancy of two groups were compared and analyzed.Results:The indications of prolonged latent phase and protracted active phase in observation group were statistically lower than those in control group,while indication of relative cephalopelvic disproportion was statistically higher than control group (P<0.05).Conclusion:The application of the criteria of new labor can maximally give the maternal time to trial-produce,which is beneficial to vaginal delivery and decrease the incidence of cesarean section.Longer trail-production time could easily lead to postpartum hemorrhage,so that maternal situations should be ob-served in clinical trial-production process.