以家庭为中心的产科服务新模式的临床效果评价

目的:评价以家庭为中心的产科服务新模式(FCMC)的临床效果。方法:选择完全采用FCMC模式的产妇320例为研究组,按照传统产科服务模式进行分娩的产妇3613例为对照组,比较两组产妇的分娩情况和母乳喂养成功率。结果:研究组阴道分娩成功率和母乳喂养成功率明显高于对照组(P<0.05);研究组产程中社会因素剖宫产率、急产率和新生儿窒息发生率均明显低于对照组(P<0.05);研究组初产妇第一产程、第二产程、总产程、经产妇总产程均明显短于对照组(P<0.05)。结论:FCMC模式对降低难产率和提高产科质量均有积极作用。

Evaluation of clinical effect of the new pattern of family-centered maternal care

Objective:To evaluate the clinical effect of the new pattern of family-centered maternal care (FCMC).Methods:320 pregnant women receiving FCMC and 3 613 pregnant women receiving traditional pattern of maternal care were selected and regarded as study group and control group, respectively,the information about delivery and the successful breast feeding rate were compared between the two groups.Results:The success rates of vaginal delivery and breast feeding in study group were significantly higher than those in control group (P<0.05).Cesarean section rate caused by social factors during labor, the rates of precipitate labor and neonatal asphyxia in study group were lower than those in control group (P<0.05).The first, second and total labor times of primipara and the total labor time of multipara in study group were shorter than those in control group (P<0.05).Conclusion:FCMC may reduce the incidence of dystocia and improve the quality of obstetrical services.