新旧产程标准对分娩的影响

目的:探讨新旧产程不同处理标准对分娩结局的影响。方法:选取初产妇105例,均按Friedman旧产程图显示第一或第二产程异常;随机分为观察组53例和对照组52例。对照组继续按旧产程标准处理产程;观察组按新产程标准及处理专家共识(2014)处理产程。比较2组产妇产程干预、分娩方式、产后出血和新生儿分娩结局情况。结果:观察组产妇剖宫产率明显低于对照组,而自然分娩率显著高于对照组(P <0.01)。2组产妇人工干预率和产后出血率及新生儿窒息率差异均无统计学意义(P >0.05)。结论:新的产程处理可提高自然分娩率,大大降低剖宫产率,且分娩并发症无明显增加。

The effect of new and old labor standards on delivery

Objective:To explore the effects of the old and new labor standards on delivery outcome. Methods:One hundred and five primipara with the first or second abnormal delivery according to the old Friedman partogram were randomly divided into the observation group(53 cases) and control group(52 cases). The control group were continually treated with the old labor standards,the observation group were treated with the new labor standards ( 2014 ) . The labor intervention, delivery mode, postpartum hemorrhage and neonatal outcome between two groups were compared. Results:The rates of cesarean section and natural childbirth in observation group were significantly lower and higher than that in control group,respectively(P<0. 01). The differences of the rates of intervention,postpartum hemorrhage and neonatal asphyxia between two groups were not statistically significant(P >0. 05). Conclusions:The new labor standards treatment can improve the natural birth rate, significantly reduce the cesarean section rate and do not increase the complication.