新产程标准对孕产妇分娩方式和母婴结局的影响

目的 探讨新产程标准管理对孕产妇分娩方式和母婴结局的影响.方法 选取2015年1至6月唐县人民医院(保定市第四中心医院)收治的500例单胎头位阴道分娩及中转剖宫产产妇设为对照组,另选取2018年1至6月收治的500例单胎头位阴道分娩及中转剖宫产产妇设为观察组.分析对比两组产后出血率、产妇发热率、新生儿窒息率、NICU入...

The effect of new labor process standard on delivery mode and maternal and infant outcome

Objective To explore the effect of new standard management of labor process on delivery mode and maternal and infant outcome.Methods 500 cases of single-fetal head vaginal delivery and intermediate cesarean delivery admitted to Tangxian People′s Hospital(Baoding Fourth People′s Hospital)from January to June 2015 were selected as the control group,and another 500 cases from January to June 2018 as the observation group.The postpartum hemorrhage rate,maternal febrile rate,neonatal asphyxia rate,NICU occupancy rate,forceps assisted rate,intermediate cesarean section rate and transit cesarean section indications were analyzed and compared between the two groups.Results The natural delivery rate of the observation group was significantly higher than that of the control group,the rate of conversion to cesarean section and forceps delivery were significantly lower than those of the control group,the differences were statistically significant(P<0.05).The incidences of fetal distress,relative cephalopelvic disproportion,climacteric arrest and prolonged latency in the observation group were significantly lower than those in the control group(P<0.05).The maternal fever rate and NICU occupancy rate of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05);there was no significant difference in the incidence of postpartum hemorrhage and neonatal asphyxia between the two groups(P>0.05).Conclusions The new labor standard provides appropriate extension of labor time,giving puerpera more sufficient opportunity for trial labor,which promotes vaginal delivery and reduces the rate of cesarean section to a certain extent,and does not increase the adverse outcomes of mother and child.