摘要
目的 分析新产程标准实施对阴道助产、中转剖宫产、母婴结局的影响.方法 140例初产妇,按照随机平行分组方法分为甲组与乙组,每组70例.甲组接受新产程标准管理产程,乙组接受传统产程Friedman标准管理产程.比较两组阴道助产、中转剖宫产情况以及母婴结局.结果 甲组阴道助产率、中转剖宫产率分别为4.29%、11.43%,均低于乙组的17.14%、24.29%,差异具有统计学意义(P<0.05).两组产后出血、新生儿窒息发生率比较差异无统计学意义(P>0.05).结论 实行新产程标准管理产程,有助于降低阴道助产率和中转剖宫产率,改善母婴结局,具有重要的临床应用和推广价值.
Objective To analyze the effect of new obstetrics labor standard on vaginal midwifery,conversion to cesarean section and maternal and child outcomes.Methods A total of 140 primiparas were divided into group A and group B according to random parallel grouping method,with 70 cases in each group.Group A received new obstetrics labor standard for management of birth process,and group B received traditional obstetrics labor Friedman standard for management of birth process.The vaginal midwifery,conversion to cesarean section and maternal and child outcomes in two groups was compared.Results The vaginal midwifery,conversion to cesarean section were 4.29%and 11.43%respectively in group A,which was lower than 17.14%and 24.29%in group B,and the difference was statistically significant(P<0.05).There was no statistically significant difference in incidence of postpartum hemorrhage and neonatal asphyxia between the two groups(P>0.05).Conclusion New obstetrics labor standard is helpful to reduce vaginal delivery rate and cesarean section conversion rate,improve maternal and infant outcomes.It has important clinical application and promotion value.
作者
张伟强
ZHANG Wei-qiang(Guangzhou Women’s and Children’s Medical Center,Guangzhou 510623,China)
出处
《中国实用医药》
2019年第30期25-26,共2页
China Practical Medicine
关键词
新产程标准
助产
中转剖宫产
母婴结局
影响
New obstetrics labor standard
Midwifery
Conversion to cesarean section
Maternal and child outcomes
Effect
