水中分娩的医院感染控制措施及效果  

The study about the measures and the effects to control hospital infection for laboring in the water

作　　者：钱夏柳[1] 梅志雄[1] 詹泽森 

机构地区：[1]中山大学附属第三医院产科,广州510630

出　　处：《当代护士（中旬刊）》2016年第8期109-111,共3页Modern Nurse

摘　　要：目的探讨水中分娩医院感染的控制措施及效果。方法分娩池使用前后用2%的消佳净消毒,加强入水产妇及入水物品的管理,分娩池表面及入水口处过滤水每季度作细菌培养;对本院2013年10月至2014年6月水中分娩40例产妇与同期非水中、自然分娩产妇45例进行回顾性分析。结果 3份入水口处水样细菌培养阴性,池表面检测样本18份中有6份细菌菌落数为1cfu/cm^2,12份未检测到细菌;水中分娩组无母婴感染,水中分娩组与非水中分娩组分娩前后白细胞计数差异无统计学意义(P>0.05)。结论分娩池的水质是安全的,水中分娩感染控制的关键措施是分娩池的消毒、入水产妇的管理以及入水物品的清洁。Objectives To explore the effect of the measures to control hospital infection for laboring in the water. Methods Puerperas la- boring in the water with the number of 40 from October 2013 to June 2014 were treatment group which treated by disinfecting birth pools before and after using with 2% Xiaojiajing, strengthening the puerperas and goods management, making bacterial culture from the surface and the in- let water of birth pools every quarter. Puerperas laboring in routing way with the number of 45 from October 2013 to June 2014 were the control group. Analysed these 2 groups retrospectively. Results There were 3 negative water samples of the inlet. The number of bacterial colonies were l cfu/cm2 of 6 samples from the surface of birth pools, and 16 samples from the surface of birth pools were detected without bacterium. No mother -to -child infection was found in the water birth group, and the white blood cells count between the 2 groups were not different（ P 〉 O. 05 ）. Conclusions The water of the birth pool is safe and harmless. The crucial measures of infection control for laboring in the water is the disinfection of birth pools and strengthening the puerperas and goods management.

关 键 词：水中分娩 感染控制 母婴感染 

分 类 号：R473.71[医药卫生—护理学]