新产程管理在产科中的应用效果  

The application effect of the new labor management in obtetrics

作　　者：戴黎华 蒋冰 李红 DAI Lihua;JIANG Bing;LI Hong(Obstetrics and Gynecology of the Third Hospital of Nanchang Jiangxi Nanchang 330009,China)

机构地区：[1]江西省南昌市第三医院妇产科,南昌330009

出　　处：《江西医药》2018年第7期663-666,共4页Jiangxi Medical Journal

摘　　要：目的探讨新产程管理在产科中的应用效果。方法选择2015年1-2月我院实行新产程管理的100例产妇为研究组,并选择2014年1-2月在我院以旧产程标准(Friedman产程标准)管理的100例产妇为对照组,比较2组产妇的分娩方式、产程时间、产科干预及母婴并发症的发生率。结果两组的阴道分娩率、中转剖宫产率差异有统计学意义(P<0.05)。两组产妇因胎儿宫内窘迫行剖宫产术的比例比较,差异无统计学意义(P>0.05)。研究组的第一产程和总产程时间均明显长于较对照组(P<0.05);两组的第二产程、第三产程时间比较,差异无统计学意义(P>0.05)。两组产妇的新生儿出生体重、新生儿窒息及新生儿转NICU治疗的比例比较,差异无统计学意义(P>0.05)。两组产妇产后发热、产后出血、宫颈裂伤的比例比较,差异无统计学意义(P>0.05)。产程干预方面:研究组的人工破膜、催产素点滴比例低于对照组(P<0.05),两组的分娩镇痛率比较,差异无统计学意义(P>0.05)。结论新产程给予产妇更充裕的时间进行阴道分娩,在分娩过程中减少了产程的干预,减少了催产素的使用,减少了人工破膜术。研究组并未增加产妇及新生儿的风险,降低了剖宫产率。陪伴分娩及新产程管理的产科管理新模式有助于提高产科质量,降低剖宫产率。Objective To explore the application effect of the new labor management in obtetrics. Methods In 1-2 months of 2015,100 parturients were selected as the study group, and 100 parturients administered in our hospital in 1-2 months of 2014 with the old standard of obsession （Friedman standard of birth process） were selected as the control group. The delivery mode, birth process time, obstetric intervention and the incidence of mother and baby complications were compared in the 2 groups. Results there was a significant difference in vaginal delivery rate and transit cesarean section rate between the two groups （P〈0.05）. There was no significant difference in the proportion of cesarean section between two groups of women due to intrauterine fetal distress （P〉0.05）. The first and total duration of labor in the study group were significantly longer than those in the control group （P〈0.05）, and there was no significant difference in the second and third stage of labor time between the two groups （P〉0.05）. There was no significant difference in birth weight, asphyxia neonatorum and neonatal NICU conversion between the two groups （P〉0.05）. There was no significant difference in the proportion of puerperal fever, postpartum hemorrhage and cervical laceration between the two groups （P〉0.05）. In the field of labor intervention, the proportion of artificial membrane and oxytocin in the study group was lower than that of the control group（P〈0.05）. There was no significant difference in the rate of labor analgesia in the two groups （P〉0.05）. Conclusion the new process of labor gives puerpera more time for vaginal delivery, reduces the intervention of labor process during delivery, reduces the use of oxytocin, and reduces the artificial membrane breaking. The study group did not increase the risk of parturients and neonates, and reduced the rate of cesarean section. The new mode of 0bstetrics management to accompany childbirth and new labor management helps to improve th

关 键 词：产程管理 陪伴分娩 产程干预 剖宫产 阴道分娩 新生儿窒息 

分 类 号：R714.3[医药卫生—妇产科学]