全面两孩政策下产科护理安全隐患分析及对策探讨  

Analysis on potential safety hazard in obstetrics nursing care under the condition of Two-Child policy and its countermeasures

作　　者：席时清[1] 孙境[2] 纪蓓蓓[2] XI Shiqing;SUN Jing;JI Beibei(Department of Nursing,Lianyungang Maternal and Child Health Hospital, Lianyungang, Jiangsu,222006;Department of Obstetrics, Lianyungang Maternal and Child Health Hospital, Lianyungang, Jiangsu,222006)

机构地区：[1]江苏省连云港市妇幼保健院护理部,江苏连云港222006 [2]江苏省连云港市妇幼保健院产科,江苏连云港222006

出　　处：《中西医结合护理（中英文）》2017年第5期54-56,共3页Journal of Clinical Nursing in Practice

摘　　要：目的比较"全面两孩"政策开放前后经产妇妊娠和分娩结局,探讨影响产科护理安全的隐患并提出应对措施。方法选取2016年6月—12月住院分娩的340例经产妇为政策实施后组,另选取2015年6月—12月住院分娩的285例经产妇为政策实施前组。回顾性分析2组经产妇的基本信息,统计第二胎妊娠并发症和分娩结局。结果政策实施后组剖宫产率较政策实施前组提高(P<0.05)。政策实施后组胎膜早破、早产儿、巨大儿及产妇产后出血发生率均高于政策实施前组(P<0.05)。结论现阶段生育第二胎妇女中,高龄、瘢痕子宫再次分娩、不良分娩结局风险增加;需重视产科护理人员队伍建设,做好护士临床工作能力培训,提高专科应急能力;进一步完善产科护理门诊工作,确保母婴安全。Objective To comparing the pregnancy and childbirth outcome of multipara withthe opening on Two-Child policy,and to explore the potential safety hazard in obstetric care.Methods The clinical data of340multipara women from June to December in2016were retrospectivelycollected,as the after-policy group.Another285multipara women from June to Decemberin2015were set as the before-policy group.The pregnancy and childbirth outcome ofmultipara were analyzed and compared between two groups.Results The cesarean section ratewas increased in theafter-policy group compared with those in thebefore-policy group(p<0.05).The rate of premature rupture of membranes,premature infant,macrosomia and postpartumhemorrhage were higher in the after-policy group compared with those in the group(p<0.05).Conclusion There is a potential increase in risk of pregnancy and childbirthoutcome in multipara women under the condition of two-Child policy.It is required to enhance thetraining of obstetric nurses and improve specialist emergency response capacity,in order to ensurematernal and child safety.

关 键 词：经产妇 产科护理 安全隐患 防范对策 全面两孩政策 

分 类 号：R473.71[医药卫生—护理学]