新旧产程标准应用对分娩及母婴结局的比较  

Comparison of the application of new and old labor process standards on delivery and maternal and infant outcomes

作　　者：张茜[1] 范裕如[1] 芮璨[1] 乌兰 Zhang Qian;Fan Yuru;Rui Can;Wu Lan(The Women's Hospital of Nanjing Medical University(Nanjing Maternal and Child Health Care Hospital),Nanjing,Jiangsu 210011)

机构地区：[1]南京医科大学附属妇产医院(南京市妇幼保健医院),江苏南京210011

出　　处：《基层医学论坛》2023年第26期12-15,共4页The Medical Forum

摘　　要：目的探讨使用新旧产程标准对分娩结果及母婴结局的影响,发现在应用新产程标准过程中需要关注的重点。方法选取南京医科大学附属妇产医院(南京市妇幼保健医院)2020年9月1—30日720例应用新产程标准的孕妇为观察组2019年9月1—30日1007例应用旧产程标准的孕妇为对照组。对比2组孕产妇产程时间、中转剖宫产指征、产程中的处理方式及母婴结局。结果观察组因潜伏期延长而中转剖宫产的比率较对照组明显减少(P<0.01)。观察组中第一产程、第二产程均长于对照组,其中观察组潜伏期较对照组长,活跃期较对照组短(P<0.05);观察组阴道检查的次数少于对照组(P<0.01)。观察组的产后出血率较对照组多(P<0.05)。观察组中新生儿入新生儿重症监护室的比例较对照组多(P<0.05)。结论新产程标准应用放宽了孕妇阴道试产的时间,降低了潜伏期中转剖宫产的概率,但产后出血的安全性仍需进一步探讨。Objective Explore the influence of applied new partogram for delivery and their pregnancy outcomes and discuss the key points need to pay attention to in the new partogram.Methods A total of 720 pregnant women using the new partogram for delivery from September 1st to September 30th,2020 in the Women's Hospital of Nanjing Medical Universting Nanjing Meternal and Child Health Care Hospital were selected as the observation group.A total of 1007 pregnant women using the old partogram for delivery from September 1st to September 30th,2019 in our hospital were selected as the control group.The duration of labor,indication of Cesarean Section,management and outcome of mother and infant were compared between the two groups.Results The incidence of caesarean section because of the prolonged incubation period in observation group was obviously lower than that in control group(P<0.01).The first stage of labor and the second stage of labor in the observation group were longer than those in the control group.The latent period in the observation group was longer than that in the control group.The active phase in the observation group was shorter than that in the control group(P<0.05).The frequency of vaginal examination in the control group was more than that in the observation group(P<0.01).The number of postpartum hemorrhage in the observation group was more than that in the control group(P<0.05).The neonatal hospitalization rate in the control group was less than that in the observation group(P<0.05).Conclusions The application of the new partogram has extended the duration of vaginal trial labor and reduced the chance of caesarean delivery in the incubation period.However the postpartum hemorr-hage rate and the neonatal hospitalization rate increased in the new partogram.Therefore,we need to strengthen the supervision of the new partogram as well as actively deal with abnormal situation in delivery to prevent the happening of the postpartum hemorrhage.

关 键 词：新旧产程标准 分娩 母婴结局 

分 类 号：R714.3[医药卫生—妇产科学]