分娩风险分级评分管理对产妇分娩方式的影响

Effect of delivery risk assessment management on ways of delivery

目的探讨分娩风险分级评分和分类分级管理对产妇分娩方式的影响。方法选择2008年4月～2011年9月本院收治的6210例产妇,按照入院的单双月分为对照组3150例和实验组3060例。对照组采用常规的方法对分娩方式进行评估,并实施分娩护理,实验组采用分娩风险分级评分及分类分级管理,同时对产妇进行分娩风险告知,观察两组产妇分娩方式及产程的差异。结果实验组产妇剖宫产率低于对照组,顺产产程短于对照组(均P<0.01)。结论应用分娩风险分级评分、分类分级管理和分娩风险告知,可以降低产妇的剖宫产率,缩短顺产产程,从而提高产房的护理质量。

Objective To investigate the effect of delivery risk assessment on the ways of delivery.Methods 6 210 parturient women during April 2008 to September 2011 were divided into the control group and the experiment group based on the even or odd number of months when they were admitted.In the control group,the routine assessment and nursing methods were used while in the experiment group the delivery risk assessment and gratification management was used and the parturients were notified with the delivery risks.The two groups were compared in view of delivery ways and labor course.Result The caesarean rate in the experiment group was lower than that of the control group（P 0.05） and the labor course significantly shorter than that of the control group（P 0.05）.Conclusion The delivery risk assessment and gratification management as well as risk notification may be helpful for the lowered caesarean rate and shortened labor course.