助产流程管理在促进自然分娩中的作用

Delivery Process Management in the Role of Promoting Natural Delivery

目的探讨助产流程管理对提高助产质量、促进自然分娩中的效果。方法选择本院2014年7月1日至2014年12月31日实行助产流程管理后住院阴道分娩的产妇1261例(研究组),同时选取2014年1月1日至2014年6月30日在本院未实行助产流程管理住院阴道分娩的产妇1011例(对照组),比较两组的自然分娩率、剖宫产率、产后出血率、会阴侧切率、会阴损伤率、新生儿窒息发生率等。结果研究组自然分娩率明显高于对照组(P<0.05),剖宫产率、会阴侧切率、会阴损伤率、产后出血及新生儿窒息发生率等明显低于对照组(P<0.05)。结论助产流程管理能有效地提高助产质量,降低剖宫产率,促进自然分娩,值得推广。

Objective To discuss the effect of implementing the delivery process management to improve the quality of Midwifery and to promote natural labor. Method 1261 cases of vaginal delivery in our hospital From July 1, 2014 to December 31, 2014 were selected as the research group. And 1011 cases of vaginal delivery in our hospital from January 1, 2014 to June 30, 2014 were selected as the control group. The control group did not implement the delivery process management while the research group did. We compare the natural labor rate, the cesarean section rate, the postpartum hemorrhage rate, the rate of perineum side cut, the rate of perineum injury, and the rate of neonatal asphyxia in the two groups. Result The natural labor rate in the study group was significantly higher than that in the control group（P 0.05）. The cesarean section rate, the postpartum hemorrhage rate, the rate of perineum side cut, the rate of perineum injury, and the rate of neonatal asphyxia in the study group was significantly lower than that in the control group（P 0.05）. Conclusion Since the delivery process management can not only effectively improve the quality of midwifery, but also reduce the cesarean section rate and promote natural delivery, it is worthy of promotion.