国际产科管理及服务模式对降低剖宫产率提高自然分娩率的影响

Effect of international obstetrical management and service mode on reducing cesarean section rate and improving natural delivery rate

目的探讨国际产科管理及服务模式对降低剖宫产率提高自然分娩率及其他方面的影响。方法选取2014年在医院定期产检且分娩的孕产妇2 000例作为观察组,采用国际产科管理及服务模式;2013年在医院进行分娩的孕产妇2 000例作为对照组,采用常规的产科服务模式。观察两组孕产妇会阴侧切率、剖宫产率、产后出血发生率、产后24 h出血量、产妇产时疼痛及使用镇痛剂情况和住院时间及患者护理满意度,并进行比较。结果观察组孕产妇无会阴侧切分娩,剖宫产率优于对照组,产后出血发生率及产后24 h出血量明显少于对照组,镇痛效果优于对照组,镇痛剂的使用明显少于对照组,第一、二产程时间均短于对照组且住院时间缩短,护理满意度显著优于对照组,两组比较差异均有统计学意义(P<0.05)。结论国际产科管理及服务模式的应用降低了孕产妇的剖宫产率,提高了自然分娩率,提高了产科质量,且护理满意度提高,效果显著,值得推广应用。

Objective To explore the effect of international obstetrical management and service mode on reducing cesarean section rate and improving natural defivery rate and other aspects. Methods A total of 2 000 pregnant women receiving regular prenatal examination and giving birth to their babies in the hospital in 2014 were selected as observation group, international obstetrical management and service mode was applied in observation group; 2 000 pregnant women giving birth to their babies in the hospital in 2013 were selected as control group, conventional obstetrical service mode was applied in control group. The rates of episiotomy, cesarean section, postpartum hemorrhage, the a- nmunts of postpartum hemorrhage within 24 hours after delivery, labor pain and analgesic use, hospitalization time, and nursing satisfaction in the two groups were observed and compared. Results In observation group, no cases adopted episiotomy, cesarean section rate was better than that in control group, the incidence rate of postpartum hemorrhage and amount of postpartum hemorrhage within 24 hours after delivery were lower than those in control group, the analgesic effect was better than that in control group, the dose of analgesic was less than that in control group, the time of the first and the second stages of labor was shorter than that in control group, the hospitalization time was shorter than that in control group, nursing satisfaction was better than that in control group, there were statistically significant differences between the two groups （ all P〈0. 05） . Conclusion International obstetrical management and service mode can reduce cesarean section rate, improve natural delivery rate, quality of obstetrics, and nursing satisfaction, the effect is significant, and it is worthy of popularization and application.