新产程标准管理对初产妇分娩及新生儿Apgar评分的影响

Effect of standard management of new birth process on the Apgar score of primipara and newborns

目的探讨新产程标准管理对初产妇分娩及新生儿Apgar评分的影响。方法按时间段将200例初产妇分为对照组和观察组各100例,对照组按旧产程标准进行管理,观察组按新产程标准进行管理,观察比较两组产妇的分娩方式、催产素使用率、产后2 h出血量,新生儿出生1 min、5 min的Apgar评分。结果观察组中转剖宫产率、会阴切开率、催产素使用率均低于对照组,产妇产后2 h出血量少于对照组(P<0.001);两组新生儿出生1 min、5 min的Apgar评分比较差异无统计学意义(P>0.05)。结论新产程标准管理能降低初产妇中转剖宫产率、会阴切开率、催产素使用率,减少产妇产后2 h的出血量,未影响新生儿Apgar评分。

Objective To explore the standard management of new birth process on the Apgar score of primiparae and newbores.Methods 200 primiparae were divided into control group （ 100 cases） and observation group（ 100 cases） according to time period.The control group were managed according to old birth process, and the observation group were managed according to new birth process.And then, delivery mode,oxytocin consumption rate, blood loss at 2 hours after delivery and Apgar score of newborns at 1 rain and 5 rain were observed and compared between the two groups.Results The rate of cesarean section,perineal incision rate and oxytocin utilization rate in the observation group were lower than those in the control group ,and 2 h alter delivery, the amnount of bleeding of puerpera was less than that of the control group（ P〈0.001 ）.There was no statistically significant difference in the Apgar scores of newborns at I rain and 5 rain between the two groups（P〉0.05） .Conclusion The standard management of new birth process can reduce the rate of caesarean section, the perineal incision rate, oxytocin utilization rate and the amount of bleeding of puerpera 2 h alter delivery, and does not increase the Apgar score of newborns.