全程助产责任制与产科质量

The analysis of relationship between full-process responsibly assisted delivery system and obstetric quality

目的:分析大型医院导乐陪伴分娩模式中全程助产责任制与产科质量的关系。方法:把2003年3 671例及1997年3 789例全年随机到保健院产房分娩的产妇分为两组进行对照,一组为全程助产责任制下的导乐陪伴分娩组.另一组为传统产房模式组。结果:导乐陪伴分娩组难产率明显低于对照组,第一产程和第二产程明显短于对照组;产时产后2 h内出血量明显少于对照组,新生儿窒息发生率明显低于对照组;两组自然分娩率和剖宫产率相似,无显著差异。结论:产程助产责任制度在产妇数量较大的医院实施导乐陪伴分娩中是一种有效的模式,可提高产科质量,保证母婴安全。

To investigate the relationship between full-process responsibly assisted delivery system in large hospital and obstetric quality. Methods: 3 671 parturient women in the whole year 2003 and 3 789 cases in the year 1997 were randomly divided into two groups to compare. One group is Doula accompanied group which takes full-process responsibly assisted system. The other is traditional delivery mode group. Results: Doula group has much lower dystocia rates, a shorter period of ter first and ter second labor stage, less amount of blood loss in parturition and within 2 hour after delivery and lower newborn suffocation rates than the control group. Natural delivery rates and cesarean rates in two groups are similar. Conclusion: Full-process responsibly assisted delivery system is an effective Doula mode in such hospitals with large number of parturient women, which improve the obstetric quality and ensure the safety of both mother and baby.