新产程标准在基层医院产妇管理中的应用回顾性分析

Retrospective analysis of application of new labor process standard in maternal management in primary hospitals

目的分析新产程标准在基层医院产妇管理中的应用。方法回顾性分析我院2015年1~12月住院产妇640例为旧产程管理组,即对照组;2017年1~12月住院产妇625例为新产程管理组,即研究组。对两组的剖宫产率,妊娠结果,产程时限进行对比。结果研究组的剖宫产率低于对照组(P<0.05),研究组妊娠结局和对照组比较,差异无统计学意义(P>0.05),研究组第一产程和第二产程时间长于对照组(P<0.05),第三产程时间两组比较,差异无统计学意义(P>0.05)。结论在基层医院产妇管理中应用新产程标准可以降低剖宫产率,促进阴道分娩,同时不会增加不良的妊娠结局。

Objective To analyze the application of the new labor process standard in maternal management in primary hospitals. Methods 640 hospitalizedparturient women in our hospital from January 2015 to December 2015 were retrospectively analyzed and they were set as the old labor processmanagement group (the control group).625 hospitalized parturient women in our hospital from January 2017 to December 2017 wereset as the new labor process management group (the study group).The cesarean section rate,pregnancy results and duration of labor were compared between the two groups. Results The rate of cesarean section in the study group was lower than that in the control group (P < 0.05).There was no statistically significant difference in pregnancy outcome between the study group and the control group (P > 0.05).The duration of the first and second stages of labor in the study group was longer than that in the control group (P < 0.05).There was no statistically significant difference in the duration of third stage of labor between the two groups (P > 0.05). Conclusion The application of new labor process standards in maternal management in primary hospitals can reduce the rate of cesarean section and promote vaginal delivery without increasing adverse pregnancy outcomes.