新产程标准对产妇剖宫产率及分娩结局的影响

Influence of New Labor Standards on Cesarean Section Rate and Delivery Outcome of Pregnant Women

目的探讨新产程标准对产妇剖宫产率及分娩结局的影响。方法选取100例足月产妇作为研究对象,采用随机数字表法分为对照组与观察组,各50例。对照组按照传统产程标准,观察组实施新产程标准。比较2组产妇产程时间、产后并发症、新生儿结局及剖宫产率。结果对照组第一产程、第二产程及总产程时间为(7.05±2.12)h、(1.32±0.59)h及(8.47±2.11)h,短于观察组的(8.32±1.84)h、(1.74±0.61)h及(10.84±1.65)h,差异均有统计学意义(P<0.05);观察组产后出血率为16.00%,高于对照组的4.00%;观察组剖宫产率为4.00%,低于对照组的18.00%,差异有统计学意义(P<0.05);2组会阴撕裂、尿潴留、感染发生率差异无统计学意义(P>0.05);2组新生儿Apgar评分、胎儿窘迫、新生儿窒息、新生儿黄疸及新生儿肺炎的发生率比较,差异无统计学意义(P>0.05)。结论对足月产妇实施新产程标准可有效降低剖宫产率,且对新生儿无不良影响,但会延长产程时间,增加产后出血的发生率。

Objective To investigate the effect of new labor standards on cesarean section rate and delivery outcome of pregnant women.Methods 100 full-term pregnant women were selected as the subjects.They were divided into control group and observation group by random number table,with 50 cases in each group.Control group was given traditional labor standards,while observation group was given new labor standards.The time of stages of labor,postpartum complications,neonatal outcome and cesarean section rate were compared between the two groups.Results The time of first stage of labor,second stage of labor,total stages of labor in observation group[(7.05±2.12)h,(1.32±0.59)h,(8.47±2.11)h]were lower than those in control group[(8.32±1.84)h,(1.74±0.61)h,(10.84±1.65)h](P<0.05);The postpartum hemorrhage rate of observation group(16.00%)was higher than that of control group(4.00%),while the cesarean section rate in observation group(4.00%)was lower than that in control group(18.00%)(P<0.05);there was no statistical difference in the incidence of laceration of perineum,urine retention and infection between the two groups(P>0.05);there was no statistical difference in the neonatal Apgar score,incidence of fetal distress,neonatal asphyxia,neonatal jaundice and neonatal pneumonia between the two groups(P>0.05).Conclusion New labor standards for full-term pregnant women can effectively decrease the cesarean section rate,and have no adverse effect on the newborns,but it will prolong the time of stages of labor and increase the incidence of postpartum hemorrhage.Therefore,in the process of implementing new labor standards,it is necessary to closely observe the postpartum hemorrhage volume of pregnant women,and strengthen the measures to prevent postpartum hemorrhage.