新产程标准及其分娩镇痛对母儿结局的影响

Clinical analysis of the impact of new labor standards and painless delivery on maternal and neonatal outcomes

目的:探讨新产程标准及分娩镇痛对母儿结局的影响。方法:通过对2017年1月-2019年3月期间在某医院按新产程标准下单胎、头位无痛分娩的孕产妇590例(研究组),同时随机选取2013年6月-2016年8月在该院按旧产程标准下单胎、头位同样为无痛分娩的孕妇900例(对照组)进行回顾性分析。比较两组之间的分娩方式、剖宫产率及母儿并发症。结果:研究组剖宫产率明显低于对照组(P<0.05);研究组产后出血、切口感染率、产后尿潴留、新生儿窒息率及胎儿窘迫与对照组比较,差异无统计学意义(P>0.05)。结论:新产程标准可降低剖宫产率,且不会增加母儿不良结局的发生。在新产程标准管理下实施分娩镇痛能降低产妇镇痛及胎儿窘迫的发生,不增加母儿并发症,值得在临床推广应用。

Objective:To explore the effects of new labor standards and childbirth analgesia on maternal and child outcomes.Methods:A total of 590 pregnant women who had single births and painless head birth at the hospital during the period of January 2017 to March 2019 according to the new labor standard were randomly selected from June 2013 to 2016.During August,900 pregnant women(control group)who had single births and had a painless delivery in the head position under the old labor standard were retrospectively analyzed.The childbirth patterns,cesarean section rates,and maternal and child complications were compared among the groups.Results:The cesarean section rate in the study group was significantly lower than that in the control group(P<0.05);postpartum hemorrhage,incision infection rate,postpartum urinary retention,neonatal asphyxia rate,and fetal distress were not significantly different from the control group(P>0.05).Conclusion:The new labor standard can reduce the rate of cesarean section without increasing the incidence of adverse outcomes in mothers and children.Implementing labor analgesia under the management of new labor standards can reduce the incidence of maternal analgesia and fetal distress,without increasing maternal and child complications,and is worthy of clinical application.