新产程标准实施对母婴结局的影响

Impact of Implementation of New Labor Standard on Maternal and Infant Outcomes

目的探讨新产程标准实施对母婴结局的影响。方法 132例孕产妇随机分为两组各66例,对照组遵循原产程标准,观察组遵循新产程标准,比较两组的分娩方式以及母婴结局。结果观察组的自然分娩率和会阴侧切率高于对照组,中转剖宫产率和产钳及胎吸助产率低于对照组(P <0.05)。两组的转NICU、新生儿窒息、巨大儿、产褥病、产后出血发生率无显著差异(P>0.05),观察组的不良妊娠结局发生率高于对照组(P <0.05)。结论新产程标准可降低产程中中转剖宫产率,但容易导致不良母婴结局,临床应根据实际情况帮助孕产妇分娩。

Objective To explore the impact of implementation of new labor standard on maternal and infant outcomes.Methods 132 pregnant women were randomly divided into two groups,with 66 cases in each group.The control group followed the original labor standard,and the observation group followed the new labor standard.The delivery mode and maternal and infant outcomes were compared between two groups.Results The natural delivery rate and lateral episiotomy rate of observation group were higher than those of control group,and the conversion to cesarean section rate and forceps and aspiration assisted delivery rate were lower than those of control group(P<0.05).No significant difference was found in the incidences of transferred NICU,neonatal asphyxia,macrosomia,puerperal disease and postpartum hemorrhage between two groups(P>0.05);The incidence of adverse pregnancy outcomes of observation group was higher than that of control group(P<0.05).Conclusions The new labor standard can reduce the conversion to cesarean section rate during labor,but it is easy to lead to adverse maternal and infant outcomes.Clinic should help the pregnant women to delivery according to actual situation.