应用时间分析法探讨分娩时间规律的临床价值

Exploring the clinical value through delivery moment statistics by using a temporal analysis method

目的研究遵义医科大学第一附属医院产科住院经阴道分娩的时间规律,指导产房在婴儿娩出高峰期及高峰时点加强医疗管理,降低分娩风险。方法应用时间分析法对我院2018年1月至2019年12月纳入的研究对象2717例分娩孕妇计算分娩时间的集中趋势。结果经阴道分娩以每年的4~5月份为分娩高峰日期。无合并症经阴道分娩组产妇分娩高峰时点为7点55分,有合并症经阴道分娩组产妇分娩高峰时点为16点41分。结论经阴道分娩的全部产妇分娩时间均表现出明显的季节及昼夜集中趋势,可用于指导产房合理优化医疗资源,降低医疗风险,保障母儿安全。

Objective To study the time rule of vaginal delivery in the obstetrics department of the First Affiliated Hospital of Zunyi Medical University,and to guide the delivery room to strengthen medical management during the peak time of infant delivery,so as to reduce the risk of delivery.Methods The time analysis method was used to calculate the central tendency of delivery time of 2717 pregnant women who gave birth in our hospital from January 2018 to December 2019.Results The peak date of delivery in vaginal delivery was between April and May of each year.The peak time of delivery was 7∶55 in the non-comorbid transvaginal delivery group and 16∶41 in the comorbid transvaginal delivery group.Conclusion All parturients of vaginal delivery showed obvious seasonal and day-night concentration trends,which can be used to guide the rational optimization of medical resources in the delivery room,reduce medical risks,and ensure the safety of mothers and fetus.