新产程标准在阴道试产中转剖宫产产妇中的应用价值

Application value of new labor standard in puerpera undergoing vaginal trial delivery and transferring to cesarean section

目的分析新产程标准在阴道试产中转剖宫产产妇中的应用价值。方法选取2019年3—10月本院60例阴道试产中转剖宫产产妇作为对照组,另选取2020年3~10月本院60例阴道试产中转剖宫产产妇作为观察组。对照组以旧产程标准行产程管理,观察组以新产程标准行产程管理,比较两组产妇剖宫产指征发生情况、分娩并发症发生情况及新生儿结局。结果观察组潜伏期延长、胎儿窘迫、相对头盆不称、产程异常、活跃期停滞发生率均低于对照组,差异有统计学意义(P<0.05),两组社会因素发生率比较差异无统计学意义。观察组继发性宫缩乏力、子宫切口延裂发生率均低于对照组,产后出血发生率高于对照组,差异有统计学意义(P<0.05)。观察组产后出血量为(383.11±231.51)ml,多于对照组的(308.02±146.28)ml,差异有统计学意义(P<0.05)。两组新生儿窒息、新生儿肺炎、转新生儿重症监护室(NICU)发生率比较差异无统计学意义。结论应用新产程标准处理产程,可减少剖宫产手术指征,降低分娩并发症发生率,但需注重做好产后出血防护措施,保障分娩顺利进行。

Objective To analyze application value of new labor standard in puerperae undergoing vaginal trial delivery and transferring to cesarean section.Methods A total of 60 puerperaes who undergoing vaginal trial delivery and transferring to cesarean section in our hospital from March to October 2019 were selected as the control group,and another 60 puerperaes who underwent vaginal trial delivery and transferring to cesarean section in our hospital from March to October 2020 were selected as the observation group.The control group was managed according to the old labor standard,and the observation group was managed according to the new labor standard,the indications of cesarean section,delivery complications and neonatal outcomes were compared between the two groups.Results The incidence of prolonged incubation period,fetal distress,relative cephalopelvic disproportion,labor abnormalities and active period stagnation in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05),but there was no significant difference in the incidence of social factors between the two groups.The incidence of secondary uterine inertia,uterine incision rupture in the observation group were significantly lower than those in the control group,and the incidence of postpartum hemorrhage was higher than that in the control group,and the differences were statistically significant(P<0.05).The postpartum blood loss in the observation group was(383.11±231.51)ml,which was more than(308.02±146.28)ml in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of neonatal asphyxia,neonatal pneumonia,conversion to neonatal intensive care unit(NICU)between the two groups.Conclusion The application of new labor standard of labor process management can reduce the indications of cesarean section and incidence of partial delivery complications,but it is necessary to pay attention to the prevention measures of postpartum bleeding to ensure the smooth progress of labor.