分娩镇痛:舒适与安全并行,教学与质控并举

Epidural Labor Analgesia:Comfort and Safety Run in Parallel,with Teaching and Quality Control Complementing Each Other

分娩镇痛是以遵循产妇自愿和临床安全为原则,通过实施有效的分娩镇痛技术,以最大程度减轻产妇产痛的医疗服务。2018年,北京协和医院成为我国分娩镇痛首批试点单位,近年来在分娩镇痛高质量发展的各项工作中取得了满意成果。本文主要介绍北京协和医院分娩镇痛相关经验,具体包括:(1)合理调配人员安排,多学科联动制定标准化诊疗流程,为安全分娩提供舒适度保障;(2)完善危重孕产妇、新生儿救治方案,为安全分娩保驾护航;(3)传递先进的教学理念,将分娩镇痛培训与救治演练落到实处;(4)开展教育与科普讲座,帮助产妇树立科学分娩镇痛观。希望该经验分享可为我国各级诊疗机构提供参考和借鉴。

Epidural labor analgesia aims to provide effective medical services to alleviate labor pain in parturients,while adhering to the principles of voluntary participation and clinical safety.In 2018,Peking Union Medical College Hospital(PUMCH)became one of the first pilot units for labor analgesia in China,and has achieved satisfactory results in high⁃quality development of labor analgesia.This article mainly intro⁃duces the achievements and experience of labor analgesia at PUMCH,including:(1)prioritizing maternal and infant safety,arranging personnel rationally,and developing standardized treatment processes through multi⁃disciplinary collaboration to ensure safe and comfortable childbirth;(2)leveraging the hospital’s comprehen⁃sive capabilities in emergency treatment,and improving collaborative rescue plans for critically ill parturients and newborns;(3)implementing advanced teaching methods to effectively train and conduct simulated drills for labor analgesia and rescue of critically ill parturients;(4)conducting patient education and informative lec⁃tures to help parturients acquire a scientific understanding of labor analgesia.We hope that this experience can provide reference and inspiration for other hospitals.