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目的探讨新产程标准对母儿的影响。方法 500例2013年1月1日~12月31日经阴道试产孕产妇为对照组;500例2015年1月1日~12月31日经阴道孕产妇为研究组,比较两组母婴结局及剖宫产原因构成比。结果研究组剖宫产率(33.6%)低于对照组(48.2%),差异有统计学意义(P<0.05);研究组产后出血率及新生儿窒息率与对照组比较,差异无统计学意义(P>0.05)。两组剖宫产原因构成比比较差异具有统计学意义(P<0.05),其中研究组产程异常所占比例为19.6%(33/168),明显低于对照组的41.1%(99/241),差异有统计学意义(P<0.05)。结论应用新产程标准处理产程可以降低剖宫产率,且不增加产后出血率及新生儿窒息率。
Objective To investigate the impact of new birth standard on mother and child. Methods A total of 500 transvaginal pregnant women from January 1, 2013 to December 31, 2013 were selected as the control group. 500 pregnant women with transvaginal maternal status from January 1 to December 31, 2015 were selected as the study group. Outcome and cesarean section cause ratio. Results The cesarean section rate (33.6%) in the study group was lower than that in the control group (48.2%) (P <0.05). There was no significant difference in postpartum hemorrhage rate and neonatal asphyxia between study group and control group Significance (P> 0.05). The causative factors of caesarean section were statistically different between the two groups (P <0.05), among which, the proportion of labor abnormalities in the study group was 19.6% (33/168), significantly lower than that of the control group (41.1%, 99/241) , The difference was statistically significant (P <0.05). Conclusion The application of new standard of labor process can reduce the rate of cesarean section, and does not increase the rate of postpartum hemorrhage and neonatal asphyxia.