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通过对医院传统产科管理模式的改革，建立了一种全新的产科责任制管理模式，即产前区实行“责任 工作制”，产房实行“全程专责陪伴分娩”制度，并与传统的产科管理模式进行产科质量的比较。结果产前区２０００年９ ～１２月，医护人员总计加班１７８人次，消灭医疗隐患，堵住医疗漏洞２８人次；２０００年产房责任制助产与１９９７年传统 产房助产模式医疗质量比较，产程时间平均下降 ３．２４ ｈ；异常阴道分娩：吸引产、产钳分别下降４７．５０％和 ６６．６９％；潜 伏期延长、活跃期停滞、第二产程延长、滞产下降了１００％，均为Ｐ＜０．０１。新生儿重度、轻度窒息下降了６１．１１％和 ５１．７０％，新生儿气管插管下降了８６．７０％，均为Ｐ<0．０１。宫颈裂伤下降６４．２３％，Ｐ＜０．０１；会阴Ⅲ度裂伤下降１００％。 产后大出血下降７６．６０％，会阴侧切伤口感染率下降８７．７８％，均为Ｐ＜０．０１。死产、孕产妇死亡率下降１００％，Ｐ＞０．０５。 产房剖宫产率二年间无显著差异Ｐ＞０．０５。提示产科实行责任制管理，大大提高了产科的医疗和服务质量，最大限度地 消灭了医疗隐患，说明这种新的产科管理和工作模式是先进的，可行的。
Through the reform of the traditional maternity management mode in hospitals, a new mode of obstetric responsibility management has been established, that is, the pre-natal district implements the system of “responsible work” and the delivery room implements the system of “full responsibility for companionship and delivery” and is in line with the traditional obstetric management model Obstetric quality comparison. Results Prenatal period from September to December 2000, a total of 178 overtime work of medical staff to eliminate medical risks and plug the medical loopholes 28; midwifery-based delivery system in 2000 and the traditional midwifery mode of delivery in 1997 compared to the medical quality of labor time An average of 3.24 h; abnormal vaginal delivery: induction of labor, forceps decreased 47.50% and 66.69% respectively; prolonged incubation period, the active phase of stagnation, prolonged second stage, delayed labor dropped by 100%, both P < 0.01. Newborns with severe, mild asphyxia decreased by 61.11% and 51.70%, neonatal endotracheal intubation decreased by 86.70%, both P <0.01. Cervical laceration decreased by 64.23%, P <0.01; perineal third degree laceration decreased by 100%. Postpartum hemorrhage decreased 76.60%, episiotomy wound infection rate decreased 87.78%, both P <0.01. Stillbirth, maternal mortality decreased by 100%, P> 0.05. Cesarean section rate of delivery room no significant difference between two years P> 0.05. Obstetrics and gynecology implementation of accountability management, greatly improving obstetrics medical and service quality, to maximize the elimination of medical risks, indicating that this new obstetric management and working model is advanced and feasible.