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改良新版产程图对自然分娩的作用分析

Effect of modified production process on natural labor

  • 摘要: 目的 研究改良新版产程图对自然分娩的作用效果。方法 选取2014年1月-2016年1月,在深圳市福田区妇幼保健院自愿选择阴式分娩的低危初产妇1260例作为研究对象,将患者随机分为3组,各420例,分别采用3、4、6 cm为活跃起点的产程管理,对比3组患者的应用效果。结果 对比3组孕妇产程时间,就第一产程及第二产程而言,6 cm组>4 cm组>3cm组,差异有统计学意义(P<0.05),第三产程在3组间比较差异无统计学意义(P>0.05)。3组孕妇中转手术、胎儿窘迫以及新生儿窒息差异无统计学意义(P>0.05),产后出血6 cm组要略高于其他两组,但差异仍无统计学意义(P>0.05)。结论 采用以6 cm为活跃起点的改良新版产程图,能够显著减少第一产程中使用的镇静剂及缩宫素的应用,有效改善母婴结局,值得推广应用。

     

    Abstract: Objective To explore the effect of modified production process on natural labor.Methods From January 2014 to January 2016,1260 low-risk pregnant women who delivered by vaginal voluntarily in Fu-tian women and children health hospital were selected as the study objects,and they were divided into three groups randomly,420 cases in each group and they were conducted the production process management with 3cm,4cm and 6cm for the active starting point respectively,the application effect were compared among the three groups.Results On the first stage and the second stage labor time,6cm group was longer than that in 4cm group and in 3 cm group,and the difference were all statistically significant difference (P<0.05),there were no significant difference in the third stage among the three groups (P>0.05).There were no significant difference among the three groups in pregnant women transfer surgery,fetal distress and neonatal asphyxia (P>0.05).6cm group was higher in postpartum hemorrhage than that in the other groups,and there were no significant difference (P>0.05).Conclusion The modified production process which adopted 6cm as the active starting point can significantly reduce the use of sedative and oxytocin in the first production process,and this can improve maternal and infant outcomes effectively,it is worth of application.

     

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