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目的:探究新产程标准对产程中临床指征及母婴预后的影响。方法:选择2015年1月~2016年1月于我院妇产科分娩的产妇186例,其中101例采用旧产程标准的产妇为对照组,85例采用新产程标准的产妇为观察组。比较两组产妇产程中各项临床指征、产妇妊娠并发症、妊娠结局、新生儿围产结局。结果:观察组剖宫产率、催产素使用例数、产钳助娩干预显著低于对照组(P<0.05);观察组产妇第一产程时间、第二产程时间均明显长于对照组(P<0.05),两组活跃期时间、生产过程出血量比较差异无统计学意义(P>0.05);两组产妇均未发生母婴不良结局事件。观察组和对照组胎膜早破、脐带扭转、羊水过少、产后出血等妊娠并发症的发生率比较差异无统计学意义(P>0.05);两组新生儿在体重、宫内窘迫,窒息发生率、转入新生儿重症监护室(NICU)的比例等方面比较差异均无统计学差异(P>0.05)。结论:新产程标准的应用延长了产程时限,给予产妇充分试产的机会,能够有效降低剖宫产率,减少产时过度干预。
Objective: To investigate the effect of new labor standard on clinical indications and maternal and infant prognosis in labor. Methods: A total of 186 maternal women delivered in our department from January 2015 to January 2016 were selected. Among them, 101 maternal women who used the standard of old labor were the control group and 85 maternal women who used the new birth standard were the observation group. The two groups of maternal labor in the comparison of clinical indications, maternal pregnancy complications, pregnancy outcomes, neonatal perinatal outcomes. Results: The cesarean section rate, the number of oxytocin used and the forceps assisted labor were significantly lower in the observation group than those in the control group (P <0.05). The time of the first stage of labor and the second stage of labor in the observation group were significantly longer than those in the control group (P < 0.05). There was no significant difference between the two groups in the active period and the amount of bleeding in the production process (P> 0.05). Maternal and infant adverse outcomes were not found in both groups. There were no significant differences in the incidence of pregnancy complications such as premature rupture of membranes, umbilical cord twisting, oligohydramnios and postpartum hemorrhage between the observation group and the control group (P> 0.05) There was no significant difference between the two groups (P> 0.05). Conclusion: The application of new standard of labor prolongs the time of delivery and gives full maternity trial, which can effectively reduce the rate of cesarean section and reduce the excessive intervention during delivery.