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Effect of different time limits of active period on maternal and infant outcomes under the new labor management mode |
CUI Jian-ling1 LIAO Xiao-li1 ZENG Li-xiang2 |
1.Department of Obstetrics, Medical and Child Health Care and Family Planning Service Center of Huizhou City,Guangdong Province, Huizhou 516001, China;
2.Department of Medical Records, Medical and Child Health Care and Family Planning Service Center of Huizhou City, Guangdong Province, Huizhou 516001, China |
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Abstract Objective To explore the effect of different time limits of active period on the maternal and infant outcomes under the new labor management model.Methods Retrospective analysis of the clinical data of 360 full-term primiparas treated to the department of obstetrics and gynecology in our hospital from July 2018 to July 2019.Grouped according to the different active periods, 180 pregnant women with active period <4 h were included in the control group,and another 180 pregnant women with active period ≥4 h were included in the observation group.The perioperative indicators, the Apgar scores at 1 minute and 5 minutes after delivery, the pregnancy outcomes and complications were compared between the two groups.Results The maternal postpartum hemorrhage volume in the observation group was lower than that in the control group, and the total duration of labor was longer than that in the control group, the differences were statistically significant (P<0.05).There were no significant differences in the Apgar score of newborns between the two groups 5 minutes after delivery and 1 minute after delivery (P>0.05).The rate of maternal conversion tocesarean section in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05).There was no significant difference in the incidence of amniotic fluid fecal infection and neonatal asphyxia between the two groups (P>0.05).Conclusion The new labor management mode takes the active period >4 h as the treatment time limit to allow the pregnant women to have sufficient time for trial delivery, reduce the cesarean delivery rate, improve the perioperative index, and benefit the prognosis of the pregnant women.It is recommended of clinical application.
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[1] |
钱夏柳,詹泽森,覃惠凤.以新产程标准为指导的产程处理对分娩结局的影响研究[J].中国全科医学,2017,20(15):1845-1848.
|
[2] |
赵娜,李娜,蒋小芒,等.新产程标准对产程中临床指征及母婴预后的影响[J].现代生物医学进展,2017,17(27):5362-5364.
|
[3] |
谌雯丽,秦丰江,吴庆蓉,等.新产程标准管理下无痛分娩对妊娠结局的影响[J].浙江临床医学,2019,21(8):1057-1058.
|
[4] |
时春艳,李博雅.新产程标准及处理的专家共识(2014)[J].中华妇产科杂志,2014,23(7):486.
|
[5] |
李容芳,徐燕媚,邓琼.新产程标准中活跃期拐点在初产妇与经产妇临床应用中的影响[J].热带医学杂志,2017,17(7):932-935.
|
[6] |
姜丽,曹云桂,张青.持续性剖宫产瘢痕妊娠的临床特点分析[J].中国计划生育学杂志,2019,27(1):99-101.
|
[7] |
周友芬,郭雅琴,邓艳华,等.新产程图产程管理在初产妇中的应用效果[J].中国妇幼保健,2018,33(5):994-996.
|
[8] |
孟璐璐,苏秀娟,花静,等.产程图的研究历程[J].中华围产医学杂志,2018,21(11):780-782.
|
[9] |
黄秋明,陈晖,梁美娟,等.新产程标准的应用对妊娠结局的影响[J].海南医学,2017,28(6):989-990.
|
[10] |
包菊,赫英东,包艾荣,等.新产程标准下全产程分娩镇痛对母婴结局的影响[J].中华围产医学杂志,2019,22(2):106-112.
|
[11] |
杨小妹,冯小明,张蕾,等.阴道分娩过程中新产程时限管理标准的临床效果[J].中国妇幼保健,2018,33(7):1504-1506.
|
[12] |
叶立.以产程特性比较为基础的新旧产程标准临床实践效果研究[J].检验医学与临床,2017,14(13):1951-1953.
|
[13] |
马瑶,陈磊,曹冬如,等.实施新产程及催引产指南后剖宫产率及剖宫产指征的变化分析[J].中国生育健康杂志,2017,25(5):468-469,478.
|
[14] |
王春芳,王慧敏,欧阳林.新产程标准与助产措施对产钳助产、中转剖宫产和新生儿窒息发生率的影响分析[J].医学临床研究,2017,34(6):1135-1137.
|
[15] |
陆眸清,冯碧波,翟建军,等.新产程实施对助产、中转剖宫产及母儿结局的影响[J].中国医药导报,2018,15(21):90-93.
|
[16] |
刘兰,王金莲,张立敏,等.新产程标准下剖宫产后阴道试 产239例妊娠结局[J].安徽医药,2019,23(5):939-941.
|
|
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