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| Clinical application and observation of new labor standards in the second stage of labor |
| HUANG Li-chuan |
| Departmentof Obstetrics,the Fourth People′s Hospitalof Nanhai Districtof Foshan,Guangdong Province,Foshan 528211, China |
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Abstract Objective To observe and compare the advantages and disadvantages of clinical application of a new and old labor standards in the second stage of labor,and to further verify the applicability of the new labor standard in clinical. Methods 50 primiparas with age of 22-30 years old,the head position and the normal measurement of the pelvis,the estimated fetal weight less than 4000 g from January 2012 to January 2014 in our hospital were selected as control group, the second stage of labor(more than 2 h)was diagnosed as prolonged second stage of labor according to the old labor standards;50 primiparas(selection criteria as above mentioned)from July 2015 to June 2016 of our hospital were selected as observation group,the second stage of labor(more than 3 h)was diagnosed as prolonged second stage of labor according to the new labor standards.The difference of the tate of cesarean section,vaginal delivery rate,postpartum hemorrhage and neonatal severe asphyxia in two groups were compared.Results The rate of cesarean section in the observation group was significantly lower than that in the control group,and the rate of vaginal birth in the observation group was significantly higherthan thatin the controlgroup,the difference was statistically significant(P＜0.05).There was no significant difference in the rate of postpartum hemorrhage and neonatal severe asphyxia between the two groups(P＞0.05). Conclusion The application of the new labor standard reduces the rate of cesarean section,increases the rate of vaginal delivery,and does not increase the incidence of postpartum hemorrhage and mild and severe neonatal asphyxia.
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