国际产科服务模式对初产妇会阴侧切率的影响

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Abstract Objective To explore the influence of international obstetric service model on primiparas′lateral episiotomy rate.Methods 230 cases of primiparas who were treated in our hospital from February to July 2016 were selected and divided into control group(from February to April)and observation group(from May to July),115 cases in each group. The control group was treated with routine obstetric service model,while,the observation group was treated with the international obstetric service model on the basis of the conventional mode.The lateral episiotomy rate and nursing satisfaction degree of two groups were compared and analyzed.Results The lateral episiotomy rate of observation group was 26.08%,the control group was 69.57%,with significant difference(P＜0.05);the total nursing satisfaction degree of observation group was 98.26%,significantly higher than that of control group of 85.21%,with significant difference(P＜0.05). The factors that affected the lateral episiotomy included the lack of skilled young midwives,inadequate assessment of high-risk puerperas,puerperas′lack of maternal knowledge,medical intervention,lack of clinical supervision and the tension between doctors and patients.After delivery,the rate of perineal hematoma and perineal edema in observation group were significantly lower than those of control group(P＜0.05).Conclusion Application of international obstetric service model in primiparas significantly reduces the rate of episiotomyand greatly improves the satisfaction degree of puerperas and their families.

Key words： International obstetric service model Primipara Lateralepisiotomy rate

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	Articles by authors
	LUO Ling
	ZHANG Xiao-yan
	TANG Gui-hua
	KONG Yue-xiang

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LUO Ling,ZHANG Xiao-yan,TANG Gui-hua, et al. Influence of the international obstetric service model on primiparas′lateral episiotomy rate[J]. 中国当代医药, 2017, 24(3): 182-184.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I3/182

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