Jin Xubing,Jin Jiaxi,Huang Xianping, et al. Feasibility study on clinical application of the new labor standards in Wenzhou[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(4): 290-292.
Abstract:Objective: To explore the feasibility of application of the new labor standards in Wenzhou. Methods: A retrospective analysis was performed in the Second Affiliated Hospital of Wenzhou Medical University. Objects included were primiparas who had singleton full-term primipara, cephalic presentation and spontaneous delivery. The study was divided into new and old labor group. According to whether labor analgesia implemented, the two groups were compared respectively in the Cesarean delivery rate (CDR), rate of artificial rupture, rate of forceps delivery, duration of labor, rate of intrapartum fever, postpartum hemorrhage in 2 hours and incidence of neonatal asphyxia. Results: The CDR and the rate of artificial rupture of the new labor group was significantly decrease compared with the old labor group (P<0.01); The main Cesarean section indications of the new labor group was fetal distress, while that under the condition of the old labor group was protracted and arrested active phase; With the implementation of labor analgesia, rate of oxytocin usage, rate of intrapartum fever, span of the first and the second stage of labor, postpartum hemorrhage in 2 hours and incidence of neonatal asphyxia in the new labor group were significantly higher than that in the old labor group (P<0.05). Conclusion: Although the new labor standards increased the rate of oxytocin usage, the rate of intrapartum fever and the incidence of neonatal asphyxia, it reduced the initial CDR and the rate of artificial rupture. In general, the new labor standard is worth to popularize.
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