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目的评价WHO安全分娩核查表在上海市浦东新区人民医院的实施效果。方法选取2013年3月—2014年9月于上海市浦东新区人民医院分院分娩的产妇655例,以2014年3—9月的299例为观察组,实施WHO安全分娩核查表;回顾性分析2013年3—9月的356例为对照组,采用常规护理。比较两组产妇产后出血、感染、难产、子痫等并发症发生情况以及新生儿窒息和感染发生情况。结果两组产妇分娩后并发症发生情况比较,差异均有统计学意义(P<0.05);两组新生儿并发症发生情况比较,差异均有统计学意义(P<0.05)。结论 WHO安全分娩核查表内容全面,流程规范,为医护人员规避风险、确保母婴安全提供保障,有利于促进患者和家属的参与。
Objective To evaluate the effectiveness of the WHO checklist on childbirth in Shanghai Pudong New Area People’s Hospital. Methods From March 2013 to September 2014, 655 pregnant women gave birth in the branch of People’s Hospital of Shanghai Pudong New Area. From March to September in 2014, 299 women in the observation group were enrolled in the WHO checklist on childbirth. Retrospective analysis of 2013 From March to September in 356 cases of control group, the use of routine care. Postpartum hemorrhage, infection, dystocia, eclampsia and other complications and neonatal asphyxia and infection were compared between the two groups. Results Comparisons of postpartum complications between the two groups were statistically significant (P <0.05). Comparisons of neonatal complications between the two groups were statistically significant (P <0.05). Conclusion The WHO Checklist for Safe Labor Delivery has a comprehensive and standardized procedure, which can be used to protect the safety of mother and baby and avoid the risks of medical staff. It is helpful to promote the participation of patients and their families.