The Clinical Study Of New Labor Limit Standard And Old Labor Limit Standard On Delivery

Objective: Discussion on the value of new labor time limit standard and old labor time limit standard clinical applications.Methods: This was a retrospective study based on the partogram of 6320 maternal of laboring,term,singleton,vaginal trial production from January 1,2010 to December 31,2015 in our hospital,and the clinical data were collected.Matrenal in accordance with the Friedman standard is divided into control group a total of 4352 cases,according to the new labor limit standard to intervene to old labor is divided into the observation group a total of 1968 cases,compared two groups of the labor process characteristics and outcomes of maternal and neonatal and explored the importance of clinical observation if advocated the new labor limit standard.Results:1.Age,gestational age and weight of the two groups had not statistical significance.2.The observation group of 1968 cases,including 1578 cases of vaginal delivery,emergency cesarean section in 390 cases.4352 cases in the control group,including 3440 cases of vaginal delivery,emergency cesarean section in 912 cases.The postpartum hemorrhage,perineal incision infection rate had no significant difference in two groups(P>0.05).Comparison of two groups the rate of cesarean section and forceps delivery,there was no significant difference(P>0.05).Fetal distress,neonatal asphyxia and the rate of neonatal into NICU in the observation group had no significant difference from the control group(P>0.05).3.Compasion the indication of cesarean section in the two groups:prolongation of latency with no case was 0% in the observation group,16 cases accounted for1.75% of the control group,there is significant(P<0.05);protracted active phase with 60 cases accounted for 15.38% of the observation group,302 cases accounted for 33.11% of the control group,there is significant(P<0.05);prolonged second stage of labor with 76 cases accounted for 19.49% of the observation group,159 cases accounted for 17.43% of the control group,there is no significant(P>0.05);fetal distress with 38 cases accounted for 9.74% of the observation group,115 cases accounted for 12.61% of the control group,there is no significant(P>0.05);relative cephalopelvicdisproportion with 96 cases in the observation group accounted for 24.62%,192 cases accounted for 21.05% in the control group,there is no significant(P>0.05);social factor with 120 cases in the observation group accounted for 30.77%,128 cases accounted for14.04% in the control group,there is significant(P<0.05)Conclusion:1.The new labor time limit standard makes the splits the palace to produce the technique of maternal full trial opportunities,avoiding unnecessary cesarean section,so the rate of cesarean section reducing.Although with the new labor time limit the total of production time is extended,there were no significant differences between the two groups of maternal and neonatal outcome.The new labor time limit is more conducive to the delivery of management,to take appropriate measures in time to achieve a more effective delivery,reduce the rate of cesarean section.2.Analysis the labor time limit of the observation group and the control group,the anormal labor course mostly occurred in the active period and the second stage of labor,the latency period last,we thought whether relax latency time and the end of incubation period can reduce unnecessary intervention.