产科急症：产科演练对改善孕产妇结局的作用。
Obstetric emergencies: role of obstetric drill for a better maternal outcome.
作者信息
Singh Abha, Nandi Lily
机构信息
Department of Obstetrics and Gynaecology, Pt. J.N.M. Medical College & Dr. B.R.A.M Hospital, Raipur, India.
出版信息
J Obstet Gynaecol India. 2012 Jun;62(3):291-6. doi: 10.1007/s13224-012-0218-9. Epub 2012 Aug 17.
Abstract
OBJECTIVE
To evaluate factors contributing to obstetric emergencies, analyze the fetomaternal outcome and role of obstetric drill in facing these emergencies effectively.
MATERIAL AND METHOD
Out of 10,892 deliveries, a total of 520 women were included in this prospective study. Analysis of emergency obstetric conditions was done by evaluating incidence, various contributing factors, and fetomaternal outcome. Obstetric drill was conducted among residents repetitively. Pre drill and post drill assessment of confidence in clinical, knowledge, and team work skills were compared by χ(2) test. Impact of drill on severe obstetric morbidities was noted.
OBSERVATIONS
Incidence of obstetric emergencies was found to be 4.88 %. Maternal and perinatal mortality was seen in 4.23 and 37.11 %, respectively, of these emergency obstetric women. Impact of drill showed an increase in score in knowledge (p < 0.019), confidence (p, 0.001), and team work (p < 0.001).
CONCLUSION
Active implementation of emergency obstetric care and incorporation of obstetric drill lays a strong foundation for safe fetomaternal outcome.
摘要
目的
评估导致产科急症的因素，分析母婴结局以及产科演练在有效应对这些急症中的作用。
材料与方法
在10892例分娩中，共有520名妇女纳入本前瞻性研究。通过评估发病率、各种促成因素和母婴结局来分析产科急症情况。对住院医师反复进行产科演练。通过χ²检验比较演练前后在临床、知识和团队协作技能方面的信心评估。记录演练对严重产科疾病的影响。
观察结果
产科急症的发生率为4.88%。在这些产科急症妇女中，孕产妇死亡率和围产儿死亡率分别为4.23%和37.11%。演练的影响显示知识得分（p < 0.019）、信心得分（p < 0.001）和团队协作得分（p < 0.001）均有所提高。
结论
积极实施产科急症护理并纳入产科演练为母婴安全结局奠定了坚实基础。
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