International Journal of Clinical Research
International Journal of Clinical Research. 2024; 8: (6) ; 10.12208/j.ijcr.20240222 .
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上海市同仁医院 上海
*通讯作者： 汤培蓉,单位：上海市同仁医院 上海；
目的 对初产妇自然分娩围术期开展品管圈活动是否能减少侧切发生风险，从而帮助生产过程中助产效果以及后续应用中提供参考进行讨论。方法 组建小组团队后以品管圈活动实施为基础，以尽量减少会阴侧切风险为目标实施活动，并对活动实施之前患者出现侧切情况的因素进行探讨，针对原因制定对策并实施，观察品管圈实施后会阴侧切控制效果。结果 开展品管圈活动之前患者发生侧切风险概率为33.88%，开展之后的概率为24.41%，有所减少。结论 品管圈活动应用于产房分娩中，可显著降低初产妇会阴侧切率。
Objective To explore the clinical effect of quality control circle activities on reducing the rate of lateral perineal incision in natural delivery of primipara, and to provide evidence for the formulation and clinical application of midwifery quality control indicators. Methods of project management, organizational circle of qc team to carry out the lower primipara natural childbirth episiotomy rate for moving target, analysis before the implementation of quality control circle primipara episiotomy rate high, in view of the reasons for plan and implement, observe the qc circle after implementing episiotomy control effect. Results After the implementation of quality control circle, the lateral perineal resection rate of primipara decreased from 33.88% before the implementation to 24.41% after the implementation. Conclusion The application of quality control circle in delivery room can significantly reduce the rate of lateral perineal incision in primipara.
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