摘要
目的了解全国各级医疗保健机构部分辅助性助产技术的使用情况。方法采用信函问卷的方法调查了全国31个省(直辖市/自治区)887所不同级别的医疗保健机构2002年助产技术的使用情况并进行描述性分析。结果被调查医疗保健机构平均阴毛剃除使用率为61.8%;产程中直肠检查的使用率为62.2%,阴道检查的使用率为65.4%;有31.3%的被调查机构对产妇使用灌肠;有12.7%的机构开展了自由体位分娩;有65.6%的机构常规使用产程图。结论助产技术的使用有一定问题,阴毛剃除、直肠检查、灌肠这些不必要甚至是有害的医学干预使用过多;而自由体位分娩、产程图,这些经济有效的技术开展不足。因此建议有关部门应该组织制定或更新针对助产技术实施的使用指南,并加强对提供助产技术服务的医护人员的培训,促进助产技术使用指南的落实。
Objective To survey some obstetric practices, such as pubic shaving, rectal examination, vaginal examination, enema, positions during labor, and partograph in health facilities so as to obtain baseline data for future actions. Methods A letter questionnaire was sent to 887 sample health facilities in 31 provinces, autonomous regions and municipalities. Midwifery practice data in year 2002 were collected and descriptive study was done. Results The proportion of pubic shaving per 100 vaginal deliveries was 61.8%. The proportion of rectal examination per 100 vaginal deliveries was 62.2% and that of vaginal examination was 65.4%. 31.3% of the facilities performed enema for pregnant women. 12.7% of the facilities allowed women＇s choice in position during their labor. 65.6% of the facilities routinely adopted partograph. ConelusionThe appropriate midwifery practices can not be fully carried out and some unnecessary even harmful interventions such as puhic shaving, rectal examination, enema and so on are excessively applied. Therefore, a national regulation should be workup to standardize midwifery practice in health facilities imminently.
出处
《中国妇幼健康研究》
2006年第6期449-451,共3页
Chinese Journal of Woman and Child Health Research
关键词
助产技术
阴毛剃除
直肠检查
阴道检查
灌肠剂
自由体位分娩
产程图
obstetric practice
pubic shaving
rectal examination
vaginal examination
enema
labor in liberal position
partograph
