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| The effect of systemic pre hospital first aid measures for treating emergency and critical pregnant women and its influence on pregnancy outcomes |
| 1.Chengdu 363 hospital Affiliated to Southwest Medical University, Sichuan Province, 610041；2. The First Affiliated Hospital of Chongqing Medical University |
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Abstract Objective: To explore the effect of systemic pre hospital first aid measures for treating emergency and critical pregnant women, and to study its influence on pregnancy outcomes. Methods: A retrospective analysis was conducted for analyzing the clinical data of 92 emergencies and critical pregnant women, which included 46 women in observation group who had received systematic pre hospital first aid measures, and 46 women in control group who had received traditional pre hospital first aid measures. The treatment effect, emergency efficacy, and maternal and infant outcomes of women in both groups were observed. Results: The effective rate of women in the observation group was 91.3%, which was significant higher than that (73.9%) of women in the control group (P<0.05). The time of consultation and transit time of women in the observation group were 3.3±0.3 min and 23.2±6.0 min, which were significant higher than those (5.3±1.5 min and 34.2±8.0min) shorter than that of the control group (P<0.05). The incidence of accident and medical disputes of women in the observation group was 2.2%, which was significant lower than that (15.2%) of women in the control group (P<0.05). The success rate of rescue of women in the observation group was 93.5%, which was significant lower than that (69.6%) of women in the control group (P<0.05). The total adverse rate (intrauterine distress, eclampsia, premature/expired birth, macrosomia, low birth weight infants, postpartum hemorrhage) of women in the observation group was 42.9%, which was significant lower than that (70.4%) of women in the control group (P<0.05). Apgar scores of newborn at 1 and 5 min after birth in the observation group were 9.7±0.4 points and 9.8±0.0 points, which were significant higher than those (9.1±0.6 points and 9.6±0.3 points) of women in the control group (P<0.05). The rates of neonatal severe asphyxia and neonatal mortality were 4.4% and 0.0%, which were significant lower than those (19.6 and 8.70%) of women in the control group (P<0.05). Conclusion: Systematic pre hospital first aid measures can improve the treatment success rate of emergency and critical pregnant women, can shorten the time of consultation and referral, and improve the maternal and infant outcomes.
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