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| Effect of the pre hospital and in hospital seamless integrated emergency mode for treating critically ill pregnant women or puerperas in emergency treatment and its impact on the maternal and infant outcomes |
| Rugao Hospital Affiliated to Nantong University, jiangsu, 226500 |
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Abstract To explore the effect of the pre hospital and in hospital seamless integrated emergency mode for treating critically ill pregnant women or puerperas in emergency treatment, and to study its impact on the maternal and infant outcomes. Methods: 83 critically ill pregnant women or puerperas who were treated by the traditional emergency mode in emergency treatment from May 2022 to February 2023 were selected in control group, and 85 critically ill pregnant women or puerperas who were treated by the pre hospital and in hospital seamless integrated emergency mode in emergency treatment from March 2023 to January 2024 were selected in study group. The time of emergency treatment, the effectiveness of emergency treatment and the incidence of the adverse maternal and infant outcomes of the critically ill pregnant women or puerperas were compared between the two groups. Results: The pre-hospital emergency response time (6.4±1.6 min), the intrahospital transfer time (10.3±3.1 min), the emergency treatment time (21.5±6.8 min) of the critically ill pregnant women or puerperas in the study group were significantly shorter than those (8.1±1.8 min, 13.8±4.2 min and 24.5±6.4 min) of the critically ill pregnant women or puerperas in the control group. The preparation time of the emergency materials of the critically ill pregnant women or puerperas in the study group was significantly shorter than that of the critically ill pregnant women or puerperas in the control group. The total effective rate (95.3%) of the critically ill pregnant women or puerperas in the study group was significantly higher than that (85.5%) in the control group. The incidences of the adverse maternal outcomes (3.5%), the low birth weight or macrosomia (4.7%), the neonatal asphyxia (5.9%) and the mortality (1.2%) of the critically ill pregnant women or puerperas in the study group were significantly lower than those (13.3%, 15.7%, 16.9% and 9.6%) of the critically ill pregnant women or puerperas in the control group (all P<0.05). Conclusion: Adopting the integrated pre hospital and in hospital seamless emergency mode for treating of the critically ill pregnant women or puerperas can significantly improve the efficiency of their emergency treatment and can improve the maternal and infant outcomes.
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