关键词: 高龄经产妇；急产；流程再造

Abstract: Objective: To explore the application effect of the resuscitation process of the women of advanced reproductive age in the emergency obstetrics department, and to provide the basis for the emergency obstetric care for elder multipara. Methods: Through the establishment of the emergency medical group for the women with advanced reproductive age, we established an effective management system, then analyzed and improved the key steps of first aid procedure in the urgent labor of the elder multipara. Results: After implementing the new optimized plan, the pre-diagnosis triage time was shortened from (4.45±0.40) min to (4.20±0.29) min (P<0.05), and the obstetrician consultation time was shortened from (8.72±0.80) min to (5.56±0.66) min (P<0.01). The time from hospital to medication was shortened from (15.62±0.64) min to (11.36±1.00) min (P<0.01), and the time from hospital to ultrasound was shortened from (15.58±0.71) min to (11.47±0.95) min (P<0.01); the time from hospital to the interpretation of laboratory results was shortened from (34.94±0.65) min to (30.95± 1.29) min (P<0.01). The time from admission to delivery room/operating room was shortened from (25.75±1.02) min to (18.92± 1.29) min (P<0.01). The time from delivery room to operating room/delivery operating room during dystocia was shortened from (4.97±0.47) min to (1.75±0.67) min (P<0.01). The incidence of postpartum maternal complications decreased from 13.7% to 1.9% (P<0.05), and the incidence of neonatal complications decreased from 11.8% to 1.9% (P<0.05). Conclusion: The optimized maternal emergency treatment process could effectively shorten the time for treatment and reduces the incidence of complications.

Key words: elder multipara; emergency birth; process reengineering