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02 September 2019, Volume 35 Issue 9 Previous Issue    Next Issue

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Risk prevention of neuraxial labor analgesia. TANG Yu-ping，ZHOU Yi-lu 2019, 35(9): 969-971.  DOI: 10.19538/j.fk2019090104 Abstract ( )   Labor pain threatens the health of mother and infant seriously and it accounts for the biggest part of non-medical indications of cesarean section in our country.Neuraxial labor analgesia is the most effective and commonly used therapy for pain relief during labor and delivery without increasing the rate of cesarean section.However，it can cause some side effects and complications like supine position syndrome，inadequate anesthesia and fever.To strengthen the process management of labor analgesia，clear assignment of responsibility，carring out education and training and developing complication treatment plan are important measures to prevent risks.

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Limited intervention measures for childbirth. ZHANG Xiao-Song，YANG Hui-Xia 2019, 35(9): 972-975.  DOI: 10.19538/j.fk2019090105 Abstract ( )   In the clinical work of our country，more and more attention is paid to the people-centered concept。 It is more focuses on  avoiding  excessive intervention  and  strengthening management of labor course.Interventions that should be limited during childbirth for low-risk spontaneous labour.The limited interventions are including the application of the new parturition process criteria，the use of early amniotomy with early oxytocin augmentation for prevention of delay in labour is not recommended，routine cardiotocography is not recommended， encouraging the adoption of a birth position of the individual woman’s choicey，routine episiotomy is not recommend，et al.It is necessary to manage women and their fetus depending on patients’s situation，and to ensure the safety of mother and child.As well as to  reduce excessive intervention，thereby reducing caesarean section rate，ensure that the mother has a good delivery experience，and improve the outcomes of mother and child.

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Changes in the management of delivery room with new labor stage standard. ZHOU Li，FAN Ling 2019, 35(9): 975-978.  DOI: 10.19538/j.fk2019090106 Abstract ( )   Under the premise of ensuring the health of mother and child，the new labor standard is to reduce human intervention during labor and closely observe the progress of labor stage in order to provide more opportunity for vaginal delivery，advocate humanistic care，promote vaginal delivery，reduce the rate of cesarean section，and provide maximum protection for maternal and newborns safety.

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Risk management of postpartum hemorrhage. YANG Yi-ke，QI Hong-bo 2019, 35(9): 978-982.  DOI: 10.19538/j.fk2019090107 Abstract ( )   Postpartum hemorrhage，a frequent emergency in obstetrics，is the first reason for maternal mortality in China and worldwide.The contributors to adverse outcome included delayed treatment because of underestimation of blood loss，lack of blood products，lack of treatment algorithms，lack of knowledge and training，insufficient interdisciplinary communication and inadequate management.Therefore，it is essential to improve the management of medical institutions and set up a protocol for emergency situations.Meanwhile，the key point in rescue postpartum hemorrhage is the teamwork with efficient training and cooperation.This article made a review on the management of postparttum hemorrhage，establishment of emergengy protocol and risk assessment and team cooperation based on guidelines and recommendations published by main authorities and the latest studies.The goal of the article is to provide some ideas to reduce the frequency of severe hemorrhages after delivery and improve maternal outcomes.

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Intrapartum electronic fetal heart rate monitoring. WU Lin-lin，NIU Jian-min 2019, 35(9): 982-985.  DOI: 10.19538/j.fk2019090108 Abstract ( )   Intrapartum fetal monitoring is of great importance to ensuring the safety of the fetus during labor，timely discovering the fetal hypoxia and reducing the incidence of short-term and long-term adverse outcomes of the newborn.Cardiotocography has been widely recommended for fetal monitoring during labor in the world.The clinical interpretation of it includes the definition of the basic waveform，the physiological and pathological significance of the waveform，and the management according to the cardiotocography classifications.This paper summarizes intrapartum cardiotocography based on the relevant guidelines at home and abroad in recent years.

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Application of ultrasound in delivery room. ZHANG Xiao-jing，WANG Xie-tong 2019, 35(9): 985-989.  DOI: 10.19538/j.fk2019090109 Abstract ( )   One of the new requirements for modern standardized management in obsterics is the use of ultrasound in the delivery room.Ultrasound can help clinicians to identify the fetal condition，fetal presentation and placental location，and the circumstances of uterine and abdominal cavity quickly and accurately in managing obstetric emergencies.It can also guide the management of labour progress，the selection of suitable mode of delivery，the appropriate operation to assist delivery，and the interventional operations.In recent years，there have been many progresses in the application of ultrasound in the labor ward，such as new indicators for the evaluation of labor progressing with ultrasonic，ultrasound-guided anesthesia and tracheal intubation，and evaluation of cardiac volume load and cardiac function and so on.So it can provide further protection for maternal and infant safety.

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Management of critical illness in the delivery room. WU Hao，XU Xian-ming 2019, 35(9): 989-993.  DOI: 10.19538/j.fk2019090110 Abstract ( )   There are many first-aid events in the delivery room，and shoulder dystocia，uterine rupture，postpartum hemorrhage，umbilical cord prolapse，eclampsia，amniotic fluid embolism，and placental abruption are some of the more common ones.In order to achieve a good treatment effect，the delivery room must have a team with fast technical response and ready-to-use equipment.The practice of critically ill first aid is an effective measure to improve the first-aid ability of the delivery room.

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Establishment and practice of emergency cesarean delivery procedure. HU Rong，LI Xiao-tian 2019, 35(9): 993-996.  DOI: 10.19538/j.fk2019090111 Abstract ( )   The decision-to-delivery interval for an emergency cesarean delivery must be as rapid and safe as possible.Preventive measures befeore，during and after operation are paramount to reduce morbidity and mortality.Periodic simulation drills are valuable to improve teamwork and communication skills.

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Establishment and exercise of a rapid response team for obstetrics. WANG Xiao-yi，CHEN Qing-qing 2019, 35(9): 996-999.  DOI: 10.19538/j.fk2019090112 Abstract ( )   Because of the mutation，variability and variability of obstetric conditions，it is particularly important to establish a rapid response team in the maternity department that can effectively deal with maternal conditions at an early stage of development，rather than waiting for their deterioration before resuscitating them.The establishment of obstetric RRT requires the support of hospitals，obstetrics and other departments.Training，drills，and assessments after the completion of the RRT also need to be carried out regularly，so that the RRT team continues to be improved.