Effect of establishing a rapid response team and opening a green channel on pregnancy outcomes in patients with fetal distress
Objective To explore the effect of establishing a rapid response team and opening a green channel on the pregnancy outcomes in pa-tients with fetal distress.Methods A total of96 pregnant women who underwent emergency cesarean section due to fetal distress in Department of Emergency,Beijing Obstetrics and Gynecology Hospital,Capital Medical University from January 2019 to June 2021 were selected.They were di-vided into control group(48 cases)and experimental group(48 cases)according to the random number table methods.The control group underwent routine medical treatment procedures,experimental group underwent surgery while establishing a rapid response team and opening a green channel,both groups were observed until discharge.The time from registration to discovery of fetal distress,the time from the discovery of fetal distress to de-livery to the operating room,decision to delivery interval(DDI),the time from the operation beginning to fetal birth,and the time from fetal birth to the end of the operation between two groups were compared;the outcome of maternal delivery and neonates were compared between two groups.Re-sults The time from the discovery of fetal distress to delivery to the operating room and DDI in experimental group were shorter than those in control group(P＜0.05).There were no significant differences in the time from registration to discovery of fetal distress,the time from operation beginning to fetal birth,and the time from fetal birth to the end of the operation between two groups(P＞0.05).The total incidence of maternal complications in experimental group was lower than that in control group(P＜0.05).There were no significant differences in 5 min Apgar score,transfer to neonatal intensive care unit,pH value,and lactate concentration between two groups(P＞0.05).Conclusion The establishing a rapid response team and opening a green channel can significantly shortened the time from registration to operating room for patients with fetal distress,and improve maternal delivery outcomes,but has no effect on neonatal outcomes.
万方数据
维普
