[Study on intrapartum service model during normal labor].
OBJECTIVE
To study the availability of humanized service and healthy birth and it's effect on maternal and neonatal outcomes.


METHODS
A multicenteral prospective randomized control study was carried out in 9 maternity hospitals from Nov. 2000 to June 2001. 6,758 laboring women were randomly divided into study group and control group. In study group (n = 3,437), midwives accompany laboring women in whole course of birth until two hours after delivery. According WHO "Monitoring rules for normal birth" medical staff support the mothers in physiological, psychological and physical aspects. In control group (n = 3,321) mothers receive traditional management. Midwives visit and check the mothers discoutinually. In two groups husbands can company laboring women according women's requirement. A questionnaire will be filled on the second day after birth.


RESULTS
In study group the spontaneous delivery rate was significant higher than that of control group (85.5% vs 66.0%, P < 0.01). The cesarean section rate, postpartum hemorrhage rate, neonatal asphyxia rate and neonatal morbidity were marked lower in study group than those of control group (P < 0.01 and P < 0.05).


CONCLUSIONS
Appropriate mode of intrapartum care can decrease the cesarean section rate and promote the vaginal delivery, also it can improve the maternal and neonatal outcomes.
Huang
Xing-hua
XH
Department of Obstetrics, Affiliated Beijing Obstetrics and Gynecology Hospital, Capital University of Medical, Beijing 100026, China.
Xiang
Xiao-ying
XY
Shen
Ru-gang
RG
Shang
Qi
Q
Zhu
Li-ping
LP
Qian
Xu
X
Fan
Ling
L
Duan
Ming-ying
MY
Xiong
Yong-fang
YF
Men
Xin-hua
XH
D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D005791:Patient Care; D011247:Pregnancy; D011446:Prospective Studies