Effect of Systemic Prehospital Emergency Care on the Treatment Effect of Critically Ill Pregnant Women and Adverse Maternal and Infant Outcomes

SHANG Yuhong; WANG Jingchao; ZHENG Mingyan

doi:10.13919/j.issn.2095-6274.ZHJY202406021

Abstract：Objective To analyze the effectiveness of systematic pre-hospital emergency care in the treat-ment of critically ill pregnant and postpartum women.Methods From May 2020 to May 2021,40 critically ill pregnant and postpartum women treated with traditional pre-hospital emergency methods at our hospital were designated as the traditional pre-hospital emergency group.Another 40 critically ill pregnant and postpartum women treated with systematic pre-hospital emergency methods from June 2021 to June 2022 were designated as the systematic pre-hospital emergency group.Clinical efficacy,emergency efficiency,adverse pregnancy out-comes,and neonatal outcomes were compared between the two groups.Results The clinical efficacy rate in the systematic pre-hospital emergency group was 92.50％,significantly higher than that(72.50％)in the traditional pre-hospital emergency group(P＜0.05).The transportation and reception times were shorter in the systematic pre-hospital emergency group compared to the traditional pre-hospital emergency group(P＜0.001).The incidence of accidents and disputes was 2.50％in the systematic pre-hospital emergency group,significantly lower than that(17.50％)in the traditional pre-hospital emergency group(P＜0.05).The success rate of resuscitation in the systematic pre-hospital emergency group was 95.00％,significantly higher than that(70.00％)in the tradition-al pre-hospital emergency group(P＜0.05).The total incidence of adverse pregnancy outcomes in the systematic pre-hospital emergency group was 42.50％,significantly lower than that(67.50％)in the traditional pre-hospital emergency group(P＜0.05).At 1 minute and 5 minutes after birth,the Apgar scores of newborns in the systematic pre-hospital emergency group were significantly higher than those in the traditional pre-hospital emergency group(lmin P＜0.001,5min P＜0.05).The rates of neonatal asphyxia and mortality were significantly lower in the system-atic pre-hospital emergency group compared to the traditional pre-hospital emergency group(P＜0.05).Conclu-sion Systematic pre-hospital emergency care can improve the treatment success rate for critically ill pregnant and postpartum women,enhance emergency efficiency,and improve maternal and neonatal outcomes.