Analysis of complications of vaginal delivery in a tertiary hospital in Anhui Province from 2022 to 2024
10.16753/j.cnki.1008-2344.2025.05.003
- VernacularTitle:2022至2024年安徽省某三甲医院阴道分娩并发症现状分析
- Author:
Jinsong XU
1
;
Ying GUO
;
Danni WANG
;
Zhongliang BAI
Author Information
1. 安徽医科大学卫生管理学院,安徽 合肥 230032;芜湖市第二人民医院医务科
- Publication Type:Journal Article
- Keywords:
vaginal delivery;
complication;
obstetric laceration;
postpartum hemorrhage;
incidence
- From:
Journal of Shenyang Medical College
2025;27(5):461-466,534
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the incidence and disease spectrum characteristics of complications of vaginal delivery,and to provide a basis for protecting maternal and child safety and improving obstetric medical quality.Method:Retrospective analysis of obstetric case data from a tertiary hospital in Anhui Province from 2022 to 2024 was performed to identify cases of vaginal delivery complications using International Classification of Diseases 10th Revision codes.Results:A total of 2 644 vaginal deliveries were included,with a decreasing trend in complication rate from 40.9%in 2022 to 17.6%in 2024.Among them,obstetric laceration and postpartum hemorrhage were the main types of complications,with the incidence of obstetric laceration decreasing from 32.2%to 13.8%,and postpartum hemorrhage decreasing from 7.6%to 2.9%,and the changes in both were statistically significant(P<0.05).Among obstetric lacerations,there were significant differences in the incidence of second-degree perineal lacerations and unspecified perineal lacerations across the years(P<0.05).Conclusions:Although the incidence of complications in vaginal delivery has decreased,it still needs attention.This study proposes to strengthen the comprehensive prevention and control measures for obstetric lacerations,establish a full-chain management mechanism for postpartum hemorrhage,and implement a data-driven quality improvement strategy in obstetrics further to enhance the quality of obstetric medical care.