{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T11:03:33Z","timestamp":1761563013990},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the impact of a novel multidisciplinary cooperation model in obstetric medical quality control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This quasi\u2010experimental study analyzed the quality indicators of full\u2010term pregnant women who underwent vaginal trial labor in Zibo Maternal and Child Health Hospital between July 2021 and June 2022. The pregnant women were divided into two groups based on implementation of novel multidisciplinary cooperation: multidisciplinary and non\u2010multidisciplinary. We compared the rate of labor analgesia, postpartum hemorrhage in vaginal delivery, transfer to cesarean section, and the 5\u2010min Apgar score\u2009\u22647 in full\u2010term neonates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 3751 pregnant women were enrolled into the study, of whom 2004 were included in the non\u2010multidisciplinary group and 1747 in the multidisciplinary group. The analgesic rate of delivery of the multidisciplinary group was higher than that of the non\u2010multidisciplinary group (<jats:italic>P<\/jats:italic>\u2009=\u20090.000). We established that the rate of postpartum bleeding (<jats:italic>P<\/jats:italic>\u2009=\u20090.040), transfer cesarean section (<jats:italic>P<\/jats:italic>\u2009=\u20090.003) and the incidence of Apgar score\u2009\u22647 in 5\u2009min of full\u2010term neonates (<jats:italic>P<\/jats:italic>\u2009=\u20090.038) of the multidisciplinary group was lower than that of the non\u2010multidisciplinary group. There was no significant difference in the mean ages (29.40\u2009\u00b1\u20093.99 vs. 29.90\u2009\u00b1\u20094.27\u2009years; <jats:italic>P<\/jats:italic>\u2009=\u20090.126), mean delivery gestational ages (39.65\u2009\u00b1\u20090.87 vs. 39.64\u2009\u00b1\u20091.06; <jats:italic>P<\/jats:italic>\u2009=\u20090.221), mean gravidity values (1.93\u2009\u00b1\u20091.09 vs. 2.00\u2009\u00b1\u20091.18; <jats:italic>P<\/jats:italic>\u2009=\u20090.586) and mean parity (1.40\u2009\u00b1\u20090.56 vs. 1.42\u2009\u00b1\u20090.59; <jats:italic>P<\/jats:italic>\u2009=\u20090.635) of the women in the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Multidisciplinary cooperation in delivery management can significantly improve some quality indicators. We established the analgesic rate of delivery can be increased and the rate of postpartum bleeding, transfer cesarean section and the incidence of Apgar score\u2009\u22647 in 5\u2009min of full\u2010term neonates can be decreased with the implementation of novel multidisciplinary cooperation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15259","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T11:55:23Z","timestamp":1700567723000},"page":"806-812","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Novel multidisciplinary cooperation model for obstetric medical quality control: A quasi\u2010experimental study"],"prefix":"10.1002","volume":"165","author":[{"given":"Li\u2010Rong","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Obstetrics Zibo Maternal and Child Health Hospital  Zibo China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Hong","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Zibo Maternal and Child Health Hospital  Zibo China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Zibo Maternal and Child Health Hospital  Zibo China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying\u2010Chun","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Zibo Maternal and Child Health Hospital  Zibo China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"issue":"5","key":"e_1_2_9_2_1","first-page":"1","article-title":"China's maternal and child health cause development report (2019)","volume":"10","year":"2019","journal-title":"Chin J Matern Child Health"},{"issue":"10","key":"e_1_2_9_3_1","first-page":"60","article-title":"Analysis on the changes of high\u2010risk factors of key pregnant women before and after the two\u2010child policy","volume":"34","author":"Xiang\u2010Rong Z","year":"2020","journal-title":"Chinese Primary Health Care"},{"key":"e_1_2_9_4_1","unstructured":"National Health Commission.Medical quality control indicators for obstetrics.2019.https:\/\/www.gov.cn\/zhengce\/zhengceku\/2019\u201012\/19\/5462310\/files\/ff2b94d3a87d4bd9a1f32cd9dab2b02c.pdf. Accessed November 17 2023."},{"key":"e_1_2_9_5_1","unstructured":"http:\/\/www.gov.cn\/zhengce\/zhengceku\/2021\u201002\/22\/content_5588240.htm. Accessed November 17 2023."},{"key":"e_1_2_9_6_1","unstructured":"http:\/\/www.gov.cn\/zhengce\/zhengceku\/2021\u201010\/15\/content_5642740.htm. Accessed November 17 2023."},{"issue":"5","key":"e_1_2_9_7_1","first-page":"1","article-title":"Analysis of the report on medical service and quality safety of obstetrics in China in 2019","volume":"29","author":"Lian C","year":"2022","journal-title":"Chinese Health Quality Management"},{"issue":"1","key":"e_1_2_9_8_1","first-page":"130","article-title":"Epidural analgesia for labor: effects on length of labor and maternal and neonatal outcomes","volume":"27","author":"He FY","year":"2023","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_2_9_9_1","unstructured":"Quality Control Letter of Shandong Health Commission [2021] No. 54. Implementation plan for reducing the incidence of complications of vaginal delivery in Shandong Province (Trial)."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.09.028"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.04.009"},{"issue":"6","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2021.100438","article-title":"Intrapartum ultrasound for the diagnosis of cephalic malpositions and malpresentations","volume":"3","author":"Ga C","year":"2021","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"14","key":"e_1_2_9_13_1","first-page":"1798","article-title":"Effect of intrapartum ultrasound on the guidance of delivery mode and maternal and infant outcome in the extension of the second stage of labor","volume":"38","author":"Jing W","year":"2022","journal-title":"J Pract Med"},{"issue":"2","key":"e_1_2_9_14_1","first-page":"201","article-title":"Asphyxia in newborn\u2013risk, prevention and identification of a hypoxic event","volume":"35","author":"Brucknerov\u00e1 I","year":"2014","journal-title":"Neuro Endocrinol Lett"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T04:23:02Z","timestamp":1721190182000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.15259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,20]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1002\/ijgo.15259"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.15259","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,20]]},"assertion":[{"value":"2023-04-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}