中国实用妇科与产科杂志2026，Vol.42Issue(4)：410-413,4.DOI:10.19538/j.fk2026040107
紧急剖宫产决策与安全边界:审视"5分钟"法则
Decision-making and safety boundaries in emergency cesarean section:examining the"5-minute"rule
摘要
Abstract
With the proportion of high-risk pregnant women rising,the pressure on delivery units to provide emergency care is increasing.Consequently,many institutions in China have adopted the'5-minute emergency caesarean section'or'DDI ≤ 30 minutes' as core indicators for quality assessment.By examining the time-based rules for emergency caesarean sections,this article explores their scientific limitations and potential risks.The original'5-minute rule'is applicable only to caesarean sections performed during the terminal phase of labour and should not be blindly generalised.Currently,there is no high-quality evidence demonstrating a direct link between a DDI exceeding 30 minutes and adverse outcomes of fetal neurological development;moreover,an excessive focus on short time limits may lead to increased perioperative risks for the mother.Therefore,delivery room management should abandon the'one-size-fits-all'approach and establish dynamic,tiered,and individualised DDI targets instead,whilst introducing outcome-oriented composite quality indicators to achieve a scientific balance between time efficiency and maternal and neonatal safety.关键词
紧急剖宫产/决定手术至胎儿娩出时间/产房安全管理Key words
emergency caesarean section/decision-to-delivery interval/safety management in the delivery room分类
医药卫生引用本文复制引用
赵诚,赵扬玉..紧急剖宫产决策与安全边界:审视"5分钟"法则[J].中国实用妇科与产科杂志,2026,42(4):410-413,4.基金项目
首都卫生发展科研专项(首发2024-1-4094) （首发2024-1-4094）
北京大学第三医院临床重点项目(BYSYZD2022008) Capital Health Development Research Program(2024-1-4094) （BYSYZD2022008）
Key Clinical Project of Peking University Third Hospital(BYSYZD2022008) （BYSYZD2022008）
