JP2015121913A - Childbirth time prediction software - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an interactive nursing support system for informing a user of childbirth time prediction by applying a childbirth time prediction suitable for Japanese.SOLUTION: Using a spreadsheet function, "an opening degree of uterine os" and "a lowering degree of a fetus" are inputted as numerical values. In doing so, with the use of a flow control statement in which processing is branched depending on a value of a conditional expression, through interactive procedures, a message such as prediction of "after how many hours childbirth starts", "after how many hours internal examination is needed" and "preparation for childbirth is needed" for a primipara woman and a parous woman is displayed as a variable on a message box for reference.

Description

    The present invention relates to software for teaching a user how to predict the average delivery time of a Japanese person that can be used on an electronic medical record terminal or a tablet terminal.

Generally, the word processor function and the database function are mainly used for medical records and nursing records used in electronic medical records. In the obstetrics department where labor is the most litigated, especially in the obstetrics where labor is the most litigated, one doctor, midwife, and nurse examine and nursing multiple patients and pregnant widows. At the same time, I am observing the mothers who have labor pains. Since childbirth is not a disease, it is natural to give birth safely, but it sometimes leads to accidents. If brain work is left to computer functions that can store and calculate a large amount of time, there will be enough time to prevent medical accidents. By using the computer's calculation function to calculate the delivery time, doctors, midwives and nurses can avoid the work while predicting the delivery time by secretly referring to textbooks and reference books. Become.

JP2002-245578

JP2013-137678A

Recently, labor costs and administrative costs have become enormous, making it difficult to operate the obstetrics department, and an increasing number of medical facilities have been closed for mixed wards and obstetric wards. This is due to the fact that midwives are nursing maternity women who are refraining from delivery while nursing patients in other departments, and that there are more opportunities for nurses unfamiliar with obstetrics to practice obstetrics, As the burden on a midwife and nurse has increased, the frequency of medical accidents has increased, which has spurred the separation of obstetrics.
The most common lawsuit for medical accidents is work related to parturition. While examining and nursing other patients, maternity who refrained from parturition falls (partitioning when there is no doctor, midwife, or nurse) ) May cause an accident. In order to prevent this, it is only necessary to care for the maternity side, but as a matter of fact, if you have a lot of work and patients, you can not handle many work with the maternity. There is.
Therefore, when we examine a pregnant woman who refrains from giving birth, we always diagnose the degree of opening of the uterine ostium (the degree of opening of the uterine mouth) and the degree of lowering of the head of the child (the degree of dropping of the fetal head in the uterus) Based on these values, statistical processing of the average delivery time for Japanese people is carried out and applied to allow the computer to calculate the prediction of delivery time, so that textbooks can be opened in places where no one is present, and a foreigner named Friedman has been working for 50 years. Software that reduces the labor of predicting the delivery time with reference to the average delivery time predicted previously.

The present invention uses a spreadsheet function by switching the screen from a word processor function that has been applied in the past when a doctor or midwife records a progress record in an electronic medical record during the progress of labor. When a numerical value is entered for `` Greatness '' and `` Fetal descent '', using a flow control statement that branches the processing according to the value of the conditional expression, the first mother (for the first time giving birth as a variable in a message box in an interactive procedure) Return the indications of “How many hours later will deliver the baby” and “How many hours later need a medical checkup” and “Preparation for childbirth”, etc., and refer to it By doing this, the textbooks and reference books can be opened in places where no one is present, and the effort to refer to the Friedman curve can be reduced.
By applying statistically processed products to the average delivery time of the Japanese, the average delivery time of the Japanese can be predicted, and other work in parallel with the delivery work can be performed by medical professionals. As an index to judge when the work adjusts itself and concentrate the work on delivery as necessary, health care workers who have several duties encounter accident scenes such as fall and labor Interactive educational software to prevent the problem.

The Friedman curve is only a reference value and is an average value for foreigners 50 years ago, so there is a difference in the delivery time from the current Japanese, and it depends largely on the judgment of doctors and midwives. I think there are many people who are educated and aware. Since it is not the average delivery time for Japanese people, it is often not helpful. Therefore, we collected approximately 500 cases of average delivery time for Japanese in the case of normal delivery for each primary and multipartum, and statistically processed the time required for delivery based on the degree of openness of the uterine ostium and the degree of lowering of the head of the uterus. If you input the degree of opening and the descending degree of the head of the child, the predicted delivery time will be displayed in a message box and returned, so you can refer to it immediately, so you do not have to leave your seat to see the textbook.
Also, even inexperienced doctors and midwives enter the numerical values for the degree of openness of the uterine ostium and the degree of fetal descent, and predict the number of hours a Japanese will deliver. Since messages such as “Need internal examination later” and “Preparation for labor” are displayed in the message box as variables, other tasks can be performed with reference.
Furthermore, by confirming the display of the delivery prediction, the nurse will be called to the delivery room suddenly during the nursing of other patients, and the delivery prediction will be made when he / she needs to start nursing work in the delivery room. Since it can be known in advance that “it will be parturition” after confirmation, it can be used as an index to help prepare for delivery with sufficient time and to shift to work in the delivery room. “When is the delivery time? Even if you do not ask, the nurse can know the estimated delivery time by inputting the numerical value of the delivery record, saving time and exchanging information, etc. I can expect.

FIG. 1 is a display when the opening degree of the uterine ostium and the lowering degree of the head of the head are input. FIG. 2 shows a message box displayed when the opening degree of the uterine ostium and the head descending degree are input and the prediction button is pressed. FIG. 3 is a delivery time prediction display after numerical input of the Inaba type delivery prediction. FIG. 4 is a Friedman parturition curve usually referred to. FIG. 5 is a programming of the Inaba type delivery curve. FIG. 6 shows a blood glucose level input state for the insulin sliding scale. FIG. 7 is a display of the amount of insulin.

              Installed “Inaba-style delivery prediction” software in the electronic medical record. Since a portable terminal is used as a slave unit in the electronic medical chart, FIGS. 1 and 2 are installed and used in the electronic medical chart, and are calculated and displayed.

              Installed on a portable tablet device, separate from the electronic medical record. Similar to the above, calculation and display are performed as shown in FIGS.

                    Figure 1 refers to the doctor's and midwife's progress records entered in the progress record. The CC entered by the nurse is the degree of openness of the uterine ostium, and SP is the degree of fetal head descent.

        Figure 2 shows the numerical values of the doctor and midwife's progress records entered in the progress record. The CC entered by the nurse is the degree of uterine ostia, and SP is the degree of fetal head descent and delivery time prediction.

                      Since the names of diseases, viruses, and drugs increase year by year, if you enter a character string such as a symptom so that you can reduce the work that requires a lot of memory even a little, you can program the corresponding disease in the message box Since messages can be returned as variables, it is possible to create interactive diagnostic system software that can cover disease names according to symptoms and can be used to prevent misdiagnosis. It is also possible to create interactive diagnosis / nursing support system software that provides diagnosis and nursing according to symptoms and disease names.

                      Programming abnormal values by entering test data, drug quantities, and vital signs (blood pressure, body temperature, pulse, respiration, vital signs) that do not fit in human memory in the medical records and nursing records of each clinical subject By doing so, it is possible to return a message as a variable to the message box, so that early detection of anomalies and notification of dangers can be made, so that the time for carrying out a person-to-person operation increases and information collection and assistance can be sufficiently performed.

                      Insulin amount relative to blood glucose level. Intractable disease names for symptoms, etc.

1 CC is an obstetric term indicating whether the mouth of the uterus is wide.
2 Display of the entered numerical value indicating how many centimeters of uterine ostium are open.
3 St is an obstetric term indicating whether the fetal head is descending.
4 A numerical display indicating how many cm the fetal head is descending.
5 Press the prediction button to execute the macro. The state before execution.
6 Pressing the prediction button activates the macro function to calculate.
7 An example of a message display showing the delivery time of the first-time and multiparous women.
8 Friedman's parturition curve showing the statistical parturition expectation time of foreign mothers, which has been referenced to predict parturition time.
9 Part of the program.
10 Blood glucose levels
11 Prediction button
12 Display of insulin type and number of injection instruction units

Claims (2)

            By programming a flow control statement that branches the processing according to the value of the conditional expression, predicting the delivery time by statistically applying the expected delivery time adapted to the Japanese, the first mother ( Interactive educational software that returns predictions such as “How many hours later will lead to parturition” and “How many hours later need a medical examination” and “Preparation for parturition”, etc. . The interactive educational software of claim 1, wherein at least one module provides control for responding to uterine ostia opening and fetal head descent.