Abstract：Objective To comparing the pregnancy and childbirth outcome of multipara with the opening on Two-Child policy, and to explore the potential safety hazard in obstetric care. Methods 〓The clinical data of 340 multipara women from June to December in 2016 were retrospectively collected, as the after-policy group. Another 285 multipara women from June to December in 2015 were set as the before-policy group. The pregnancy and childbirth outcome of multipara were analyzed and compared between two groups. Results 〓The cesarean section rate was increased in the after-policy group compared with those in the before-policy group(P0.05). The rate of premature rupture of membranes, premature infant, macrosomia and postpartum hemorrhage were higher in the after-policy group compared with those in the before-policy group(P0.05). Conclusion 〓There is a potential increase in risk of pregnancy and childbirth outcome in multipara women under the condition of two-Child policy. It is required to enhance the training of obstetric nurses and improve specialist emergency response capacity, in order to ensure maternal and child safety.
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