WS/T 823-2023 in English

Background of Standard Formulation and Technical Evolution

With the development of perinatal medicine, the prevention and control of hospital infection in delivery rooms faces new challenges. This standard integrates and innovates on the basis of 12 referenced standards such as GB 15982, and for the first time incorporates family-style delivery rooms into the standard system, reflecting the modern service concept of "focusing on pregnant women and parturients". Compared with the 2012 version, 8 key technical requirements have been added, such as the management of multidrug-resistant bacteria and emergency response to respiratory infectious diseases.

Comparison of core management frameworks

Analysis of key prevention and control measures

Clause 5.7: Specification of delivery bed configuration

The standard requires that the use area of a single delivery bed is ≥20㎡, the spacing is ≥1m and a ≥1.8m partition is set. Practice at Peking University Third Hospital shows that this configuration can reduce the contamination rate of equipment by 42%.

Clause 9.6: Protection of intrauterine operation

Explicit requirements:

• Operations such as artificial rupture of membranes require surgical hand disinfection + sterile surgical gowns
• Non-impermeable surgical gowns need to be worn with waterproof aprons
• Data from Wuhan Union Hospital showed that the surgical site infection rate dropped by 37% after the standard was implemented

Implementation suggestions

Key points for quality improvement

Recommendations for medical institutions:

• Establish a three-level self-inspection system for infection control in delivery rooms (department/hospital infection control/medical affairs)
• Incorporate hand hygiene compliance into obstetric performance appraisal
• Use Internet of Things technology to trace the use of equipment such as infant radiation warming tables