Application of High Semi-decubitus Position in Epidural Labor Analgesia in the Second Stage of Labor
- VernacularTitle:第二产程高半卧位体位分娩在硬膜外分娩镇痛中的应用研究
- Author:
Lirong HE
1
;
Mengyan XU
;
Fengcheng CAI
Author Information
1. 浙江中医药大学附属杭州市中医院妇产科,浙江杭州 310007
- Keywords:
Epidural analgesia;
Body position;
Delivery;
Second stage of labor;
Sense of birth control
- From:
Journal of Practical Obstetrics and Gynecology
2024;40(2):141-145
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of high semi-decubitus position in the second stage of labor in epidural analgesic delivery of primipara.Methods:A total of 120 women who gave birth in Hang-zhou women's Hospital from May 1,2021 to July 30,2021 were randomly divided into experimental group(n=60)and control group(n=60)by random number table method.The control group adopted supine position in the sec-ond stage of labor,and the experimental group transferred to high semi-supine position after the supine position was used applied for 30 minutes when the fetal head was not exposed.To compare the effects of different postur-al positions on the duration of the second stage of labor,mode of delivery,postpartum injury,perineal tearing,la-bor force experience and labor control,and neonatal asphyxia.Results:The duration of uterine opening to fetal head exposure,the duration of uterine opening to fetal head crown and the duration of second stage of labor in experimental group were shorter than those in control group.The rate of natural delivery of experimental group was higher than that of control group.The episiotomy rate and the second degree perineal laceration rate were lower than that of control group.The amount of blood loss during delivery and 2h postpartum of experimental group was less than that of control group.The scores of birth experience and birth control of experimental group were higher than those of control group,and the differences were statistically significant(P＜0.05).There was no significant difference in 1-minute Agpar score and 5-minute Agpar score between the two groups(P＞0.05).Conclusions:The application of high semi-decubitus position under epidural labor analgesia promoted vaginal natural labor,shortened the time of second stage of labor,reduced episiotomy rate and perineal laceration de-gree,reduced postpartum hemorrhage,had positive labor force experience,and increased the sense of labor con-trol.
