The impact of throughout patient-controlled epidural analgesia on labor progress and delivery mode
10.3760/cma.j.issn.1008-6706.2009.04.026
- VernacularTitle:全程自控硬膜外镇痛对产程及分娩结局的影响
- Author:
Dongping RAO
;
Yuanzhe WU
- Publication Type:Journal Article
- Keywords:
Analgesia,patient-controlled;
Labor,obstetric;
Pregnancy outcome
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(4):621-623
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of throughout patient-controlled epidural analgesia(PCEA) on labor progress and delivery mode. Methods We enrolled 120 nulliparous women with term cephalic singleton preg-nancies. They were divided into two groups ,throughout analgesia group(n=60):when they are in labor,we started an-algesia and continued to the end of second stage of labor. While 60 nulliparous were selected to non-analgesia group as the control group. Data were collected about duration of the first, second stage of labor, oxytocin dosage, postpartum hemorrhage,outcome of delivery, neonatal Apgar scores, umbilical cord vein and artery blood gas analysis and the effect of epidural analgesia, etc. Results There wsa is significant difference in the duration of the first stage delivery, the utilization rates of oxytocin, delivery mode (P<0.05) ;and there was no remarkable differences in the second stage of labor process, postpartum hemorrhage, neonatal Apgar scores, umbilical cord vein and artery blood gas analysis (P>0.05) Conclusion The throughout patient-controlled epidural analgesia can shorten labor progress, cut down uterine-incision delivery and reach satisfying analgesis effect, without commidng any impact on the outcome of delivery.
