Effect of epidural anesthesia for painless labor on birth process and newborn
10.3760/cma.j.issn.1008-6706.2016.04.034
- VernacularTitle:硬膜外阻滞麻醉无痛分娩对产程和新生儿的影响
- Author:
Hongliang YAN
;
Ming DAI
- Publication Type:Journal Article
- Keywords:
Epidural block anesthesia;
Painless labor;
Birth process;
Neonate
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;(4):615-618
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of epidural anesthesia for painless labor on the birth process and newborn,and to provide a reference for the implementation of painless labor.Methods From January 2013 to January 2015 in our hospital,102 pregnant women were randomly divided into observation group and control group, 51 cases in each group.The observation group used sufentanil combined with ropivacaine for labor analgesia,and the control group received conventional natural childbirth measures for labor.Compared the two groups of maternal analge-sia effect,duration,the rate of vaginal delivery and postpartum 2 hours the amount of bleeding,and compared the two groups of fetal distress and neonatal asphyxia incidence.Results The maternal effect rate and total efficiency in the observation group were 62.75%,96.08%,which were significantly higher than those of the control group (P <0.05).In the observation group,the first birth process was (251.82 ±93.64)min,the second stage of labor was (54.72 ±2.561)min,which were significantly less than those of the control group (P <0.05 );birth rate of the observation group was 74.51%,postpartum 2 hours bleeding (227.52 ±31.73)mL,fetal distress occurred rate was 1.96%,newborn asphyxia occurrence rate was 1.96%,and compared with the control group,the differences were not statistically significant (P >0.05).Conclusion Epidural block anesthesia of painless labor can effectively relieve the pain of delivery,reduce maternal labor and the second stage of history,and has good safety of mother to child,it is worth popularization and application.
