Effects of labor analgesia on maternal and neonatal outcomes monitored using Doppler ultrasound
- VernacularTitle:硬膜外分娩镇痛对胎儿脐动脉和大脑中动脉血流的影响
- Publication Type:Journal Article
- Keywords: Epidural labor analgesia; Doppler ultrasound; Middle cerebral artery; Umbilical artery
- From: The Journal of Clinical Anesthesiology 2016;32(8):769-771
- CountryChina
- Language:Chinese
- Abstract: Objective To observe the effects of labor analgesia on the maternal and neonatal outcomes using Doppler ultrasound.Methods Fifty-nine primipara who required labor analgesia were included into group R,while 25 primipara who rejected labor analgesia were included into group N. The duration of labor process,bleeding volume,method of labor and the neonatal outcomes were re-corded and compared between the two groups.Moreover,pulsatility index (PI),resistance index (RI),and systolic/diastolic (S/D)were also recorded at the time before analgesia (T0 ),1 5 min after analgesia (T1 ),30 min after analgesia (T2 )and 60 min after analgesia (T3 )between the two groups. At the same time,RI,PI and S/D were also recorded in the group N.Results There were no signifi-cant differences in the duration of labor process,bleeding volume,method of labor and neonatal out-comes.And patients in the group R presented a decreasing trend in PI and S/D as well as an upward trend in RI after labor analgesia,but the differences were not significant.Furthermore,the changes in each index of the patients in group N were not significant,either.Conclusion Epidural labor analgesia does not affect maternal and neonatal outcomes,which can be safely used in clinic with little side effects.