Effect evaluation of two labor analgesia methods with Doula services
10.19485/j.cnki.issn2096-5087.2020.08.005
- VernacularTitle:导乐陪伴分娩两种镇痛干预效果评价
- Author:
LI Haiyan
1
,
2
;
CHEN Pei
;
CHEN Hong
;
XU Jie
Author Information
1. Hangzhou Women'
2. s Hospital
- Publication Type:Journal Article
- Keywords:
transcutaneous electrical nerve stimulation waterbirth Doula labor analgesia
- From:
Journal of Preventive Medicine
2020;32(8):778-781
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To evaluate the effects of transcutaneous electrical nerve stimulation ( TENS ) and waterbirth with Doula services on the outcome of delivery.
Methods:From July 2018 to December 2019, 150 primiparas in Hangzhou Women's Hospital were randomly divided into three groups: TENS, waterbirth and control groups. They were given TENS, waterbirth and conventional midwifery, accompanied by Doula services. The visual analogue scores ( VAS ) , length of labor stages and neonatal asphyxia were compared.
Results:It finally included 45 cases in the TENS group, 45 cases in the waterbirth group and 44 cases in the control group. There were no significant differences in gestational weeks, age, height, weight, fetal biparietal diameter and newborn birth weight among the three groups ( P>0.05 ) . The VAS scores of TENS group and waterbirth group were lower than those of the control group ( P<0.05 ) , but there were no significant differences between the two groups ( P>0.05 ) with the cervix open to 2.5-3 cm, 5-7 cm ( 0.5 hours later ) and 10 cm. There was no interaction between the analgesia methods and cervix diameter ( P>0.05 ) . The duration of the first stage of labor in the TENS group and the waterbirth group was less than that in the control group ( P<0.05 ) , and there was no significant difference between the TENS group and the waterbirth group ( P>0.05 ) . The asphyxia rate of neonates in TENS group, waterbirth group and control group were 2.22%, 2.22% and 4.55%, respectively, with no significant difference ( P>0.05 ) .
Conclusion:Under Doula services, both TENS and waterbirth can effectively relieve the pain of delivery and shorten the first stage of labor, without obvious differences.
