|
|
Effect of Painless Delivery on the Labor Process of Primipara and Umbilical Blood Gas Index of Newborn |
Wang Xueqin, Hao Yujuan, Ding Qing |
Obstetrics and Gynecology Department,Xuchang Central Hospital,Xuchang 461000,Henan |
|
|
Abstract Objective To study the effect of painless delivery on the labor process of primipara and umbilical blood gas index of newborn. Methods A total of 60 primiparas were selected as research objects.According to their fertility intention,the primiparas were divided into painless delivery group(n=27)and conventional delivery group(n=33).Ropivacaine and sufentanil were used for analgesia in the painless delivery group,while no analgesia was used in the conventional delivery group.The general condition,pain condition,umbilical blood gas index of newborn,maternal and infant outcome were compared between the two groups. Results The first time of getting out of bed in painless labor group was shorter than that in conventional labor group,and the second stage of labor and total stage of labor were longer than that in conventional labor group,the difference was statistically significant(P<0.05).There was no significant difference in the first stage of labor,the third stage of labor and the length of hospital stay between the two groups(P>0.05).There was statistically significant difference in VAS scores between the two groups before and after delivery(P<0.05),and painless delivery group scored lower.There was no significant difference in PaO2,BE,pH and lactic acid between the two groups(P>0.05).There was no significant difference in the maternal and infant outcomes between the two groups(P>0.05). Conclusions Painless delivery is helpful to alleviate the pain of primipara in labor,promote the activity of getting out of bed as soon as possible,and has little impact on the umbilical blood gas index of newborn.It does not significantly lead to adverse maternal and infant outcomes,but can prolong the labor process.
|
Received: 20 June 2023
|
|
|
|
|
[1] 王立云,林志武.无痛分娩的研究进展[J].实用妇科内分泌电子杂志,2018,5(1):10-12. [2] 肖喜荣,李碧,顾蔚蓉,等.二孩政策背景下剖宫产率及剖宫产指征的变化[J].中华围产医学杂志,2018,21(1):39-45. [3] 魏丽青,王永强,程旭东.无痛分娩对产妇分娩结局视觉模拟疼痛评分及应激反应指标的影响[J].中国妇幼保健,2022,37(7):1210-1213. [4] Wen X,Huang B,Liang X.Effect of ropivacaine and sufentanil in epidural labor analgesia[J].Am J Transl Res,2021,13(6):7001-7007. [5] 游敏吉,吴继敏,代虹,等.无痛分娩罗哌卡因联合芬太尼对产妇血清炎症细胞因子的影响[J].中国妇幼保健,2021,36(11):2525-2528. [6] 张霞,李金良,赵玲娜.硬膜外阻滞在无痛分娩产妇中的应用效果及其对母婴结局的影响[J].临床合理用药杂志,2019,12(6):108-109. [7] 王伟萍,王飞,卢海洪,等.无痛分娩对初产妇产后盆底肌功能的影响[J].中国妇幼保健,2021,36(22):5163-5165. [8] Carvalho B,George RB,Cobb B,et al.Implementation of Programmed Intermittent Epidural Bolus for the Maintenance of Labor Analgesia[J].Anesth Analg,2016,123(4):965-971. [9] 中华医学会围产医学分会新生儿复苏学组.新生儿脐动脉血气分析临床应用专家共识(2021)[J].中华围产医学杂志,2021,24(6):401-405. |
[1] |
. [J]. journal1, 2024, 44(2): 60-61. |
[2] |
. [J]. journal1, 2024, 44(2): 125-127. |
[3] |
. [J]. journal1, 2024, 44(2): 140-141. |
[4] |
Wang Lin. Distribution of Pathogenic Bacteria in Fetal Membranes of Patients with Histologic Acute Chorioamnionitis and Analysis of Maternal and Infant Outcomes[J]. journal1, 2024, 44(1): 23-26. |
[5] |
. [J]. journal1, 2024, 44(1): 95-97. |
[6] |
. [J]. journal1, 2023, 43(6): 126-127. |
|
|
|
|