无痛分娩用于初产妇的效果及对母婴结局的影响

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Abstract Objective To investigate the clinical effect of painless labor on primiparae and its influence on maternal and infant outcomes.Methods A total of 88 primiparae delivered in a selective time in our hospital from September 2016 to November 2017 were selected as research objects.By a random number table,they were evenly divided into control group and experimental group.In the control group,conventional delivery was used,while in the experimental group,painless labor was adopted.The analgesic effect,labor duration(first stage of labor,second stage of labor，and total labor)and maternal and infant outcomes including postpartum amount of bleeding,transfer to cesarean section,neonatal Apgar score,and complications,and lactation activity time of primipara were compared between the two groups.Results After different delivery,the excellent and good rate of anesthetic effect in primiparae in the experimental group was 97.73%,while 22.73%in the control group.The rate in the experimental group was significantly better than that in the control group(P＜0.05).In the experimental group,the time of the first labor stage and total labor duration were(9.45±2.11)h and(10.43±2.22)h，both of which were significantly shorter than those in the control group(P＜0.05).The difference in the second labor stage between the two groups was not significant(P＞0.05).On comparing the maternal and infant outcomes,the rate of transferring to cesarean section and incidence of complications were 4.55%and 11.36%in experimental group respectively,which were both lower compared with those in the control group(P＜0.05).The amount of postpartum hemorrhage was (203.51±28.49)ml in the experimental group,and the neonatal Apgar score was (9.65±1.32)points,which were not displayed statistical differences compared with the control group (P＞0.05).The time of lactation activity in the experimental group was(17.64±2.64)h,significantly shorter than that of the control group(P＜0.05).Conclusion The application of painless labor in primiparae can shorten the labor process and improve the maternal and infant outcomes,which is worthy of promotion in the future.

Key words： Painless delivery Primipara Clinical effect Maternal and infant outcomes

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	ZHANG Qiao-ying

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ZHANG Qiao-ying. The effect of painless labor on primiparae and its influence on maternal and infant outcomes[J]. 中国当代医药, 2018, 25(11): 99-101.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I11/99

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