分娩镇痛在自然分娩初产妇中的应用效果

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Abstract Objective To investigate the application effect of labor analgesia in primiparae with natural childbirth.Methods A retrospective analysis was performed on 102 primiparous women who gave birth naturally in our hospital from January 2018 to July 2019.They were divided into control group (n=51) and observation group (n=51) according to the different ways of delivery intervention.In the control group, non-drug analgesia was used, and in the observation group, non-drug analgesia combined with spinal anesthesia was adopted.The progress of labor, postpartum hemorrhage,pain, Apgar score and pregnancy outcome were compared between the two groups.Results There was no significant difference in the first, second, third, and total labor time between the two groups (P＞0.05).The postpartum hemorrhage was (239.84±21.69) ml in the observation group, less than that in the control group for (287.04±22.31) ml.The visual analogue scale (VAS) score was (5.06±0.69) points, lower than that of the control group for (6.79±0.78) points.At 5 minutes, the Apgar score was (8.55±0.54) points, higher than that of the control group for (8.31±0.50) points.At 10 minutes, the Apgar score was (8.95±0.47) points, higher than that of the control group for (8.64±0.43) points, and the differences were statistically significant (P<0.05).The total incidence of adverse pregnancy outcomes in the observation group was 3.92%, lower than that in the control group accounting for 17.65%, with statistical difference (P<0.05).Conclusion Application effect of labor analgesic measures has less effect on the labor stages in primiparous women with natural childbirth, and can reduce postpartum hemorrhage, alleviate postpartum pain, and improve pregnancy outcomes.It is worthy of clinical promotion and application.

Key words： Natural childbirth Labor analgesia Intraspinal anesthesia and analgesia Primiparous women Labor progress Pregnancy outcome

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	YANG Yu
	WANG Tao

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YANG Yu,WANG Tao. Application effect of labor analgesia in primiparae with natural childbirth[J]. 中国当代医药, 2020, 27(12): 116-118.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I12/116

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