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Objective To explore the application effect of epidural labor analgesia for primipara.Methods 176 labor primipara were divided into observation group and control group by digital table.The control group was given non-drug labor analgesia,the observation group was given epidural labor analgesia.The analgesic effects of the two groups of childbirth way were recorded.Results After the intervention,in the observation group,the anxiety self-assessment rating scale,depression self rating scale score were (42.65 ±1.87)points,(45.76 ±3.05)points, which in the control group were (46.34 ±3.88)points,(51.93 ±4.95)points,there were statistically significant differences between the two groups(t=8.036,9.954,all P<0.05).In the observation group,the activematernal plasma cortisol,the first stages of VAS score,the second labor VAS score,the third labor VAS score were (31.06 ± 3.67)nmol/L,(1.88 ±0.45)points,(3.54 ±1.32)points,(2.43 ±1.19)points,which in the control group were (38.76 ±5.22)nmol/L,(2.78 ±0.96)points,(4.86 ±3.15)points,(3.85 ±2.21)points,there were statistically significant differences between the two groups(t=11.319,7.963,3.625,7.963,all P<0.05).In the observation group,the maternal postpartum haemorrhage amount,episiotomy rate,neonatal asphyxia rate were (186.71 ± 32.18)mL,14.78%,1.14%,which in the control group were (254.82 ±45.96)mL,35.23%,7.95%,there were statistically significant differences between the two groups(t=11.387,χ2 =9.818,4.714,all P<0.05).Conclusion Epidural labor analgesia application in primipara can reduce maternal negative psychological stress,relieve labor pain degree,reduce episiotomy rate and postpartum hemorrhage occurs,improve and outcomes and improve maternal and child safety,it is worth popularization and application in clinic.
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Objective To explore the effect and value of sufentanyl combined with different concentrations of ropivacaine in labor analgesia.Methods 120 analgesia childbirth pregnant women were divided into 3 groups(group A 0.5g/L,group B 1.0g/L,group C 2.0g/L)by random number table method,40 cases in each group,they were giv-en sufentanyl combined with different concentrations of ropivacaine in labor analgesia.The labor analgesia effect of three groups of pregnant women was recorded.Results The postpartum 2 h blood loss and total labor time of group A were (147.55 ±25.39)mL and (727.54 ±56.38)min,which of group B were (131.03 ±18.73)mL,(573.53 ± 40.09)min,which of group C were (120.03 ±14.84)mL,(493.82 ±34.51)min,there were statistically significant differences among the three groups(F =3.342 7,7.551 7,all P 0.05).Conclusion Using 1.5g/L ropivacaine combined with sufentanyl in labor analgesia is remarkable,high safety,neonatal and maternal prognosis is good,and therefore should be preferred to 1.5g/L ropivacaine combined with sufentanyl in labor analgesia.
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Objective To compare the effect of different concentrations of ropivacaine in epidural analgesia of childbirth.Methods According to the digital table,300 cases of our hospital childbirth puerpera were randomly divided into A,B,C three groups.A group was given 0.125％ ropivacaine compound fentanyl analgesia,B group was given 0.1％ ropivacaine compound fentanyl analgesia,group C was not required analgesia childbirth.The childbirth of three groups was observed.Results In group A,the labor time was (261.38 ± 19.87) min,postpartum 2h blood loss was (241.03 ± 34.57) mL.In group B,the labor time was (260.09 ± 19.69) mnin,postpartum 2h blood loss was (238.66 ± 35.01) mL.In group C,the labor time was (270.46 ± 20.86) min,postpartum 2h blood loss was (251.75 ± 36.79) mL.Statistical analysis showed that there was no significant difference (t =0.472,1.035 ; all P ＞ 0.05).In group A,the fetal heart rate was (142.34 ±21.57)times/min,neonatal Apgar score was (9.77 ± 0.21),and umbilical artery blood pH value was (7.27 ± 0.06).In group B,fetal heart rate was (145.21 ± 21.49) times/min,neonatal Apgar score was (9.79 ± 0.20),and umbilical artery blood pH value was (7.26 ± 0.08) ; Fetal heart rate of group C was (143.78 ±22.01)times/min,neonatal Apgar score was (9.64 ±0.24),and umbilical artery blood pH value was (7.28 ± 0.07).The differences among three groups were not statistically significant (t =0.763,0.360,0.114,all P＞ 0.05).Analgesic effect time of group A was (12.13 ± 1.76) min,pain score was (1.03 ±0.46) points,analgesic harem duration was (22.39 ± 3.21) s,analgesic harem time interval was (3.26 ± 1.49) min,the cesareandelivery rate was 8.00％.In group B,the analgesic effect time was (12.04 ± 1.69mnin),pain score was (1.01 ± 0.52) points,analgesic harem duration was (21.04 ± 3.18) s,analgesic harem time interval was (3.4.9 ±1.51)min,the cesarean delivery rate was 9.00％ ; Duration of the analgesic effect of group C was (16.77 ±16.77) min,pain score was (3.76 ± 1.23) points,analgesic harem duration was (26.98 ± 5.87) s,analgesic harem time interval was (2.65 ± 0.75) min,the cesarean delivery rate was 48.00％.The differences between groups were statistically significant (chi square or t =6.148,8.522,5.749,4.095,61.316 ;P ＜ 0.05).Conclusion Application of 0.1％ ropivacaine compound fentanyl anesthesia can effectively relieve patients'pain,shorten labor and reduce postpartum 2h blood loss,impact less on contractions at the same time,reduce the incidence of cesarean delivery,has no influence on the neonate,which is worth popularization and application in clinic.
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Objective Study the effect of transvaginal bitths in term pregnant women with less amniotic fluid B-mode ultrasonography suggested on neonatal and find the correct approach. Methods The maternity outcome of 166 pregnant women with less amniotic B-mode ultrasonography suggested fluid was compared with that of 187 term pregnant women with normal amniotic fluid.Results There was no significant difference on severe meconium stained amniotic fluid and the rate of neonatal asphyxin between two groups.Conclusion Transvaginal biths can be tried in term pregnant women with less amniotic fluid B-mode ultrasonography suggested under the intensive care.