Effects on the labor four elements of continuous epidural analgesia in labor / 中国实用护理杂志

ABSTRACT

Objective To explore the influence of continuous epidural analgesia in labor (hereinafter referred to as labor analgesia) to the labor four elements. Methods The study included 210 parturients with analgesia during labor, form cervix opens 2 cm, based on the parturients′choose. Observe the differences in the labor analgesia parturients, through the force of labor and birth canal, fetal and psychology. Results The uterine-work after analgesia showed a trend of rising first, then dropping, reduce abdominal pressure (t=46.78, P<0.01), and the contractive ability of musculus levator ani (t=20.99, P<0.01); Soften uterus cervix (t=3.59, P<0.01) and reduced the pelvic floor muscle convergent force (t=66.90, P<0.01); Decreased the fetal heart rate range (t=6.00, P<0.01), increased fetal heat deceleration times (t=6.85, P<0.01). The differences in the position of fetus was not statistically significant (χ2=6.00, P<0.01);Lower the pain score in the labor stage (t=60.25, P<0.01), increased the self-control score during the labor (t=24.30, P<0.01) and the satisfaction score during the labor, after analgesia (t=36.61, P<0.01). Conclusions The labor analgesia influenced labor elements, include the force of labor and birth canal, fetal and psychology, or promote or restrict or maintain.