The clinical study on analgesia delivery coordinate position nursing in stage of labor / 中国基层医药

ABSTRACT

Objective To explore the application value of epidural analgesia childbirth association a care in the puerpera childbirth.Methods According to the digital table,368 cases of childbirth puerperal were divided into observation group and control group,184 cases in each group.The control group was given analgesia childbirth,the observation group was given complex nursing intervention.The maternal birth outcomes of the two groups were observed.Results In the observation group,the maternal first labor time,labor time for 2 h,the total labor time, bleeding in 2h after delivery were (5.41 ±1.21 )h,(0.89 ±0.17)h,(6.32 ±1.57)h,(232.75 ±21.87)mL respectively,which in the control group were (5.32 ±1.22)h,(0.91 ±0.18)h,(6.24 ±1.55)h,(230.96 ±21.68)mL respectively,the differences between the two groups were not statistically significant(t =0.710,1.095,0.491,0.788, all P >0.05).In the observation group,the maternal cesarean delivery rate,postpartum maternal pain score,uterine recovery time were 10.33%,(1.43 ±0.67)points,(22.18 ±2.63)d respectively,which in the control group were 19.02%,(2.89 ±1.54)points,(29.79 ±5.41)d respectively,the differences between the two groups were statistically significant(χ2 =5.556,t =11.792,17.160,all P <0.05).In the observation group,the neonatal Apgar score,incidence of fetal distress,neonatal asphyxia rate were (9.27 ±0.88)points,1.09%,0.00% respectively,which in the control group were (8.03 ±0.31)points,5.43%,2.17% respectively,the differences between the two groups were statistically significant(t =3.526,χ2 =5.513 1,4.044,all P <0.05 ).Conclusion Adopt a consortium epidural analgesia application in maternity nursing intervention can improve the success rate of vaginal delivery,does not interfere with the labor progress,ensure the safety of the maternal and infant is worth popularization and application in clinic.