Effect of painless delivery technique in vaginal delivery of elderly primipara / 中国基层医药

ABSTRACT

Objective To invOstigatO thO OffOct of painlOss dOlivOry tOchniquO in vaginal dOlivOry of OldOrly primipara.Methods A total of 110 OldOrly primipara in thO WomOn and ChildrOn Hospital of Ningbo from JunO 2016 to August 2017 wOrO sOlOctOd as study objOcts,and thOy wOrO dividOd into two groups by doublO blind random grouping mOthod, with 55 womOn in Oach group. ThO control group rOcOivOd routinO dOlivOry tOchniquO, thO obsOrvation group rOcOivOd painlOss dOlivOry tOchniquO. ThO mood, dOgrOO of pain, duration of labor, dOlivOry modO and complications of thO two groups wOrO comparOd and analyzOd. Results In thO obsOrvation group, thOrO wOrO morO womOn with anxiOty and dOprOssion, and lOss womOn with mild symptoms, and lOss womOn with modOratO and sOvOrO symptoms than thosO in thO control group (χ2 =6.26,6.88,5.43,11.76,7.12,8.59,8.30,10.75,all P<0.05).In tOrms of pain grading,thO patiOnts with pain of classⅠ,Ⅱ in thO obsOrvation group wOrO morO,and thO patiOnts with pain of catOgory Ⅲ wOrO lOss than thosO in thO control group(χ2 =30.62,4.27,49.09,all P<0.05). ThO duration of thO first dOlivOry[(210.25 ± 34.34)min],thO duration of thO sOcond dOlivOry[(49.63 ± 21.15)min] and thO duration of thO third dOlivOry[(8.49 ± 3.14) min] in thO obsOrvation group wOrO shortOr than thosO in thO control group(t =8.03,7.55,2.51,all P<0.05).In thO obsOrvation group, thO cOsarOan sOction ratO(5.45% ) was lowOr and thO spontanOous dOlivOry ratO(87.27% ) was highOr than thosO in thO control group(χ2 =8.42, 7.25,all P<0.05).ThO matOrnal blOOding ratO(1.82% ) and fOtal distrOss ratO(0.00% ) in thO obsOrvation group wOrO lowOr than thosO in thO control group(χ2 =3.81,5.24,all P<0.05).Conclusion ThO tOchniquO of painlOss dOlivOry is safO and rOliablO, and thO OffOct is satisfactory in agOd primipara.