The study on labor epidural analgesia in reducing lateral episiotomy rate and delivery analgesia for primipara / 中国基层医药

ABSTRACT

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.