Effect of ropivacaine on painless delivery and its effect on mother and infant / 中国基层医药

ABSTRACT

Objective To investigate the effect of ropivacaine on painless delivery and its effect on mother and infant.Methods From March 2016 to May 2017,64 cases of maternal painless labor demand in the Eighth People's Hospital of Taiyuan were chosen as the observation group ,42 cases of natural childbirth pregnant women in the Eighth People's Hospital of Taiyuan were selected as control group .The degree of labor pain,pregnancy outcome and the effect on mother and infant were compared .Results The excellent rate of normal delivery ,oxytocin usage rate in the observation group were 50%,7.81%,respectively,which were better than those in the control group ( all P＜0.05).The Apgar scores of newborns at 1 min 5 min after birth in the observation group were (8.92 ±1.20)points, (9.43 ±0.56)points,respectively,which were higher than those in the control group (t ＝5.362,4.036,all P＜0.05).The postpartum lactation of the observation group was 54.69%,and had no statistically significant difference compared with the control group .After delivery,the level of NO in the observation group was higher than that in the control group [(94.2 ±9.6) μmol/L vs.(82.6 ±5.6) μmol/L],and the cortisol level was lower than that in the control group [(726.3 ±68.1)ng/mL vs.(892.7 ±136.4)ng/mL],the differences were statistically significant (all P＜0.05).Conclusion Ropivacaine combined with spinal and epidural anesthesia is an ideal way for painless delivery, with good analgesic effect ,which can improve the natural delivery rate and has little effect on mother and child .