无痛分娩在初产妇的临床应用及对母婴结局的影响

Clinical application of painless labor for primiparous women and the effect on maternal and neonatal outcomes

目的探讨无痛分娩在初产妇的临床应用及其对母婴结局的影响。方法将116例初产妇随机分为对照组与观察组，对照组行常规分娩，观察组行无痛分娩，比较两组剖宫产率、镇痛效果、产程、产后出血量及新生儿1、5minApgar评分。结果观察组剖宫产率显著低于对照组（10．O％VS21．4％，P〈0．05），镇痛效果显著优于对照组（P〈0．05），第一产程显著短于对照组（P〈0．05）；两组产后出血量及新生儿l、5minApgar评分比较差异无统计学意义（p〉0．05）。结论无痛分娩用于初产妇可减少剖宫产率，镇痛效果好，可显著缩短产程。

Objective To investigate the clinical application of painless labor for primiparous women and the effect on maternal and neonatal outcomes. Methods One hundred and sixteen primipa- rous women were randomly divided into control group and observation group. Patients in control group un- derwent routine deliver, and patients in observation group were performed with painless labor. The rate of cesarean section, the analgesic effect, duration of labor, the amount of postpartum hemorrhage, neonatal 1 rain, 5 rain Apgar score were compared between the two groups. Results The rate of cesarean section in observation group was much lower than that in control group（ 10. 0% vs 21.4% ,P 〈0.05） ;The anal- gesic effect in observation group was superior to that in control group （ P 〈 0.05 ） ; Compared with control group, the first stage of labor in observation group was greatly shortened （ P 〈 0. 05 ） ; There were no sig- nificant differences in the amount of postpartum hemorrhage, neonatal 1 rain, 5 rain Apgar scores between the two groups （P 〉 0. 05 ）. Conclusions Painless labor for primiparous women can greatly decrease the rate of cesarean section, duration of labor, and has better analgesic effect.