无痛分娩对产程及母婴结局的影响分析

Analysis of the Effect of Painless Labor on Birth Process and Maternal and Infant Outcomes

目的探讨无痛分娩对产程及母婴结局的影响。方法选择娄底市中心医院2016年10月—2017年8月收治的单胎足月初产妇543例作为研究对象,以361例自然分娩产妇作为对照组,不予分娩镇痛;以182例要求无痛分娩的产妇作为观察组,给予腰硬联合麻醉分娩镇痛。分别对两组产妇的3个产程时间、产后出血量和新生儿窒息率进行观察和比较。结果观察组第一产程和第二产程时间略长于对照组,差异有统计学意义,而第三产程时间、产后出血量和新生儿窒息率均差异无统计学意义。结论无痛分娩技术在明显降低产妇分娩疼痛的同时,仅略延长了第一产程和第二产程,对产后出血量和新生儿窒息率无不良影响。

Objective To investigate the effect of painless labor on the birth process and maternal and infant outcomes. Methods 543 singleton full-term primiparas hospitalized in Loudi Central Hospital from October 2016 to August 2017 were included, the control group was comprised of 361 natural childbirth puerperas receiving no labor analgesia, and the observation group was comprised of 182 puerperas