无痛分娩在产科中应用效果及对母婴的影响

Application of Painless Delivery in Obstetrics and its Effect on Mother and Baby

目的探讨无痛分娩在产科中应用效果及对母婴的影响。方法纳入医院84例2017年1月—2018年1月分娩产妇。随机数字表分组,常规分娩组采取常规分娩,无痛分娩组则采取无痛分娩。比较常规分娩组、无痛分娩组母乳喂养的比例;首次进行母乳喂养的时间、产后恢复正常排尿的时间、新生儿出生1分钟Apgar评分;干预前后产妇分娩视觉模拟评分;新生儿窒息、产妇尿潴留、排尿困难发生率。结果无痛分娩组母乳喂养的比例高于常规分娩组,首次进行母乳喂养的时间短于常规分娩组,P<0.05。无痛分娩组产后恢复正常排尿的时间、新生儿出生1分钟Apgar评分和常规分娩组无明显差异,P>0.05。无痛分娩组分娩视觉模拟评分相比较常规分娩组更好,P<0.05。无痛分娩组新生儿窒息、产妇尿潴留、排尿困难发生率和常规分娩组无明显差异,P>0.05。结论无痛分娩的效果理想,对母婴无明显不良影响,可加速产后母乳喂养的时间,提高母乳喂养率,减轻分娩疼痛,加速排尿恢复。

Objective To explore the effect of painless delivery in obstetrics and its impact on mother and infant.Methods 84 cases of women who were delivered in our hospital in January 2017 to January 2018.The random number table was grouped,the regular childbirth group took regular childbirth,and the painless childbirth group took painless childbirth.Compare the proportion of breastfeeding in the regular childbirth group and the painless childbirth group;the time of breastfeeding for the first time,the time of returning to normal urination after birth,the Apgar score of 1 minute of newborn birth;the visual simulation score of maternal delivery before and after intervention;neonatal asphyxia,maternal urine The incidence of retention and dysuria.Results The proportion of breastfeeding in the painless delivery group was higher than that in the conventional delivery group.The time of breastfeeding for the first time was shorter than that of the conventional delivery group,P<0.05.There was no significant difference in the time of returning to normal urination after delivery in the painless delivery group,the Apgar score at 1 minute after birth,and the conventional delivery group,P>0.05.The visual analog scores of the painless delivery components were better than those of the conventional delivery group,P<0.05.There was no significant difference in the incidence of neonatal asphyxia,maternal urinary retention,dysuria and conventional delivery in the painless delivery group,P>0.05.Conclusion The effect of painless delivery is ideal.It has no obvious adverse effects on mother and baby.It can accelerate the time of postpartum breastfeeding,increase the rate of breastfeeding,reduce the pain of labor and accelerate the recovery of urination.