硬膜外分娩鎮痛對新生兒結局的評價

Evaluation of the outcome of neonates whose mothers had undergone epidural analgesia

目的探討接受硬膜外分娩镇痛初產妇所產新生兒的結局。方法回顧分析本院2013年4月~2014年6月間接受硬膜外分娩鎮痛產婦自然分娩的75例新生兒的結局,並選取同期同等條件未經分娩鎮痛產婦自然分娩的75例新生兒作對照,记录所有產妇的分娩方式、第二產程時間、新生兒出生後的體温、1min Apgar評分以及新生兒的住院天數。結果觀察組產婦的助產率較低,但兩組產婦的助產率差異無統計學意義(P>0.05);兩組產婦的第二產程時間相若(P>0.05);兩組新生兒1min Apgar評分、平均體溫以及住院天數差異無統計學意義(P>0.05)。結論硬膜外分娩镇痛方法對新生兒的結局無不良影響,硬膜外分娩鎮痛安全可靠。

Objective To evaluate the outcome of the neonates of primigravidae with epidural analgesia during labor.Methods Retrospective analysis of 75 neonates with maternal epidural analgesia during spontaneous labor from April 2013 to June2014 in Kiang Wu Hospital was undertaken.Meanwhile,another 75 neonates were selected during the same period and condition without maternal epidural analgesia as control group.Mode of delivery,the duration of the second stage of labor,the body temperature of neonates after birth,Apgar Score and in-hospital days of the neonates were recorded.Results The rate of assisted delivery is lower in observation group than in control group.But maternal delivery rate between the two groups was not statistically significant(P>0.05).The duration of the second stage of labor of between two were nearly similar(P>0.05).The differences of Apgar score in 1minute and 5 minutes,average body temperature and number of in-hospital days of both groups of neonates had no statistically significant(P>0.05).Conclusion There is no adverse effect in neonates with maternal epidural analgesia during labor.Epidural analgesia is a safe and reliable during labor.