Volume 20 Issue 10
Oct.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(10): 1711-1714
GUO Hui-fang, CHEN Yi-jun, ZHAO Wan-ping, SHI Liang-fang. Effect of continuous intraspinal pump injection of patient-controlled labor analgesia in vaginal delivery[J]. Chinese Journal of General Practice, 2022, 20(10): 1711-1714. doi: 10.16766/j.cnki.issn.1674-4152.002686
Citation: GUO Hui-fang, CHEN Yi-jun, ZHAO Wan-ping, SHI Liang-fang. Effect of continuous intraspinal pump injection of patient-controlled labor analgesia in vaginal delivery[J]. Chinese Journal of General Practice, 2022, 20(10): 1711-1714. doi: 10.16766/j.cnki.issn.1674-4152.002686
shu

Effect of continuous intraspinal pump injection of patient-controlled labor analgesia in vaginal delivery

doi: 10.16766/j.cnki.issn.1674-4152.002686
  • 1.

    Department of Obstetrics, Xianju People' s Hospital, Taizhou, Zhejiang 317300, China

Funds:

 2020PY018

  • Received Date: 2022-04-06
    Available Online: 2022-11-30
    Abstract
  •   Objective  To investigate the effects of patient-controlled epidural analgaesia (PCEA) on labour pain, labour process, postpartum complications and pelvic floor muscle strength of vaginal delivery.  Methods  From January 2019 to October 2021, 153 pregnant women with vaginal delivery were included in the Obstetrics Department of Xianju County People' s Hospital, they were divided into observation group (77 cases) and control group (76 cases) using random number table method. The control group used routine reasonable body position guidance, psychological counselling and other delivery support measures, whereas the observation group used PCEA painless delivery technology. Labour pain, labour process time, postpartum complications and pelvic floor muscle strength of vaginal delivery women in the two groups were compared.  Results  No statistical difference was found between the two groups (all P > 0.05). The levels of labour pain in the control group were as follows: 18 cases of grade Ⅱ (23.68%), 58 cases of grade Ⅲ (76.32%) in the control group, 20 cases of grade 0 (25.97%), 57 cases of grade Ⅰ (74.03%) in the observation group, there significant difference was found between the two groups (Hc=128.090, P < 0.001). There were significant differences in the total stage of labour, the first stage of labour, the rate of uterine dilatation and the rate of foetal head descent between the two groups (all P < 0.05). Difference in incidence of postpartum urinary retention was found between the groups, and the difference was statistically significant (P < 0.05). The pelvic floor muscle strength score by intravaginal digital diagnosis of the control group was (2.36±0.85) points and that of the observation group was (3.82±0.69) points, significant difference was found between the two groups (t=11.672, P < 0.001).  Conclusion  PCEA painless delivery technology is safe and effective in vaginal delivery, which is conducive to maternal and infant outcomes.

     

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