Influenceof painless delivery on the maternal and neonatal outcomes under the guidanceof new concept of labor
Toexplore the possible influence of painless delivery on the maternal andneonatal outcomes under the guidance of new concept of labor.
Primiparaswho received painless delivery in our hospital were selected for thisretrospective clinical study. They were divided into two groups, theexperimental group and the control group. The experimental group receivedpainless delivery with the application of new labor management, while thecontrol group received painless delivery with the application of routine labormanagement. The maternal and neonatal outcomes (postpartum hemorrhage,postpartum urinary retention, fetal distress and neonatal asphyxia), theduration of first and second stages of labor, the total duration of labor,medical intervention during first stage of labor such as artificial rupture ofmembranes or the use of oxytocin, visual analog scale (VAS) scores uponcomplete cervical dilation, delivery method and maternal satisfaction rate werecompared between the two groups.
Amongthe 208 primiparas, 112 cases were enrolled in the control group and 96 casesin the experimental group. There were no significant differences in theincidences of postpartum hemorrhage, postpartum urinary retention, fetaldistress and neonatal asphyxia between the two groups (all P>0.05). Theduration of first and second stages of labor and the total duration of labor inthe control group were shorter than those in the experimental group (allP<0.001). The rates of artificial rupture of membranes and intravenous useof oxytocin in the control group were higher than those in the experimentalgroup (both P<0.05). The VAS scores upon complete cervical dilation in thecontrol group were significantly higher than those in the experimental group(P<0.05). The vaginal delivery and maternal satisfaction rates weresignificantly lower in the control group than in the experimental group (bothP<0.05).
Painlessdelivery under the guidance of new concept of labor has no significantinfluence on the maternal and neonatal outcomes. Instead, it can prolong thelabor process, provide more delivery time for pregnant women, reduce theintervention measures during delivery, decrease the delivery pain and finallyincrease the natural delivery rate and their satisfaction with delivery, whichis worth wide promotion in clinical practice.
New concept of labor;
maternal and neonatal outcomes;
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