无痛分娩对母婴结局的影响如何？

无痛分娩观念被越来越多的人接受，普及率逐渐增高，那么无痛分娩对母亲和新生儿的影响如何呢？

摘要译文

新分娩观指导下无痛分娩对母婴结局的影响

目的：

探讨在新的分娩观念指导下，无痛分娩对母婴结局的可能影响。

方法：

选择在我院接受无痛分娩的初产妇进行回顾性临床研究。他们被分为两组，实验组和对照组。实验组采用新的分娩管理方法进行无痛分娩，对照组采用常规分娩管理方法进行无痛分娩。产妇和新生儿结局（产后出血、产后尿潴留、胎儿窘迫和新生儿窒息）、第一和第二产程的持续时间、总产程、第一产程中的医疗干预（如人工破膜或使用催产素）、宫颈完全扩张后的视觉模拟评分（visual analogscale，VAS）评分，比较两组的分娩方式和产妇满意度。

结果：

208例初产妇中，对照组112例，实验组96例。两组产后出血、产后尿潴留、胎儿窘迫和新生儿窒息的发生率无显著性差异（均P>0.05）。对照组第一、二产程及总产程均短于实验组（均P<0.001）。对照组人工破膜和静脉注射催产素的发生率均高于实验组（均P<0.05）。对照组宫颈完全扩张后的VAS评分显著高于实验组（P<0.05）。对照组的阴道分娩率和产妇满意度显著低于实验组（均P<0.05）。

结论：

新分娩理念指导下的无痛分娩对母婴结局无显著影响。

相反，它可以延长产程，为孕妇提供更多的分娩时间，减少分娩过程中的干预措施，减少分娩疼痛，最终提高自然分娩率和分娩满意度，值得在临床实践中广泛推广。

关键词：

新分娩理念；

孕产妇和新生儿结局；

无痛分娩。

原文摘要

Influenceof painless delivery on the maternal and neonatal outcomes under the guidanceof new concept of labor

Objective: 

Toexplore the possible influence of painless delivery on the maternal andneonatal outcomes under the guidance of new concept of labor.

Methods: 

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.

Results: 

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).

Conclusion:

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.

Keywords:

New concept of labor;

maternal and neonatal outcomes;

painless delivery.

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