Effect of epidural analgesia on delivery methods and outcomes of primiparous women in home-based delivery rooms and general wards at different times
Objective To explore the impact of epidural analgesia at different times on the selection of delivery methods and outcomes for primiparous women in family delivery rooms and general wards.Methods From October 2019 to February 2022,402 primiparas who voluntarily requested epidural analgesia after delivery in Binzhou Medical University Hospital were collected as the study subjects.According to the willingness of primiparas to choose the delivery room and the time to implement epidural analgesia,they were divided into groups.The primiparas who chose the home-based delivery room and performed epidural analge-sia with cervical dilatation＜3cm were group A(107 cases),group B(100 cases)with primiparous women in the family delivery room and cervical dilation≥3 cm for epidural analgesia,group C(79 cases)with primiparous women in the regular delivery room and cervical dilation＜3 cm for epidural analgesia,and group D(116 cases)with primiparous women in the regular deliver-y room and cervical dilation≥3 cm for epidural analgesia.By comparing the general clinical data,visual analogue pain score(VAS)before and after analgesia,the time of each birth process,the rate of anterograde cesarean section,the amount of bleed-ing during delivery,the rate of lateral incision,the rate of oxytocin use,the rate of artificial rupture of membranes,and various indicators of newborns of the four groups,the impact of epidural analgesia at different times was studied on the choice of delivery methods and outcomes of home-based delivery rooms and general wards for primipara.SPSS 26.0 software was used for analysis.Results The total labor process in group A and group C was longer than that in group B,while the total labor process in group C(10.83±4.54 hours)was longer than that in group D.The first labor process in group A and group C was longer than that in group B,the first labor process in group C was longer than that in group D,and the second labor process in group B was longer than that in group D,P＜0.05;the lateral resection rate in group B was lower than that in group D,P＜0.05.The percentage of oxytocin use in group C was higher than that in group B,P＜0.05;the rate of antegrade cesarean section in group A was high-er than that in group B,P＜0.05.Conclusion Epidural labor analgesia with dilation of cervical orifice＜3 cm can prolong the total labor process,the time of the first labor process,and increase the antegrade cesarean section rate to a certain extent.The application of the family delivery room can shorten the second labor process and reduce the side cut rate.There is no significant difference between the third labor process and the newborn outcome in each group.It has no effect on the visual simulation pain score,the artificial membrane breaking rate,and the amount of labor bleeding before and after analgesia,therefore,the best de-livery option is to use a family oriented delivery room with a dilation of the uterine opening≥3cm for epidural labor analgesia.
different timingepidural analgesiahome-based delivery roomprimipara
万方数据
维普
