The effect of the biofeedback analgesic apparatus combined with epidural analgesia on primipara women
Objective To investigate the analgesic effect of the biofeedback analgesic apparatus combined with epidural analgesia on primipara women,and to explore it's impact on the on delivery outcomes and quali-ty,thereby providing clinical insights.Methods The research was initiated in January 2022,selecting first-time mothers who gave birth at the People's Hospital of Xinjiang Uygur Autonomous Region as the research subjects.And they were divided into 3 groups based on their preferences for different analgesic modalities dur-ing labor.These groups included the analgesic apparatus group(where participants received biofeedback per-cutaneous electrical nerve stimulation),the epidural group(where participants underwent epidural injection),and the combined group(which involved both biofeedback percutaneous electrical nerve stimulation and epidural injection).According to the inclusion and exclusion criteria,40 cases were included in each group.Pain scores measured by the visual analogue scale at baseline(T0),one hour post-intervention(T1),two hours post-intervention(T2),and upon full cervical dilation(T3),mode of delivery,duration of labor,rates of episiotomy and instrumental assistance,postpartum hemorrhage at two hours,Apgar scores for newborns,and patient satisfaction were systematically recorded.Results No significant differences were found in general clinical data among the 3 groups(P>0.05);no significant differences were found in the labor pain visual analogue scale scores before analgesia in the 3 groups(P>0.05).Maternal labor pain visual analogue scale scores at T1,T2 and T3 were lower than at T0 in the 3 groups(P<0.05);the labor pain visual analogue scale scores at T1,T2 and T3 in the combined group were lower than the analgesic apparatus group and the epidural group(P<0.05);degree of satisfaction in the combined and the epidural group was higher than the analgesic apparatus group(P<0.05);the first stage of labor in the epidural group was longer than that in the analgesic apparatus and the the epidural group(P<0.05);there were no significant differences in the second,third labor stage,or in the neonatal Apgar score,cesarean section rate,episiotomy rate,forceps midwifery rate,and 2-hour postpartum hemorrhage in 3 groups(P>0.05).Conclusion Transcutaneous electric stimulation by biofeedback combined with epidural analgesia has better analgesic effect during labor than simple epidural analgesia and simple transcutaneous electric stimulation by biofeedbacker,and will not affect the labor and neonatal prognosis.
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