Effect of Three Labor Analgesia Methods on Maternal Pain,Delivery Mode and Maternal and Infant Outcomes
Objective To study the effects of three labor analgesia methods on maternal pain,delivery mode and maternal and infant outcomes.Methods A total of 81 parturients who gave birth in our hospital from April 2021 to April 2023 were randomly divided into epidural analgesia group,Doula analgesia group and transcutaneous electrical nerve stimulator group,with 27 parturients in each group.The analgesic pain score(VAS),postpartum 2 h bleeding volume,neonatal Apgar score,maternal different labor time,delivery mode and incidence of postpartum urinary retention were compared among the three groups.Results The VAS score of the epidural analgesia group was lower than that of the Doula analgesia group and the transcutaneous electrical nerve stimulator group,and the transcutaneous electrical nerve stimulator was lower than the Doula analgesia group(P＜0.05),while there was no significant difference in the amount of bleeding at 2 hours after delivery and neonatal Apgar score among the three groups(P＞0.05).The first and second stages of labor in the epidural analgesia group and the transcutaneous electrical nerve stimulator group were shorter than those in the Doula analgesia group(P＜0.05),but there was no significant difference between the epidural analgesia group and the transcutaneous electrical nerve stimulator group(P＞0.05),and there was no significant difference in the third stage of labor among the three groups(P＞0.05).The natural delivery of parturients in epidural analgesia group and transcutaneous electrical nerve stimulator group was higher than that in Doula analgesia group,and the conversion to cesarean section was lower than that in Doula analgesia group(P＜0.05),but there was no significant difference in the rate of forceps delivery among the three groups(P＞0.05).The incidence of postpartum urinary retention in epidural analgesia group and transcutaneous electrical nerve stimulator group was lower than that in Doula analgesia group(P＜0.05),but there was no significant difference between the epidural analgesia group and the transcutaneous electrical nerve stimulator group(P＞0.05).Conclusion Compared with Doula analgesia,epidural analgesia has the same analgesic effect as transcutaneous electrical nerve stimulator.It can shorten the time of the first and second stages of labor,reduce the analgesia score,improve the natural delivery rate,reduce the rate of cesarean section,and prevent the occurrence of postpartum urinary retention.Therefore,epidural analgesia and transcutaneous electrical nerve stimulator analgesia can be applied in labor analgesia.
Doula analgesiaEpidural analgesiaDelivery modeMaternal and infant outcomes
万方数据
维普
