Clinical Study Of Epidural Anesthesia For Painless Labor

Objective:To investigate the effects of epidural anesthesia for painless childbirth and the effect analysis on the mode of delivery, birth process and the effect of maternal and child health.Methods:In our hospital from 2014 January to 2015 January in primiparous, full-term singleton cephalic not associated with other diseases and obstetric complications (cephalopelvic disproportion were excluded from the study, the production process in the incubation period was extended), without anesthesia in vaginal delivery contraindications to select 200 cases of pregnant women were randomly divided into the observation group and the control group,100 cases in observation group received epidural anesthesia for painless labor; the control group with 100 cases of natural childbirth, do not take any pains measures. Observation of epidural anesthesia group parturient women in the palace mouth open big 2-3cm, observe and record the two groups of maternal childbirth analgesic effect, degree of motor block, uterine contraction and the first and the two or three labor time change, mode of delivery, fetal heart rate changes, after the birth of the 1 minute Apgar score and the amount of postpartum hemorrhage.Results:1.compared the analgesic effect of two groups:the pain grading according to maternal complaints were classified as grade IV, analgesia effect of observation group is 0 (84%), grade 1(13%), grade Ⅱ (3%), grade 111(0%), in the control group:grade 0 (0), grade I (1%), grade Ⅱ (74%). GradeⅢ (25%), epidural block anesthesia analgesia group was better than the control group, the difference was statistically significant (x2= 184.573, P<0.01).2.Comparison of the 2 women in the two groups of motor nerve block, degree of motor block, the degree of the modified Bromage score, the observation group 0 (98%),1 (2%),2 (0), the control group 0 (99%),1 (1%),2 (0), after inspection, there is no a significant difference between the two groups of maternal degree of motor block (x-value:0.338, P> 0.05).3.Comparison of two groups of fetal heart, uterine contraction:contraction interval time of observation group (2.48 + 0.36), duration (0.64+0.3), the control group uterine contraction interval (2.51+0.43), duration (0.64+0.4); the observation group the observation group (135.3+27.3), control group (132.4+30.8), two groups had no significant difference (P>0.05).4.two groups of maternal labor time:the first stage of the observation group (H) (10.08+0.87), the second stage of labor (min) (39.88+2.82), the third stage of labor (min) (8.65+0.92), the control group of the first stage of labor (12.92+1.18), the second stage of labor (52.97.3.57), the third stage of labor (9.38+1.03), the first stage of labor in observation group was significantly shorter than the control group, there were significant differences (P< 0.01).5.Comparison of 2 groups of maternal mode of delivery:two in observation group and natural birth (91%) and (5%) of vaginal delivery, cesarean section (4%) and the control group (89%) of natural childbirth, vaginal delivery, cesarean section (14%) (12%), showed no significant difference between the two groups of maternal mode of delivery ((P>0.05).6. Comparison of two groups of neonatal Apgar score:observation group 1 minutes to score< 8 (3%),1 minutes to score more than 8 points (97%), the control group 1 minutes to score< 8 (4%),1 minutes to score more than 8 points (96%), there was no significant difference between the two groups of neonatal Apgar score ((P>0.05).7.The comparison of postpartum hemorrhage, postpartum hemorrhage in the observation group was less than 500 (ML) (94%),500-1000 (6%),1000 (0), the control group, the amount of postpartum hemorrhage (ML) is less than 500 (93%), 500-1000 (7%), more than 1000 (0), two groups of maternal postpartum hemorrhage volume significant difference was not statistically significant (P>0.05).Conclusion:1.epidural anesthesia for painless childbirth can significantly reduce pain, shorten the time of the first stage of labor, so as to shorten the birth process, reduce the adverse effects of prolonged labor and maternal and child caused by.2.The observation group anesthesia epidural block on the mode of delivery, second, the three stage of labor and the same as the control group, no statistical significance.3. Epidural anesthesia for painless childbirth in the observation group and the control group, the degree of motor block FHR and uterine contraction, the amount of postpartum hemorrhage, neonatal Apgar score had no effect.