| Objective:to investigate the clinical outcome of the analgesic pregnancy of lower water capsule induced labor combined with epidural labor and analyze the clinical outcome Methods:The study subjects were selected from our hospital from March 1,2019 to August 31,2019,with a total of 706 cases,640 cases of vaginal delivery and 66 cases of cesarean section.The patients were divided into group A(low water capsule group)with 176 cases,group B(epidural controlled analgesia)with 170 cases,group C(low water capsule combined with epidural controlled analgesia)with 190 cases,and group D(vaginal delivery)with 170 cases.Basic data,first,second,third,total labor time,delivery mode,trial delivery time before cesarean section,oxytocin application rate and postpartum blood loss,fetal and newborn conditions,breastfeeding,maternal VAS score at different periods and postpartum complications were recorded and observed.Results:(1)comparison of general data among the four groups of parturients: there was no significant difference in height,weight,age and gestational ageamong the four groups(P>0.05).(2)four groups of maternal labor situation is: There was no significant difference in the second and third stages of labor in the four groups(P>0.05),and the difference in the first and total stages of labor in the four groups was statistically significant(P<0.05).A and D groups,B groups and C groups had no significant difference in the mean time of the first and total labor processes(P>0.05).The first and total labor processes in A and D groups were larger than those in B and C groups,and the difference was statistically significant(P<0.05).(3)the comparison of four groups of maternal oxytocin application: four groups of maternal oxytocin utility ratio difference was statistically significant(chi-square =162.698,P < 0.000),group A,group B and group C oxytocin utility ratio were higher than in group D,the difference was statistically significant(P < 0.05),group A and group B,group A and group C,group B and group C oxytocin has no statistically significant difference(P > 0.05).(4)four groups of maternal cesarean delivery before trial production time and delivery outcome comparison: The difference of vaginal delivery in four groups was statistically significant(P<0.05),the rate of natural vaginal delivery was the highest in C group,the lowest in D group,and the difference between the two groups was statistically significant(P<0.05).The difference of cesarean section rate was statistically significant in the four groups(P<0.05),the highest in the D group,the lowest in the C group,and the difference between the two groups was statistically significant(P<0.05).Group A cesarean delivery before pilot run average time is less than group B,group C,the difference was statistically significant(P < 0.05),group D cesarean delivery before pilot run average time is less than group B,group C,the difference was statistically significant(P < 0.05),group A,group B and group C and group D cesarean delivery before pilot run average time differences had no statistical significance(P > 0.05).There was no statistical significance in postpartum blood loss in the four groups(P>0.05).(5)comparison of neonatal conditions and outcomes among the four groups: there were no statistically significant differences in Apgar score(1 minute,5 minutes),neonatal weight,and intrauterine distress among the four groups(P>0.05).(6)comparison of maternal complications among the four groups: none of the four groups had headache,dizziness,postpartum infection or urinary retention.There was no statistically significant difference between the four groups(P>0.05).Group A had less fever than group B and group C,and the difference was statistically significant(P< 0.05).Group D had less fever than group B and group C,and the difference was statistically significant(P < 0.05).(7)VAS score four different periods: maternal before four groups of analgesia VAS score comparison difference has no statistical significance(P > 0.05),group B and group C of the first,second and third stages of labor,labor VSA score were significantly lower than that of group A and group D,the difference was statistically significant(P < 0.05),group A and group D,group B and group C first,second and third stages of labor,labor VSA score difference of no statistical significance(P >0.05).(8)four groups of postpartum initiating maternal lactation time,breast feeding and nursing of comparison: four groups of breastfeeding,mixed feeding(pure breastfeeding)difference statistically(P > 0.05),four groups of lactation time to compare the difference was statistically significant(P < 0.05),A group of lactation time is greater than B and C group,the difference was statistically significant(P <0.05),group D of lactation time more than group B,C,the difference was statistically significant(P < 0.05);There was no significant difference in the mean time of initial lactation between group A and group D,group B and group C(P > 0.05).(itself,four groups of mammals,assist to complete,can not complete)comparative difference was statistically significant(P < 0.05),maternal breastfeeding itself C group were higher than in group A and group D(P < 0.05),maternal lactation to complete B group were higher than that of group A and group D(P < 0.05),group A,group B and group C and group D breastfeeding itself has no statistically significant difference(P > 0.05).Conclusion:1.Compared with vaginal delivery,low water capsule induction does not prolong labor duration,which can reduce cesarean section rate,and does not increase the incidence of postpartum hemorrhage and adverse outcomes of the newborn.2.epidural labor analgesia can shorten the labor process,significantly reduce labor pain and reduce cesarean section,but increase the time of labor trial before cesarean section,may increase the risk of fever in natural labor.3.Low water capsule induction combined with epidural labor analgesia has the advantages of shortening labor process,reducing cesarean section,reducing labor pain and increasing natural delivery rate.It is a safe and effective method and can be popularized and applied in clinic. |
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