摘要
目的探讨无痛分娩对自然分娩初产妇母婴结局及消极情绪的影响。方法选取50名单胎足月初产妇,按照分娩方式不同分为两组,每组25名。对照组采用传统自然分娩,无痛组采用无痛分娩。比较两组产程、疼痛程度、母婴不良结局发生率及消极情绪。结果无痛组第一产程、第二产程时间均短于对照组(P<0.05)。无痛组宫口开至7cm、产后2h、6h、12h的视觉模拟评分法(VAS)评分均低于对照组(P<0.05)。无痛组产妇不良结局发生率、新生儿不良结局发生率分别为12.00%、8.00%,均低于对照组的36.00%、32.00%(P<0.05)。产后24h,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较产前降低,且无痛组各项评分均低于对照组(P<0.05)。结论自然分娩初产妇采用无痛分娩能有效缩短产程,最大程度改善产程过程中的疼痛,降低母婴不良结局发生率,且能改善产妇消极情绪,是一项安全、有效的技术。
Objective To explore the effects of painless delivery on maternal and infant outcomes and negative emotions of primipara in natural delivery.Methods 50 single term primipara were selected and divided into two groups according to different delivery methods,with 25 women in each group.The control group was given traditional natural delivery,and the painless group was given painless delivery.Labor course,pain degree,incidence of adverse outcomes and negative emotions were compared between the two groups.Results The first and second stages of labor in painless group were shorter than those in control group(P<0.05).The VAS scores of the painless group were lower than those of the control group(P<0.05)when the uterine orifice was opened to 7 cm,2 h,6 h and 12 h after delivery.The incidence of maternal adverse outcomes and neonatal adverse outcomes in painless group were 12.00%and 8.00%,respectively,lower than those in control group(36.00%and 32.00%,P<0.05).24 h after delivery,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups were lower than those before delivery,and the scores in painless group were lower than those in control group(P<0.05).Conclusion It is a safe and effective technique to use painless delivery for primipara in natural delivery,which can effectively shorten the labor process,maximize the degree of pain during labor,reduce the incidence of adverse maternal and infant outcomes,and improve maternal negative emotions.
作者
蔡沛生
翁栩煊
钟潇赟
何世武
Cai Peisheng;Weng Xuxuan;Zhong Xiaoyun;He Shiwu(Department of Anesthesiology,Chaozhou Central Hospital,Chaozhou 521000,China)
出处
《实用妇科内分泌电子杂志》
2023年第28期45-47,54,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
初产妇
无痛分娩
母婴结局
消极情绪
Primipara
Painless delivery
Maternal and infant outcomes
Negative emotion
