Clinical observation of combined spinal-epidural anesthesia used for labor analgesia

Objective:To discuss the combined spinal and epidural anesthesia(CSEA) reducing or eliminating pain and its impact to birth process,fetus and delivery mode.Methods:To choose 60 primiparas without obstetric and anesthetic contraindications(the observation group).When uterine cervix dilating for 2~3 cm,CSEA was given.And other 60 primiparas with similar conditions in the same period and without any analgesia were chosen as control.Childbirth pain,rate of progress during childbirth,delivery mode and their effects to fetus were compared between the two groups.Results:The effective rate of analgesia in the observation group was significantly higher than that in the control group(P0.01).Compared with the control group,the active phase in the observation group was shorter,the cervical expansion speed was accelerated,the rate of cesarean section was declined and the rate of assisted vaginal delivery was increased(P0.05).Comparing the two groups,fetal distress,neonatal asphyxia and postpartum hemorrhage had no significant differences(P0.05).Conclusion:CSEA used in obstetrics and gynecology could achieve labor analgesia,speeding up the delivery process and reducing the rate of cesarean section without adverse effects on fetus,which is worth being promoted.