Clinical analysis on application of continuous epidural analgesia in multiparous women

Objective:To explore the analgesic effect of continuous epidural analgesia(CEA) and its effect on stages of labor,mothers and fetuses,and whether it is necessary for multiparous women to adopt continuous epidural analgesia for labor analgesia or not.Methods:80 full term multiparous women adopting labor analgesia voluntarily and without contraindication of labor analgesia were selected as observation group(group A),then they were treated with continuous epidural analgesia;80 full term primiparous women adopting labor analgesia voluntarily and without contraindication of labor analgesia at the same time were selected as control 1 group(group B),then they were treated with continuous epidural analgesia;80 full term multiparous women without labor analgesia at the same time were selected as control 2 group(group C);the vital signs,fetal heart rates,the times of the first stage of labor,the second stage of labor and the third stage of labor,VAS scores,Bromage scores,delivery modes,the utilization rates of oxytocin,neonatal Apgar scores and the amounts of blood loss of lying-in women were observed and recorded.Results:Continuous epidural analgesia was effective for labor analgesia,there was no significant difference in VAS score between group A and group B,but there was significant difference in VAS score between group A and group C(PA-C0.01);the labor course of group A was shorter than that of group C,and the labor course of group C was shorter than that of group B,there was significant difference in active phase of the first stage of labor and the second stage of labor between group A and group C(PA-C0.05);there was significant difference between group A,group C and group B(PA-B0.05,PC-B0.05);there was no significant difference in rates of vaginal delivery and cesarean section among the three groups;there was no significant difference in Bromage score among the three groups;the utilization rates of oxytocin in group A and group B were significantly higher than that in group C(PA-C0.05,PB-C0.05);the utilization rate of oxytocin in group B was higher than that in group A,but there was no significant difference;there was no significant difference in the amount of blood loss among the three groups;there was no significant difference in Apgar score among the three groups.Conclusion:Continuous epidural analgesia is safe and effective for labor analgesia,the degree of motor block is mild,the dose of drug is low,which is suitable for primiparous women,multiparous women should adopt labor analgesia according to situation and demand.