Effect of combined spinal-epidural anesthesia in labor analgesia

【Objective】 To observe spinal-epidural anesthesia with Ropivacaine and Fentanyl analgesia on delivery outcome.【Methods】 A retrospective analysis,162 patients will be a single fetus,the first delivery,no pregnancy complications,birth line spinal-epidural analgesia did not trip over the same period of maternal and 111 cases of maternal labor analgesia was observed upon labor,bleeding volume,amniotic fluid situation,the incidence of neonatal asphyxia.【Results】 Analgesia effectiveness reaches 100%.First stage of labor time,active period,the second stage of labor time,the third stage of labor time was(393.08±101.75) min,(139.97±56.01) min,(78.23±26.84) min,(6.62±3.38) min;control group were(396.25±98.60) min,(121.77±59.69) min,(42.25±17.17) min,(7.25±5.19) min,second stage of labor time and active period time there was significant difference(P 0.05),others no significant difference between the two groups(P 0.05).Analgesia intrapartum hemorrhage(163.36±86.49) mL,control group(166.62±66.11) mL,no significant difference between the two groups(P 0.05).Analgesia group,the incidence of meconium staining(33/162) 20.38%,control group(19/111) 19.11%,the difference was not statistically significant(P 0.05).None of the two groups of severe neonatal asphyxia,mild asphyxia analgesia group(22/162) 13.58%,control group(5/111) 4.51%,the difference was significant(P 0.05).Forceps delivery analgesia group(13/162) 8.02%,control group(4/111) 3.24%,no significant difference between the two groups(P 0.05).【Conclusion】 Labor using Ropivacaine Fentanyl mixed spinal-epidural anesthesia,a significant analgesic effect,Analgesia group,second stage of labor time and active period time was longer than the control group prolonged labor,forceps delivery did not increase the rate of postpartum hemorrhage,but an incidence of asphyxia neonatorum were higher.