2014Zhongguo fuyou baojianRequires access

Clinical study of epidural analgesia in delivery on mothers and newborns

Zhao Zhi

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Abstract

Objective: To explore the effects of epidural analgesia for maternal and neonatal safety in delivery. Methods: With signing an informed consent form,one hundred nulliparous women who agree to accept labor analgesia were assigned into the study group, another one hundred nulliparous women who didn't agreed to accept labor analgesia were assigned into the control group. Women in the study group were given the solution using 0. 1% ropivacaine and 2 μg / ml fentany at the time of cervical dilation 2 cm,with a test dose 12 ml at the beginning,till cervical dilation 10 cm. Women in control group received the routine obstetric. Results: Labor epidural analgesia effectively relieved the pain. Women in study group had significant lower painful scores than those of control group,while the proportion of using oxytocin was higher in the study group. There were no significant differences between two groups in the proportion of instrumental delivery or cesarean section,the Apgar scores at 1 min,the duration of labor time and the amount of bleeding,etc. Conclusion: Epidural block for the labor analgesia is safe and reliable.

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What this paper is about

Objective: To explore the effects of epidural analgesia for maternal and neonatal safety in delivery. Methods: With signing an informed consent form,one hundred nulliparous women who agree to accept labor analgesia were assigned into the study group, another one hundred nulliparous women who didn't agreed to accept labor analgesia were assigned into the control group. Women in the study group were given the solution using 0. 1% ropivacaine and 2 μg / ml fentany at the time of cervical dilation 2 cm,with a test dose 12 ml at the beginning,till cervical dilation 10 cm. Women in control group received the routine obstetric. Results: Labor epidural analgesia effectively relieved the pain. Women in study group had significant lower painful scores than those of control group,while the proportion of using oxytocin was higher in the study group. There were no significant differences between two groups in the proportion of instrumental delivery or cesarean section,the Apgar scores at 1 min,the duration of labor time and the amount of bleeding,etc. Conclusion: Epidural block for the labor analgesia is safe and reliable.

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Available abstract

Objective: To explore the effects of epidural analgesia for maternal and neonatal safety in delivery. Methods: With signing an informed consent form,one hundred nulliparous women who agree to accept labor analgesia were assigned into the study group, another one hundred nulliparous women who didn't agreed to accept labor analgesia were assigned into the control group. Women in the study group were given the solution using 0. 1% ropivacaine and 2 μg / ml fentany at the time of cervical dilation 2 cm,with a test dose 12 ml at the beginning,till cervical dilation 10 cm. Women in control group received the routine obstetric. Results: Labor epidural analgesia effectively relieved the pain. Women in study group had significant lower painful scores than those of control group,while the proportion of using oxytocin was higher in the study group. There were no significant differences between two groups in the proportion of instrumental delivery or cesarean section,the Apgar scores at 1 min,the duration of labor time and the amount of bleeding,etc. Conclusion: Epidural block for the labor analgesia is safe and reliable.

Key concepts: Medicine, Cervical dilation, Ropivacaine, Oxytocin, Apgar score, Anesthesia, Epidural block, Labor pain

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