Objective To investigate the effect and safety of combination of labor analgesia with percutaneous electrical stimulation and Doula delivery on delivery outcome.Methods Totally 160 women who were hospitalized in our hospital were enrolled as subjects. They were randomly divided into the observation group and the control group, with 80 cases in each group. The control group was given Doula delivery, the observation group was given percutaneous electrical stimulation combination on Doula delivery for labor analgesia. The VAS scores, labor time, postpartum hemorrhage, cesarean section rate, maternal satisfaction, neonatal status, and adverse reactions were compared between the two groups.Results Compared with before analgesia, VAS score in the observation group decreased in each period after analgesia, with P<0.05. Compared with those in the control group, the 2 h postpartum blood loss and cesarean section rate in the observation group reduced, and maternal satisfaction was improved, with P<0.05.Conclusion Percutaneous electrical stimulation analgesia combination Doula delivery can alleviate maternal pain, reduce cesarean section rate, reduce postpartum hemorrhage, and improve maternal satisfaction, without obvious adverse reactions. It is worthy of clinical application.
Key words
transcutaneous electrical stimulation /
labor analgesia /
delivery outcome /
safety
{{custom_keyword}} /
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 汪有新,柳英辉.产妇分娩疼痛程度的相关因素及其对产程的影响[J].华南国防医学杂志,2014,28(5):463-466.
[2] 黄东斌,方肖玲,严淑珍.孕期健康教育对提高产科质量的作用研究[J].齐齐哈尔医学院学报,2015(16):2397-2398.
[3] 郑振娇,陈丽霞.初产妇对分娩疼痛预期值与实际值的对比分析[J].广东医学,2012,33(14):2093-2094.
[4] HILTUNEN P,RAUDASKOSKI T,EBELING H,et al.Does pain relief during delivery decrease the risk of postnatal depression? [J].Acta Obstet Gynecol Scand,2004,83(3):257-261.
[5] 孙伟杰,曲元.我国分娩镇痛现状和亟待解决的问题[J].中国实用妇科与产科杂志,2015,31(2):116-120.
[6] 韩斌,徐铭军,白云波.全产程分娩镇痛与第一产程分娩镇痛对妊娠高血压综合征产妇产程的影响[J].临床麻醉学杂志,2017,33(2):109-112.
[7] 王涛,王俐红,李东红,等.初产妇对分娩镇痛认知程度调查及相关因素对镇痛效果的影响分析[J].河北医药,2015,37(15): 2363-2365.
[8] EISENACH J C,PAN P H,SMILEY R,et al.Severity of acute pain after childbirth,but not type of delivery,predicts persistent pain and postpartum depression [J].Pain,2017,140(1):87-94.
[9] 徐铭军,姚尚龙.中国分娩镇痛现状分析与实施策略[J].中国医刊,2016,51(8):4-7.
[10] 何国琳,刘兴会.新产程下潜伏期的管理[J].实用妇产科杂志,2017,33(3):168-170.
[11] 吴昊,王斌,金孝岖.分娩镇痛的现状与新进展[J].长治医学院学报,2015,29(5):397-400.
[12] 丁素芳,刘颖颖,武荣.非医学指征择期剖宫产足月新生儿呼吸窘迫综合征的临床观察[J].山西医药杂志,2017,46(14):1666-1669.
[13] 李富萍,刘静梅.无创助产与传统助产的临床应用效果比较[J].检验医学与临床,2017,14(7):988-990.
[14] 王新兰.2009—2011 年初产妇社会因素剖宫产原因及影响因素[J].中国妇幼保健,2015,30(4):549-551.
[15] KLOMP T,VAN POPPEL M,JONES L,et al.Inhaled analgesia for pain management in labour[J].Cochrane Database Syst Rev,2017,8(9): 9351.
[16] 郑丽静.硬膜外分娩镇痛辅助心理疗法降低剖宫产率临床观察[J].吉林医学,2015,36(4):782-783.
[17] 李杰,贠艳丽.生物反馈式的经皮电刺激在自然分娩镇痛应用的研究[J].山西医药,2015,44(18):2113-2115.
[18] 刘铭.产程管理和干预措施[J].中国实用妇科与产科杂志,2016,32(8):730-734.
[19] 董俊.经皮穴位电刺激分娩镇痛临床研究[D].浙江大学,2016.
[20] 王华,潘云,张琦,等.经皮电刺激复合瑞芬太尼用于分娩镇痛的效果[J].现代实用医学,2013,25(8):899-900.
{{custom_fnGroup.title_en}}
Footnotes
{{custom_fn.content}}
PDF(1001 KB)
({{custom_author.role_en}}), {{javascript:window.custom_author_en_index++;}}
