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《Chinese Journal of Clinical Medicine》 2017-03
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Effect of the degree of labor pain at the time of intraspinal labor analgesia on the incidence of cesarean delivery

SUN Xing-feng;TIAN Fu-bo;HUANG Shao-qiang;GENG Gui-qi;Department of Anesthesiology,the Obstetrics and Gynecology Hospital,Fudan University;  
Objective:To assess the degree of labor pain at the time of intraspinal labor analgesia in women influencing the incidence of cesarean delivery.Methods:Five hundred and ninety patients were enrolled in the study and divided into 3groups in the light of numeric rating scale(NRS).The woman was with singleton pregnancies,with cervical dilatation of less than 4cm and vertex fetal presentations.Namely,L group:1-4;M group:5-7;H group:8-10,respectively.The EA procedure was performed at the lumbar spine between 2-3or 3-4.We inserted a catheter into the epidural space started with1.0% carbonated Lidocaine to make the volume 5mL.After the block plane arising,injected a mixture of 0.1% Ropivacaine co-administered with 5μg of Sufentanil to make the total volume 10 mL in all cases,and connected the patient controlled epidueal analgesia(PCEA)thirty minutes later.The CSEA procedure was started with an intrathecal standard mixture of0.1% Ropivacaine co-administered with 3μg of Sufentanil to make the total volume 3 mL in all cases,then connected the PCEA ninety minutes later.To observe and record the NRS score when analgesia was performed.The time of the first stage of labor,the time of the second stage of labor and the way of delivery were recorded in our study respectively.Results:There was no statistically significant differences among the three pain groups in the NRS score after 30 min,dilatation,duration of first stage of labor and duration of second stage of labor,respectively.There was no statistically significant differences among the three pain groups in the incidence of instrumental delivery and cesarean delivery.Conclusions:There is no effect of the degree of labor pain at the time of intraspinal labor analgesia in women on the incidence of cesarean delivery.
【CateGory Index】: R614.4
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【References】
Chinese Journal Full-text Database 1 Hits
1 TIAN Xue-jiao;Zibo traditional Chinese and Western medicine hospital;;Clinical observation of painless labor with epidural anesthesia[J];实用妇科内分泌杂志(电子版);2017-14
【Co-references】
Chinese Journal Full-text Database 3 Hits
1 SUN Xing-feng;TIAN Fu-bo;HUANG Shao-qiang;GENG Gui-qi;Department of Anesthesiology,the Obstetrics and Gynecology Hospital,Fudan University;;Effect of the degree of labor pain at the time of intraspinal labor analgesia on the incidence of cesarean delivery[J];中国临床医学;2017-03
2 LI Rui;ZHANG Chun-Yu;ZHANG Da-Cheng;Qinhuangdao Municipal Maternal and Child Health Care Hospital;;Clinical value of intrapartum fetal heart rate monitoring combined with umbilical cord pH value and neonatal Apgar score in predicting neonatal outcome[J];中国妇幼保健;2017-08
3 SUN Wei-jie;QU Yuan;Department of Obstetric and Gynecology, Peking University First Hospital;;Analgesia:current situation and urgent problems[J];中国实用妇科与产科杂志;2015-02
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