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| The safety and efficacy of the whole stage electrical stimulation combined with epidural labor analgesia |
| LYU Ning LYU Yan LI Li |
| Department of Anesthesiology, Tianjin Central Obstetrics and Gynecology Hospital, Tianjin 300100, China |
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Abstract Objective To compare the safety and efficacy of the whole stage epidural labor analgesia and whole stage electrical stimulation combined with epidural labor analgesia. Methods From December 2016 to December 2017, a total of 200 cases of puerperas in Tianjin Central Obstetrics and Gynecology Hospital were selected as the research objects and divided into the whole stage epidural labor analgesia group (group B) and the whole stage electrical stimulation combined with epidural labor analgesia group (group C) by the random number table, with 100 cases in each group. The puerperas who received caesarean section were eliminated, with 85 cases in group B and 93 cases in group C. Group B was given epidural labor analgesia in the latent phase (after uterine contractions regularly), group C was given electrical stimulation in incubation period of first production process and epidural labor analgesia after uterine contractions regularly as in group B (when the uterus cervix was 3 cm). The time for the first stage of labor and the scores of visual analogue scale (VAS) at the uterus cervix 2, 4, 6, 8 cm and 10 cm were recorded. The blood gas analysis of umbilical artery of neonates (includes pH value, carbon dioxide partial pressure, oxygen partial pressure, lactic acid, residual alkali.) and the Apgar score after 1 min of delivery were recorded. Results The cesarean section rate in group B was higher than that of group C, the first stage of labor time in group B was longer than that of group C, with statistically significant differences (P ＜ 0.05). At the uterine cervix 2 cm, the VAS score in group B was lower than that of group C, with statistically significant difference (P ＜ 0.05). There were no statistically significant differences at the uterine cervix 4 cm and 6 cm between the two groups(P ＞ 0.05). At the uterine cervix 8 cm and 10 cm, the VAS scores in group B were higher than those of group C, with statistically significant differences (P ＜ 0.01). There were no statistically significant differences between the two groups in the blood gas analysis of umbilical artery and the 1 min Apgar score after birth (P ＞ 0.05). Conclusion The whole stage electrical stimulation combined with epidural labor analgesia is safe and effective for puerperas with natural labor.
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