GAO Ping 1 , TANG Yuanyuan 2 , ZHANG Shubo 1 , ZHOU Chunwang 1 , GAO Xiaozeng 1 , JIA Yushu 3 , YAO Mei 4
  • 1. Department of Anesthesiology, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, P. R. China;
  • 2. Department of Dermatology, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, P. R. China;
  • 3. Department of Geriatrics, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, P. R. China;
  • 4. Central Operation Room, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, P. R. China;
ZHANG Shubo, Email: nmd955703@163.com
Anesthesia nurse; Pain management; Labor analgesia
10.7507/1002-0179.201509083
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Objective  To explore the effect of pain management by anesthesia nurses on labor analgesia. Methods  A total of 100 parturient women in the Affiliated Hospital of North China University of Science and Technology between July and August 2015 were randomly divided into two groups: analgesia group and control group with 50 in each. Both two groups accepted labor analgesia routine maternity nursing. Analgesia group accepted maternal perinatal term pain management in addition to the routine nursing. Then we compared degree of pain during the production process, labor time and perineal injury between the two groups of women. Results  The number of women with a labor pain degree of 0-Ⅲ in the analgesia group was respectively 36 (72%), 12 (24%), 2 (4%) and 0 (0%), and the number in the control group was respectively 23 (46%), 17 (34%), 8 (16%), and 2 (4%). The above difference between the two groups was statistically significant (Z=–2.908, P =0.004). The number of women with intact perineum, perineal injury of lateral and median cut, and Ⅰ-Ⅲ degree laceration in the analgesia group was respectively 31 (62%), 7 (14%), 8 (16%), 4 (8%) and 0 (0%); and the number in the control group was respectively 21 (42%), 12 (24%), 10 (20%), 7 (14%) and 0 (0%), also with significant difference between the two groups (Z =–2.028, P =0.043). The first and second labor stage of the analgesia group was (462.32±101.27) and (63.58±10.38) minutes, and was (568.27±113.28) and (76.92±11.24) minutes in the control group, with significant differences between the two groups (P<0.001). There was no statistically significant difference between the two groups in the third labor stage (5.78±3.02) and (5.97±2.96) minutes, (P=0.654). Conclusions  The implementation of pain management by anesthesia nurses on labor analgesia can significantly reduce maternal labor pain, shorten the time of labor, and the condition of the perineal injury is mild and easily acceptable. It is worthy of clinical promotion.

Citation： GAO Ping, TANG Yuanyuan, ZHANG Shubo, ZHOU Chunwang, GAO Xiaozeng, JIA Yushu, YAO Mei. Effect of pain management by anesthesia nurses on labor analgesia. West China Medical Journal, 2017, 32(6): 897-900. doi: 10.7507/1002-0179.201509083 Copy

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