The cognition of intraspinal labor analgesia of women in labor and its influencing factors_West China Medical Journal

Authors：

YU Chao ¹ ,  LUO Dong ¹ , ZHOU Rong ²

1. Department of Anesthesiology, West China Second University Hospital, Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan 610041, P. R. China;
2. Department of Obstetrics, West China Second University Hospital, Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LUO Dong, Email: luodong8706@163.com

Keywords：

Women in labor; Labor analgesia, intraspinal; Cognition

DOI：

10.7507/1002-0179.201606195

Video：

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Objective To investigate and analyze the cognition of intraspinal labor analgesia (ILA) of women in labor and its influencing factors. Methods A total of 322 women in labor in West China Second University Hospital of Sichuan University between May and September 2015 were investigated by questionnaire, which included the general situation, the pregnancy status, the understanding for labor pain, and the cognition of ILA. Investigator introduced the knowledge of ILA to them after the investigation, and then they were re-investigated for the choice of ILA. Results Only 22.67% of these women in labor knowed ILA clearly, 53.42% heared it but did not understand, and 49.38% liked to use it. The proportion of women in labor who liked to use it increased to 81.89% after introduction, and the difference was significant (P<0.001). Among all factors, the acknowledgement level of ILA and the choice to use it were mainly related to the family awareness concept for labor pain. Conclusions The cognition of ILA of women in labor is not enough, and their using desire is not strong. The family awareness concept is one of the important factors. The education and advertise to the women in labor and their family members after admiting to labor room can increase the choice rate of ILA significantly.

Citation： YU Chao, LUO Dong, ZHOU Rong. The cognition of intraspinal labor analgesia of women in labor and its influencing factors. West China Medical Journal, 2017, 32(9): 1400-1404. doi: 10.7507/1002-0179.201606195 Copy

1.	Tzeng YL, Yang YL, Kuo PC, et al. Pain, anxiety, and fatigue during labor: a prospective, repeated measures study. J Nurs Res, 2017, 25(1): 59-67.
2.	Pettersson FD, Hellgren C, Nyberg F, et al. Depressed mood, anxiety, and the use of labor analgesia. Arch Women Ment Health, 2016, 19(1):11-16.
3.	李志萍. 椎管内阻滞分娩镇痛的研究进展. 华夏医学, 2017, 30(2): 184-187.
4.	Lysak SZ, Eisenach JC, Dobson CE. Patient-controlled epidural analgesia during labor: a comparison of three solutions with a continuous infusion control. Anesthesiology, 1990, 72(1): 44-49.
5.	曲元, 吴新民, 赵国立, 等. 规模化分娩镇痛的可行性. 中华麻醉学杂志, 2003, 23(4): 268-271.
6.	裴艳, 雷爱华. 剖宫产率上升的原因及应对策略. 中国民族民间医药, 2013, 22(12): 60-60.
7.	徐晓义, 褚国强, 季永. 椎管内阻滞用于分娩镇痛的研究进展. 国际麻醉学与复苏杂志, 2012, 33(7): 490-493.
8.	Barakzai A, Haider G, Yousuf F, et al. Awareness of women regarding analgesia during labour. J Ayub Med Coll Abbottabad, 2011, 22(1): 73-75.
9.	曾小惠. 全程无痛分娩的临床护理体会. 中国医药导报, 2011, 8(7): 96-96.
10.	陈月花, 王志芹, 张桂英, 等. 剖宫产手术指征变迁与剖宫产率的变化分析. 中国医刊, 2015, 50(6): 90-92.
11.	Hu LQ, Flood P, Li Y, et al. No pain labor & delivery: a global health initiative’s impact on clinical outcomes in China. Anesth Analg, 2016, 122(6): 1931-1938.
12.	邓芳, 王芬兰. 初产妇分娩镇痛效果的相关影响因素分析. 河南医学研究, 2017, 26(9): 1586-1587.
13.	吴朝阳, 陈星, 赵玲萍, 等. 孕妇及其家属对剖宫产认知度调查分析. 中国农村卫生事业管理, 2013, 33(5): 548-550.
14.	林立荣, 吴耀辉, 陈达和. 腰硬联合分娩镇痛产妇认知在提高镇痛效果中的应用. 中国医学创新, 2015, 12(15): 105-107.
15.	赵新. 剖宫产围麻醉期宣教中应用电子智能终端的效果观察. 中外健康文摘, 2013, 10(11): 222-223.

1. Tzeng YL, Yang YL, Kuo PC, et al. Pain, anxiety, and fatigue during labor: a prospective, repeated measures study. J Nurs Res, 2017, 25(1): 59-67.
2. Pettersson FD, Hellgren C, Nyberg F, et al. Depressed mood, anxiety, and the use of labor analgesia. Arch Women Ment Health, 2016, 19(1):11-16.
3. 李志萍. 椎管内阻滞分娩镇痛的研究进展. 华夏医学, 2017, 30(2): 184-187.
4. Lysak SZ, Eisenach JC, Dobson CE. Patient-controlled epidural analgesia during labor: a comparison of three solutions with a continuous infusion control. Anesthesiology, 1990, 72(1): 44-49.
5. 曲元, 吴新民, 赵国立, 等. 规模化分娩镇痛的可行性. 中华麻醉学杂志, 2003, 23(4): 268-271.
6. 裴艳, 雷爱华. 剖宫产率上升的原因及应对策略. 中国民族民间医药, 2013, 22(12): 60-60.
7. 徐晓义, 褚国强, 季永. 椎管内阻滞用于分娩镇痛的研究进展. 国际麻醉学与复苏杂志, 2012, 33(7): 490-493.
8. Barakzai A, Haider G, Yousuf F, et al. Awareness of women regarding analgesia during labour. J Ayub Med Coll Abbottabad, 2011, 22(1): 73-75.
9. 曾小惠. 全程无痛分娩的临床护理体会. 中国医药导报, 2011, 8(7): 96-96.
10. 陈月花, 王志芹, 张桂英, 等. 剖宫产手术指征变迁与剖宫产率的变化分析. 中国医刊, 2015, 50(6): 90-92.
11. Hu LQ, Flood P, Li Y, et al. No pain labor & delivery: a global health initiative’s impact on clinical outcomes in China. Anesth Analg, 2016, 122(6): 1931-1938.
12. 邓芳, 王芬兰. 初产妇分娩镇痛效果的相关影响因素分析. 河南医学研究, 2017, 26(9): 1586-1587.
13. 吴朝阳, 陈星, 赵玲萍, 等. 孕妇及其家属对剖宫产认知度调查分析. 中国农村卫生事业管理, 2013, 33(5): 548-550.
14. 林立荣, 吴耀辉, 陈达和. 腰硬联合分娩镇痛产妇认知在提高镇痛效果中的应用. 中国医学创新, 2015, 12(15): 105-107.
15. 赵新. 剖宫产围麻醉期宣教中应用电子智能终端的效果观察. 中外健康文摘, 2013, 10(11): 222-223.

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