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Abstract To investigate the effect of continuous epidural anesthesia combined with automatic control analgesia pump epidural during the second stage of labor of pregnant women on their postpartum hemorrhage. Methods: A total of 120 pregnant women were selected in this study and were divided into two groups (60 cases in each group) according to the random number table method from June 2018 to July 2019. All the women were given continuous epidural anesthesia combined with epidural catheter connected self-controlled analgesic pump for labor analgesia. The women in the control group turned off analgesic pump during the second stage of labor, and the women in the study group continually used the analgesic pump during the second stage of labor. The analgesic effects at different time, postpartum hemorrhage, and delivery mode of the women, and the adverse neonatal outcomes were compared between the two groups. Results: VAS scores at 30min (1.9±0.7 points), 60min (1.5±0.6), and 90min (1.3±0.9 points) after analgesia of the women in the study group were significantly lower than those (2.1±0.6 points, 1.9±0.7 points, and 1.8±1.0 points) of the women in the control group. The blood loss at postpartum 2h, 12h, and 24h (115.3±ml, 158.7±23.7ml, and 188.6±28.5ml), and the onset time of hemostasis (16.2±2.2min) of the women in the study group were significantly lower than those (153.4±25.0 ml, 214.2± 32.2ml, and 265.6±35.2 ml, and 23.3±2.4min) of the women in the control group (all P<0.05). There were no significant differences in the delivery mode and the incidence of neonatal adverse outcomes between the two groups (P＞0.05). Conclusion: Continuous epidural anesthesia combined with epidural catheter connected automatic control analgesic pump during the second stage of labor of the pregnant women has better analgesic effect.
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