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| The application of patient controlled epidural analgesia during vaginal labor of women with scar uterine because of cesarean |
| Northern Theater General Hospital, Shenyang, Liaoning province, 110003 |
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Abstract Objective: To investigate the application value of patient controlled epidural analgesia (PCEA) during trial of vaginal labor of women with scar uterine because of cesarean. Methods: The data of women with scar uterine after cesarean who had experienced trial of vaginal labor between Jan 2013 and Jan 2017 were retrospectively analyzed. According to the principle of voluntary, the women were divided into two groups, which included 20 women who had received PCEA for relieving labor pain when their cervix opened to 2-4 cm were in control group, and 20 women without any analgesic therapy were in the control group. The maternal and infant situation of women was compared beteen the two groups. Results: There were no significant different in the first and second stage of labor time, volume of postpartum blood loss, neonatal weight, Apgar score, and value of umbilical cord artery blood gas analysis between the two groups (P>0.05). The time of the first stage of labor and the rate of lateral episiotomy of women in the study group were 278.5±83.6min and 60%, respectively, which were significant shorter than those (337.3±95.1min and 100%, respectively) of women in the control group(P<0.05). Conclusions: The PCEA used in trial of vaginal labor of women with scar uterine has definite analgesic effect, which not only can shorten the first labor period, but also can reduce the rate of perineal incision.
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