Abstract
Objective To investigate the effect of painless delivery technique in vaginal delivery of elderly primipara. Methods A total of 110 elderly primipara in the Women and Children Hospital of Ningbo from June 2016 to August 2017 were selected as study objects, and they were divided into two groups by double blind random grouping method, with 55 women in each group. The control group received routine delivery technique, the observation group received painless delivery technique. The mood, degree of pain, duration of labor, delivery mode and complications of the two groups were compared and analyzed. Results In the observation group, there were more women with anxiety and depression, and less women with mild symptoms, and less women with moderate and severe symptoms than those in the control group (χ2=6.26, 6.88, 5.43, 11.76, 7.12, 8.59, 8.30, 10.75, all P<0.05). In terms of pain grading, the patients with pain of classⅠ, Ⅱ in the observation group were more, and the patients with pain of category Ⅲ were less than those in the control group(χ2=30.62, 4.27, 49.09, all P<0.05). The duration of the first delivery[(210.25±34.34)min], the duration of the second delivery[(49.63±21.15)min] and the duration of the third delivery[(8.49±3.14)min] in the observation group were shorter than those in the control group(t=8.03, 7.55, 2.51, all P<0.05). In the observation group, the cesarean section rate(5.45%) was lower and the spontaneous delivery rate(87.27%) was higher than those in the control group(χ2=8.42, 7.25, all P<0.05). The maternal bleeding rate(1.82%) and fetal distress rate(0.00%) in the observation group were lower than those in the control group(χ2=3.81, 5.24, all P<0.05). Conclusion The technique of painless delivery is safe and reliable, and the effect is satisfactory in aged primipara. Key words: Natural childbirth; Analgesia, obstetrical; Pain; Anxiety; Depression; Labor stage, first; Labor stage, second; Labor stage, third; Old age; Primipara
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