Effects of epidural analgesia on the outcomes of forceps delivery

doi:10.3969/j.issn.1006-7795.2021.02.026

Abstract

Abstract: Objective To analyze the clinical characteristics of forceps delivery in full-term singleton primiparas and explore the influence of epidural analgesia on the outcomes of forceps delivery.Methods A total of 706 cases of forceps delivery in the delivery room of Beijing Obstetrics and Gynecology Hospital, Capital Medical University from January 1,2016 to December 31,2016 were included in this study.Totally 706 cases were divided into epidural analgesia group(324 cases)and control group(382 cases)according to whether epidural analgesia was performed or not and the outcomes of two groups were compared and observed. Results ① Forceps delivery rate was 7.2% (706/9 818),postpartum hemorrhage rate was 33.6% (237/706) ),the incidence of third-fourth degree laceration was 0.99% (7/706), and neonatal asphyxia rate was 4.4% (31/706) in full-term singletons primiparas. ②Postpartum hemorrhage rate in the epidural analgesia group was significantly higher than that in the control group (P=0.002), but there was no significant difference in postpartum hemorrhage (≥1000 mL) between the two groups (P=0.742). ③The fetal distress rate in the epidural analgesia group was significantly lower than that in the control group (P=0.000), but there was no significant difference in neonatal asphyxia rate between the two groups (P=0.513). Conclusion In full-term singletons pimiparas, the epidural analgesia was more likely to be associated with high risk of postpartum hemorrhage in forceps deliveries, but did not increase severe postpartum hemorrhage (≥1000 mL) and neonatal asphyxia.

Key words: full-term singletons primiparas, forceps delivery, epidural analgesia, delivery outcomes

CLC Number:

R714

Jiang Haili, Zhou Jianxin, Xing Yu, Lu Chang. Effects of epidural analgesia on the outcomes of forceps delivery[J]. Journal of Capital Medical University, 2021, 42(2): 317-322.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2021.02.026

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2021/V42/I2/317

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