無痛分娩與器械使用的關係

PAINLESS LABOR AND INSTRUMENTATION

鍾庚道(Keng-Daw Chung)；劉偉明(Wai-Meng Liu)；胡玉旺(Yuk-Wong Wu)；許汝寧(Yu-Ling Hui)

Obstetrics ； Instrumentation ； Epidural analgesic

Acta Anaesthesiologica Sinica

28卷3期（1990 / 09 / 01）

303 - 306

繁體中文

本研究的對象為200位待產初產婦（Primigravida），其中100位是接受無痛分娩（Painlesslabor）者，作為實驗組，另外100位是沒有接受無痛分娩的初產婦，定為對照組。比較兩組且以評估無痛分娩與器械使用（Instrumentation）的關係。結果顯示，無病分娩會減少產婦行剖腹產（Cesarean section）的比率，但使用器械助產的比率增加，真正自然生產的比率則減少。除此也顯示出無痛生產與產程沒有明顯相關，對於新生兒的Apgar score也沒有甚麼意義上的差別。

This report is a retrospective study of painless labor and it s relation to the instrumentation. It consists of 200 cases of primigravida in labor. In the study group , 100 consecutive cases of primigravida receiving painless labor was chosen and compared to another 100 consecutive primigravida in labor without receiving painless labor. We found that painless labor with epidural analgesia would descrease the rate of cesarean section, but increase the frequency of using forceps and vacuum for labor. The rate of normal spontaneous delivery is low as compared with those not receiving epidural analgesia for painless labor. However, painless labor bears no relation to the labor course nor discernible significance to the Apgar Score of the newborn babies. We strongly recommend painless labor to those poor pain tolerated primigravida.