Effects of birth in water and epidural anesthesia painless delivery on maternal-infant outcome

doi:10.3969/j.issn.1002-7386.2018.04.018

Abstract：Objective To compare the effects between birth in water and epidural anesthesia painless delivery on maternal-infant outcome,and to explore the effectiveness and safety of birth in water.Methods A total of 692 parturients who underwent birth in water in our hospital from January 2015 to December 2016 were enrolled as experimental group,at the same time,the other 732 parturients who underwent epidural anesthesia painless delivery were enrolled as control group.The length of labor,perineal injury,postpartum hemorrhage volume, neonatal scores were observed and compared between two groups. Results The lengths of first stage of labor,second stage of labor and third stage of labor in experimental group were shorter than those in control group,and perineal injury was less and midwifery rate was lower,however, the scores of 1 minute were significantly higher than those in control group (P<0.05). In addition there were no significant differences in postpartum hemorrhage volume,neonatal 5-minute and 10-minute scores between two groups (P >0.05). Conclusion The birth in water is superior to epidural anesthesia painless delivery,which can shorten birth process,relieve perineal injury,without increasing risk of childbirth,which provide more options of delivery mode for the pregnant women who can not accept epidural anesthesia.