Application of the modified pudendal nerve anesthesia combined with unprotected midwifery in primiparas undergoing spontaneous delivery
Abstract：Objective:To investigate the effect of applying the modified pudendal nerve anesthesia combined with unprotected midwifery in primiparas undergoing spontaneous delivery.Methods:300 primiparas with natural childbirth were randomly divided into the observation group and the control group(150 primiparas in each group) .The unprotected midwifery under conventional pudendal nerve anesthesia was used in the control group;the modified pudendal nerve anesthesia plus multipoint local anesthesia combined with unprotected midwifery was adopted in the observation group,the index of perineal injury,perineal pain during labor,the labor time of the second stage,postpartum hemorrhage,neonatal asphyxia,hospitalization time and costs were compared between the two groups.Results:The rate of perineal lacera-tion was lower in the observation group than the control group(P<0.05);the perineotomy rate was lower than the control group(P<0.05);the perineal integrity rate was higher than the control group(P<0.05);the second degree perineal pain rate during labor was lower than the control group(P<0.05);there were not statistically significant differences in the comparison of the labor time of the second stage,postpartum hemorrhage,neonatal asphyxia,the hospitalization time and cost between the two groups(P>0.05).Conclusion:Applica-tion of the modified pudendal nerve anesthesia combined with unprotected midwifery in primiparas undergoing spontaneous delivery can re-duce maternal perineal injury rate and perineotomy rate,improve the perineal integrity rate and reduce maternal perineal pain,it is safe and effective.
Keywords：Pudendal nerve anesthesiaUnprotected midwiferyPrimiparaNatural childbirthNursing
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1-3 )