Effects of Different Modes of Labor Analgesia on Neonatal Neurobehavior

Yunpeng Han, Qiu Meng, Zhuojiu Du, Lianfang Chen, Xianmei Wei, Peijia Wei, Xiao Huang, Biyun Zhou, Xiangli Feng, Haiyan Lin
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Abstract

The term “painless delivery” originated from foreign countries and has a history of more than 100 years. It is actually called “childbirth analgesia” in medicine. Labor analgesia, as its name implies, is the use of various methods to reduce or even eliminate the pain during labor. With the development of anesthesiology and pain, it has been widely used in foreign countries, especially in some developed countries in the West. The rate of labor analgesia in the United States is > 85%, and even as high as 90% in Britain. The best childbirth analgesia should include side effect is small to puerpera and fetus, exact analgesic effect, quick effect, maintain time is long, can satisfy normal labor course; puerpera is awake, can cooperate childbirth and do not affect uterine contraction, and do not affect labor course progress. In 2000, WHO proposed that medical institutions should provide various labor analgesic services for parturient women to reduce labor pain as much as possible. Encourage the use of non-pharmaceutical analgesic techniques. In this paper, the effects of different modes of labor analgesia on neonates are described as follows.
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不同分娩镇痛方式对新生儿神经行为的影响
“无痛分娩”一词源于国外,至今已有100多年的历史。它在医学上实际上被称为“分娩镇痛”。分娩镇痛,顾名思义,就是利用各种方法来减轻甚至消除分娩过程中的疼痛。随着麻醉学和疼痛学的发展,它在国外得到了广泛的应用,特别是在西方一些发达国家。美国产程镇痛率高达85%,英国甚至高达90%。最好的分娩镇痛药应包括对产妇和胎儿的副作用小、镇痛效果确切、见效快、维持时间长、能满足正常产程;产妇清醒,可配合分娩而不影响子宫收缩,且不影响产程进展。2000年WHO提出,医疗机构应为产妇提供各种分娩镇痛服务,尽可能减少分娩疼痛。鼓励使用非药物镇痛技术。本文介绍了不同分娩镇痛方式对新生儿的影响。
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