Acute pain management
Conditions
Interventions
experimental group :epidural labor analgesia
control group:non-analgesia
Sponsors
Hubei Maternal and Child Health Care Hospital
Eligibility
Sex/Gender
Female
Age
20 Years to 48 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: postnatal examination and routine laboratory examination were complete after admission, and the selected subjects met the relevant diagnostic criteria in diagnosis and treatment of scar uterine pregnancy and prognosis. 1) a history of cesarean section of the lower segment of uterus; 2) good wound healing without infection; 3) normal bone birth canal, headless basin is not weighed; 4) the previous cesarean section indication does not exist, and no new cesarean section indication is found; 5) the pregnancy is more than 19 months from the previous cesarean section; 6) no scar loss in the lower uterine segment observed by prenatal ultrasound; 7) the patient is willing to conduct vaginal trial birth after understanding the advantages and disadvantages of vaginal delivery and another cesarean section; 8) with good monitoring equipment, it can carry out operation, blood transfusion and rescue at any time; 9) no contraindications for epidural puncture anesthesia. Only if all the above conditions are met can they be included.
Exclusion criteria
Exclusion criteria: 1) the previous cesarean section was performed in classical style, and the previous uterine incision was inverted "T" or "J" shaped incision; 2) ) history of repeated cesarean section injury, such as uterine perforation, myomectomy, uterine rupture, extensive and deep uterine operation history; 3) > history of 2 cesarean sections; 4) Serious pregnancy complications and complications, and no other complications of internal and surgical procedures that are not suitable for vaginal delivery (such as placenta previa); 5) incomplete clinical records and maternal inability to cooperate with the study; 6) contraindication of epidural anesthesia; 7) mothers or their families are not willing to accept this study. Any of the above conditions should be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Labor time;Oxytocin use;The perineum situation;Postpartum and postpartum blood loss;Vaginal delivery success rate;Adverse reactions occur;Sex of newborn;Neonatal birth weight;Apgar score at 1min and 5min after birth;VAS analgesic score;Ramsay score;ACTH;IL-10;Cor;Blood sugar levels;IL-6;TNF-a;beta-endorphin; | — |
Countries
China
Contacts
Public ContactShen Chan
Hubei Maternal and Child Health Care Hospital
Outcome results
None listed