Labor Pain, Pregnancy Outcomes, Psychological Disorder
Conditions
Keywords
Epidural Labor Analgesia, length of labor stage, fetal outcomes, maternal outcomes, postpartum depression, exercise
Brief summary
Labor analgesia can alleviate intrapartum pain, in the importance of the delivery is very obvious.But some researches think labor analgesia may affect the progress of labor, increase the cesarean section rate.This research adopts the epidural anesthesia to study labor analgesia effects on delivery outcomes and long-term emotional and psychological effects on the mothers. Besides, we also want to study the effect of exercise during pregnancy on the mode of delivery.
Interventions
DRUGRopivacaine Hydrochloride, Sufentanil
In this research one group will receive epidural analgesia(Ropivacaine Hydrochloride, Sufentanil), data will be collected and analyzed between this group and non-epidural analgesia group.
Sponsors
Deng Dongrui
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
healthy and full term pregnant women
Exclusion criteria
the pregnant women with complications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Labor duration | At the end of the delivery | Duration of three stages of labor. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 5 minute Apgar index | 5 minutes after the infant is born | The index indicates the infant s' conditions, including heart rate, breathing, muscle tone, reflex response, color. Each characteristic is given an individual score; two points for each of the five categories if all is completely well; then all scores are totaled. The score is from 0 to 10. |
| Visual Analogue Scores(VAS) | 5min before analgesia;5min,15min, 30min,60min after analgesia; at the time of latent phase, active phase, full dilation of the cervix, crowning of head, and laceration repair. | VAS is the most common pain scale for quantification. The score is from 0 to 10. The score is higher, the patient will be more painful. That will indicate if the analgesia is effective. |
| 1 minute Apgar index | 1 minute after the infant is born | The index indicates the infant s' conditions, including heart rate, breathing, muscle tone, reflex response, color. Each characteristic is given an individual score; two points for each of the five categories if all is completely well; then all scores are totaled. The score is from 0 to 10. |
| Postpartum depression | 3 days after delivery,6 weeks after delivery, 3 months after delivery, 6 months after delivery, 1 year after delivery. | Assess the risk of postpartum depression among all participants using EPDS，HAMA. |
| The mode of delivery | At the end of delivery | Including spontaneous vaginal delivery, vacuum- and forceps-assisted delivery, cesarean delivery. |
| Modified Bromage scores | 5min before analgesia;5min,15min, 30min,60min after analgesia; at the time of latent phase, active phase, full dilation of the cervix, crowning of head, and laceration repair. | The modified Bromage score is the most frequently used measure of motor block. The scores is from 0 to 3. In this scale, the intensity of motor block is assessed by the patient's ability to move their lower extremities (0: no motor paralysis; 1: inability to raise extended leg, but able to move knee and foot; 2: inability to raise extended leg and to move knee, but able to move foot; 3: inability to raise extended leg or to move knee and foot). That will indicate if the analgesia block the patient motor too much. |
Countries
China
Contacts
Primary ContactXun Gong
Outcome results
None listed