The cognition of intraspinal labor analgesia of women in labor and its influencing factors_West China Medical Journal

Authors：

YU Chao ¹ ,  LUO Dong ¹ , ZHOU Rong ²

1. Department of Anesthesiology, West China Second University Hospital, Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan 610041, P. R. China;
2. Department of Obstetrics, West China Second University Hospital, Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LUO Dong, Email: luodong8706@163.com

Keywords：

Women in labor; Labor analgesia, intraspinal; Cognition

DOI：

10.7507/1002-0179.201606195

Video：

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Objective To investigate and analyze the cognition of intraspinal labor analgesia (ILA) of women in labor and its influencing factors. Methods A total of 322 women in labor in West China Second University Hospital of Sichuan University between May and September 2015 were investigated by questionnaire, which included the general situation, the pregnancy status, the understanding for labor pain, and the cognition of ILA. Investigator introduced the knowledge of ILA to them after the investigation, and then they were re-investigated for the choice of ILA. Results Only 22.67% of these women in labor knowed ILA clearly, 53.42% heared it but did not understand, and 49.38% liked to use it. The proportion of women in labor who liked to use it increased to 81.89% after introduction, and the difference was significant (P<0.001). Among all factors, the acknowledgement level of ILA and the choice to use it were mainly related to the family awareness concept for labor pain. Conclusions The cognition of ILA of women in labor is not enough, and their using desire is not strong. The family awareness concept is one of the important factors. The education and advertise to the women in labor and their family members after admiting to labor room can increase the choice rate of ILA significantly.

Citation： YU Chao, LUO Dong, ZHOU Rong. The cognition of intraspinal labor analgesia of women in labor and its influencing factors. West China Medical Journal, 2017, 32(9): 1400-1404. doi: 10.7507/1002-0179.201606195 Copy

1.	Tzeng YL, Yang YL, Kuo PC, et al. Pain, anxiety, and fatigue during labor: a prospective, repeated measures study. J Nurs Res, 2017, 25(1): 59-67.
2.	Pettersson FD, Hellgren C, Nyberg F, et al. Depressed mood, anxiety, and the use of labor analgesia. Arch Women Ment Health, 2016, 19(1):11-16.
3.	李志萍. 椎管內阻滯分娩鎮痛的研究進展. 華夏醫學, 2017, 30(2): 184-187.
4.	Lysak SZ, Eisenach JC, Dobson CE. Patient-controlled epidural analgesia during labor: a comparison of three solutions with a continuous infusion control. Anesthesiology, 1990, 72(1): 44-49.
5.	曲元, 吳新民, 趙國立, 等. 規模化分娩鎮痛的可行性. 中華麻醉學雜志, 2003, 23(4): 268-271.
6.	裴艷, 雷愛華. 剖宮產率上升的原因及應對策略. 中國民族民間醫藥, 2013, 22(12): 60-60.
7.	徐曉義, 褚國強, 季永. 椎管內阻滯用于分娩鎮痛的研究進展. 國際麻醉學與復蘇雜志, 2012, 33(7): 490-493.
8.	Barakzai A, Haider G, Yousuf F, et al. Awareness of women regarding analgesia during labour. J Ayub Med Coll Abbottabad, 2011, 22(1): 73-75.
9.	曾小惠. 全程無痛分娩的臨床護理體會. 中國醫藥導報, 2011, 8(7): 96-96.
10.	陳月花, 王志芹, 張桂英, 等. 剖宮產手術指征變遷與剖宮產率的變化分析. 中國醫刊, 2015, 50(6): 90-92.
11.	Hu LQ, Flood P, Li Y, et al. No pain labor & delivery: a global health initiative’s impact on clinical outcomes in China. Anesth Analg, 2016, 122(6): 1931-1938.
12.	鄧芳, 王芬蘭. 初產婦分娩鎮痛效果的相關影響因素分析. 河南醫學研究, 2017, 26(9): 1586-1587.
13.	吳朝陽, 陳星, 趙玲萍, 等. 孕婦及其家屬對剖宮產認知度調查分析. 中國農村衛生事業管理, 2013, 33(5): 548-550.
14.	林立榮, 吳耀輝, 陳達和. 腰硬聯合分娩鎮痛產婦認知在提高鎮痛效果中的應用. 中國醫學創新, 2015, 12(15): 105-107.
15.	趙新. 剖宮產圍麻醉期宣教中應用電子智能終端的效果觀察. 中外健康文摘, 2013, 10(11): 222-223.

1. Tzeng YL, Yang YL, Kuo PC, et al. Pain, anxiety, and fatigue during labor: a prospective, repeated measures study. J Nurs Res, 2017, 25(1): 59-67.
2. Pettersson FD, Hellgren C, Nyberg F, et al. Depressed mood, anxiety, and the use of labor analgesia. Arch Women Ment Health, 2016, 19(1):11-16.
3. 李志萍. 椎管內阻滯分娩鎮痛的研究進展. 華夏醫學, 2017, 30(2): 184-187.
4. Lysak SZ, Eisenach JC, Dobson CE. Patient-controlled epidural analgesia during labor: a comparison of three solutions with a continuous infusion control. Anesthesiology, 1990, 72(1): 44-49.
5. 曲元, 吳新民, 趙國立, 等. 規模化分娩鎮痛的可行性. 中華麻醉學雜志, 2003, 23(4): 268-271.
6. 裴艷, 雷愛華. 剖宮產率上升的原因及應對策略. 中國民族民間醫藥, 2013, 22(12): 60-60.
7. 徐曉義, 褚國強, 季永. 椎管內阻滯用于分娩鎮痛的研究進展. 國際麻醉學與復蘇雜志, 2012, 33(7): 490-493.
8. Barakzai A, Haider G, Yousuf F, et al. Awareness of women regarding analgesia during labour. J Ayub Med Coll Abbottabad, 2011, 22(1): 73-75.
9. 曾小惠. 全程無痛分娩的臨床護理體會. 中國醫藥導報, 2011, 8(7): 96-96.
10. 陳月花, 王志芹, 張桂英, 等. 剖宮產手術指征變遷與剖宮產率的變化分析. 中國醫刊, 2015, 50(6): 90-92.
11. Hu LQ, Flood P, Li Y, et al. No pain labor & delivery: a global health initiative’s impact on clinical outcomes in China. Anesth Analg, 2016, 122(6): 1931-1938.
12. 鄧芳, 王芬蘭. 初產婦分娩鎮痛效果的相關影響因素分析. 河南醫學研究, 2017, 26(9): 1586-1587.
13. 吳朝陽, 陳星, 趙玲萍, 等. 孕婦及其家屬對剖宮產認知度調查分析. 中國農村衛生事業管理, 2013, 33(5): 548-550.
14. 林立榮, 吳耀輝, 陳達和. 腰硬聯合分娩鎮痛產婦認知在提高鎮痛效果中的應用. 中國醫學創新, 2015, 12(15): 105-107.
15. 趙新. 剖宮產圍麻醉期宣教中應用電子智能終端的效果觀察. 中外健康文摘, 2013, 10(11): 222-223.

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