Clinical effect of spinal anesthesia combined with double-catheter epidural for labor analgesia

ABSTRACT

Objective To study the analgesia effect of spinal anesthesia combined with double-catheter epidural for labor analgesia and its influence on mothers and fetuses.Methods One hundred and twenty-nine primiparas from April 20 1 5 to January 20 1 6 in our hospital,who requested labor anal-gesia,were randomly divided into two groups:Group D(n = 68 )was treated with spinal anesthesia combined with double-catheter epidural block for labor analgesia;Group S(n =6 1)was treated with spi-nal anesthesia combined with single-catheter epidural block for labor analgesia.Maternal visual analogue scale (VAS)was monitored before(T0 )and 1 0(T1 ),30(T2 ),1 20(T3 )min after analgesia,at the time points with a 7-8 cm cervical dilatation (T4 ),full cervical dilatation(T5 )and the second stage of labor force delivery (T6 ).The duration of different stages of labor,the usage of oxytocin,the usage of anal-gesia pump and analgesics,delivery outcome,volume of bleeding,the neonate condition as well as the side effects of analgesia were all recorded.Results VAS scores of T0-T4 between the two groups had no significant difference,VAS scores of T5-T6 ,group D was less than that of group S (P <0.05).Anal-gesia pump and analgesics usage between the two groups had no significant difference,analgesia pump usage of group D was less than that of group S (P <0.05).There was no significant difference between the two groups in the duration of different stages of labor,oxytocin usage,delivery outcome,volume of bleeding,the neonate condition as well as the side effects of analgesia.Conclusion The spinal anesthesia combined with double-catheter epidural block is effective for labor analgesia,with less side-effects and higher satisfaction of primiparas.it is safe for mothers and fetuses.