Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Nov 19, 2023; 13(11): 838-847
Published online Nov 19, 2023. doi: 10.5498/wjp.v13.i11.838
Effects of combined spinal-epidural anesthesia on anxiety, labor analgesia and motor blocks in women during natural delivery
Ling Cai, Jiao-Jiao Jiang, Ting-Ting Wang, Shuang Cao
Ling Cai, Jiao-Jiao Jiang, Ting-Ting Wang, Shuang Cao, Department of Anesthesiology, Shanghai Changning Maternity & Infant Health Hospital, Shanghai 200050, China
Author contributions: Cai L and Cao S initiated the project and designed the experiment; Jiang JJ conducted clinical data collection; Cai L and Jiang JJ performed postoperative follow-up and recorded data; Wang TT conducted a number of collation and statistical analysis; Cai L wrote the original manuscript; Cao S revised the paper; and all authors have read and approved the final manuscript.
Supported by Changning District Health Commission Medical Key (Characteristic) Specialized Program, No. 20192003.
Institutional review board statement: This study was approved by the Ethics Committee of Shanghai Changning Maternity & Infant Health Hospital.
Informed consent statement: The informed consent was waived by the Ethics Committee.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: All data generated or analyzed during this study are included in this published article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shuang Cao, MM, Department of Anesthesiology, Shanghai Changning Maternity & Infant Health Hospital, Jiangsu Road, No. 786 Yuyuan Road, Changning District, Shanghai 200050, China. 13817340402@163.com
Received: July 18, 2023
Peer-review started: July 18, 2023
First decision: August 4, 2023
Revised: August 28, 2023
Accepted: September 22, 2023
Article in press: September 22, 2023
Published online: November 19, 2023
ARTICLE HIGHLIGHTS
Research background

The background of this study is that the rate of natural childbirth is increasing, the rate of cesarean section is decreasing, and anesthesia and analgesia in natural childbirth are getting more and more clinical attention. The significance of this study is to explore new methods of anesthesia and analgesia in natural childbirth.

Research motivation

The main topic of this study is anesthesia and analgesia for natural parturients, and it is necessary to explore more effective anesthesia and analgesia methods for natural parturients. The significance of this study is to confirm the effectiveness of combined spinal-epidural anesthesia in the analgesia of women in natural childbirth, and encourage clinical teams to continue to explore more effective analgesia methods for women in natural childbirth.

Research objectives

The purpose of this study was to compare the analgesic effect of different analgesic methods on women in natural childbirth, and to observe the analgesic advantage of combined spinal-epidural anesthesia on women in natural childbirth. It was found that the combined spinal-epidural anesthesia can effectively improve the labor pain, shorten the labor process, relieve the bad mood and reduce the postoperative stress of the parturients. To provide a new reference for the analgesia of parturients in clinical natural labor in the future.

Research methods

In this study, the pregnant women were divided into two groups by randomized control method, and the general data, pain degree, newborn condition, self-efficacy, umbilical artery blood gas analysis index, stress index and movement blocker complications of the two groups were statistically analyzed by independent sample t test, paired sample t test and χ2 test.

Research results

Combined spinal-epidural anesthesia has a more significant effect on the improvement of labor pain in women with natural delivery, with significant improvements in labor pain, cesarean section rate, blood loss, adverse emotions, stress reaction and other aspects, providing a new analgesic method for women with natural delivery. Further large-scale studies are needed to verify the effectiveness of this method.

Research conclusions

The bad mood of natural childbirth women can affect the pain threshold of women, making them more sensitive to pain, and pain strengthens the bad mood of women, affecting childbirth. Therefore, we should pay attention to the influence of analgesic methods on maternal bad mood. Combined spinal-epidural anesthesia has good analgesic effect on parturients in natural labor.

Research perspectives

Natural childbirth women should not only consider the outcome of childbirth, but also pay attention to the personal state of the mother during childbirth. Future research aims to further explore the effects of analgesia on maternal adverse mood and stress response.