Effect of an evidence-based activity management program on delivery outcomes in pregnant women after intraspinal labor analgesia

Qiuxia Liang; Xiuhong Wang; Yongfang Deng; Lijie Lu; Tingsong Weng; Bailing Fu

Effect of an evidence-based activity management program on delivery outcomes in pregnant women after intraspinal labor analgesia

Am J Transl Res. 2021 Apr 15;13(4):3054-3063. eCollection 2021.

Authors

Qiuxia Liang¹, Xiuhong Wang¹, Yongfang Deng¹, Lijie Lu¹, Tingsong Weng¹, Bailing Fu²

Affiliations

¹ Delivery Room, Guangzhou Women and Children's Medical Center Guangzhou, Guangdong Province, China.
² Department of Obstetrics and Gynecology, Guangzhou Women and Children's Medical Center Guangzhou, Guangdong Province, China.

PMID: 34017473
PMCID: PMC8129272

Abstract

Objective: To investigate the effect of an evidence-based activity management program for pregnant women after intraspinal labor analgesia based on their delivery outcomes.

Methods: A prospective study was conducted in 96 pregnant women who received intraspinal labor analgesia in our hospital. The control group (48 cases) received routine nursing care after analgesia, and the intervention group (48 cases) received evidence-based activity management program after analgesia. The labor time, sense of birth control, physiological and psychological stress reactions, analgesic effect, delivery outcome and early postpartum pelvic floor function were compared between the two groups.

Results: Compared with the control group, the first, second and third stages of labor time and the total labor time of the intervention group were significantly shorter, while the Labor Agentry Scale (LAS) score was significantly higher (P<0.05). Compared with the control group, the diastolic blood pressure, systolic blood pressure, heart rate, Visual Analogue Scale (VAS) score, Self-Rating Anxiety Scale (SAS) score and Self-Rating Depression Scale (SDS) score of the intervention group were significantly lower (P<0.05). The total analgesic rate of the intervention group was significantly higher than that of the control group (95.83% vs. 79.17%, P<0.05). The overall incidence of postpartum hemorrhage, perineal laceration, lateral episiotomy, fetal distress and neonatal asphyxia in the intervention group was significantly lower than that of the control group (16.67% vs. 35.42%, P<0.05). The incidence of pelvic organ prolapse (POP) and pelvic floor dysfunction in the intervention group were significantly lower than those in the control group (P<0.05).

Conclusion: An evidence-based activity management program for pregnant women after intraspinal labor analgesia can effectively shorten the labor time, strengthen the analgesic effect, reduce the physiological and psychological stress reactions, increase the sense of control during birth and improve the delivery outcome as well as early pelvic floor function.

Keywords: Evidence-based; activity management; delivery outcome; intraspinal labor analgesia.