Progress in labor analgesia.docVIP

 PAGE \* MERGEFORMAT 16 Progress in labor analgesia [Keywords:] Progress in Labor Analgesia With the medical model of change and improve the quality of people’s lives, mothers on maternity leave is also a higher requirement. As a sign of civilization, obstetric, reduce and eliminate the pain of childbirth is one of its important. Analgesia is to eliminate or mitigate childbirth labor pain measures. good maternal and child labor analgesia must ensure safe, easy administration, rapid onset and can meet the requirements of the entire production process, a clear involvement of the maternal birth process, and does not affect the contractions and labor. current delivery Analgesic methods include non-pharmacological analgesia, drug-induced analgesia, local law and the spinal nerve block nerve block method 4 categories, including spinal block for analgesia satisfaction, become the most widely approach [1]. In this paper, the theory of labor analgesia and the progress in recent years, some research at home and abroad are summarized below. A labor pain Causes and mechanisms Labor pain intensity and universality of the anatomical, physiological and mental factors, psychological factors, mainly due to: (1) uterine muscle ischemia, cervical progressive shortening of the cervix for dilation and uterine ligaments, led by peritoneal visceral pain caused by tension, etc., especially in the first active phase of labor significantly increased the pain. (2) The mental stress, fear, anxiety and fear of the fetus and other reasons, to reduce the pain threshold, increase the secretion of neurotransmitters, the pain intensified. Labor pain mechanism is complex, and different stages of labor with different characteristics. The first stage mainly from the regularity of uterine contractions and cervical, uterine lower segment of the expansion of pain through the T10-12 spinal cord segments introduced. When cervical dilatation to 7 ~ 8 cm, the pain is most intense. dull pai