Abstract:

Labor pain threatens the health of mother and infant seriously and it accounts for the biggest part of non-medical indications of cesarean section in our country.Neuraxial labor analgesia is the most effective and commonly used therapy for pain relief during labor and delivery without increasing the rate of cesarean section.However，it can cause some side effects and complications like supine position syndrome，inadequate anesthesia and fever.To strengthen the process management of labor analgesia，clear assignment of responsibility，carring out education and training and developing complication treatment plan are important measures to prevent risks.

Key words: labor analgesia, neuraxial analgesia, risk, the rate of cesarean delivery

摘要：

分娩疼痛严重威胁母婴健康，是我国非医学指征剖宫产的重要原因。椎管内阻滞分娩镇痛是目前最常用且最有效的分娩镇痛方式，且不会增高剖宫产率，但仍有可能发生仰卧位低血压综合征、镇痛不全、发热等并发症。加强对分娩镇痛的流程管理、明确职责分工、开展教育培训、制定并发症处理预案是椎管内阻滞分娩镇痛风险防范的重要举措。

关键词: 分娩镇痛, 椎管内阻滞镇痛, 风险, 剖宫产率