Abstract:

Abstract: Use of neuraxial labor analgesia in China has been increasing. Concerns have been raised from Chinese medical societies regarding patient safety in obstetrical practice and complications of neuraxial labor analgesia. Specifically, these concerns involve the impact of neuraxial analgesia on the progress of second stage labor, neonatal outcomes, and severe anesthesia complications. In the decision-making process of choosing any medical intervention or a “natural” approach, patients and obstetricians have to work together to balance the risks and benefits of each method. Nevertheless, obstetrical anesthesia, including services for safe and effective neuraxial labor analgesia with patient-centered and evidence-based practice in the proactive approach, is becoming the “standard of care” in all the modern labor and delivery suites.

Key words: labor, analgesia；neuraxial labor analgesia；maternal and neonatal outcome；neonatal complications；obstetric complications

摘要：

椎管内分娩镇痛在中国越来越普及。医护人员和产妇及家属对分娩安全和麻醉并发症颇为关注，尤其是对第二产程的影响、新生儿临床结局及严重麻醉并发症。权衡利弊在是否实施各项医疗干预或采取“自然疗法”的决定中至关重要。以患者为中心，以循证医学为基础，以“不伤害产妇”为前提，预见性的临床模式，对分娩安全意义非凡。提供安全有效椎管内分娩镇痛的产科麻醉已经成为现代产房的临床标准。

关键词: 分娩, 镇痛, 椎管内分娩镇痛, 母婴临床结局, 新生儿并发症, 产科并发症