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| Effect of Free Hand Fetal Position Transfer under Labor Analgesia on Patients with Gestational Diabetes Mellitus Complicated with Dystocia |
| SHI Guili, AI Suzhen, HUANG Tingting |
| First-author's address: Quanzhou Women's and Children's Hospital, Fujian Province, Quanzhou 362000, China |
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Abstract Objective: To analyze the effect of free hand fetal position transfer on cesarean section rate and perineal lateral resection rate of gestational diabetes mellitus complicated with dystocia during labor analgesia. Method: A retrospective analysis was made on the clinical data of 124 cases with gestational diabetes mellitus complicated with dystocia who received delivery in Quanzhou Women's and Children's Hospital from January to December 2020. According to different treatment methods, 45 cases were divided into forceps assisted delivery group (forceps assisted delivery) and 79 cases were divided into free hand transfer group (free hand fetal position transfer under labor analgesia). The vaginal delivery rate, cesarean section rate, lateral perineal resection rate, perineal laceration and laceration degree, perineal pain degree, neonatal conditions and complications were compared between the two groups. Result: Compared with the forceps assisted delivery group, the vaginal delivery rate, cesarean section rate, perineal pain degree and complication rate were higher than those in the free hand transfer group (P<0.05). Compared with the vaginal delivery patients in forceps assisted delivery group, the lateral perineal incision rate and perineal laceration rate of vaginal delivery patients in the free hand transfer group were lower (P<0.05), but there was no statistical significance in the perineal laceration degree of patients with perineal laceration in the two groups was compared (P>0.05). Conclusion: On the basis of labor analgesia for gestational diabetes complicated with dystocia using free hand transfer of fetal position, the rate of cesarean section and perineal lateral resection decreased significantly, effectively relieve perineal pain.
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Received: 06 April 2023
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