{
    "abstract": "The background of this study was analgesia in natural delivery. The combined spinal-epidural anesthesia has obvious analgesic effect on the parturients in natural labor, and combined spinal-epidural anesthesia has been widely used in anesthesia for various diseases.\nTo study the effects of combined spinal-epidural anesthesia on anxiety, labor analgesia, and motor blocks in parturients during natural delivery.\nA total of 120 women who gave birth at Changning District Maternal and Child Health Hospital between December 2021 to December 2022 were included; a random number table approach was employed to divide the women into a control group and a joint group, with each group consisting of 60 women. The control group was given epidural anesthesia, while the joint group was given combined spinal-epidural anesthesia. The visual analog scale (VAS) was used to evaluate the degree of maternal pain. Comparisons were made between the two groups' conditions of childbirth and the duration of labor. Apgar scores were used to evaluate the status of the newborns at birth; Self-rating Anxiety Scale (SAS) and General Self-Efficacy Scale (GSES) scores, umbilical artery blood gas analysis indices and stress indices were compared between the two groups; and the frequencies of motor block and postpartum complications were analyzed.\nIn comparison to the control group, in the joint group, the VAS scores for the first, second, and third stages of labor were lower (\nFor parturients during natural delivery, combined spinal-epidural anesthesia can reduce anxiety, provide labor analgesia, shorten labor time, and reduce postoperative stress levels but did not result in a motor block.",
    "authors": [
        {
            "affiliation": "Department of Anesthesiology, Shanghai Changning Maternity & Infant Health Hospital, Shanghai 200050, China.",
            "firstname": "Ling",
            "initials": "L",
            "lastname": "Cai"
        },
        {
            "affiliation": "Department of Anesthesiology, Shanghai Changning Maternity & Infant Health Hospital, Shanghai 200050, China.",
            "firstname": "Jiao-Jiao",
            "initials": "JJ",
            "lastname": "Jiang"
        },
        {
            "affiliation": "Department of Anesthesiology, Shanghai Changning Maternity & Infant Health Hospital, Shanghai 200050, China.",
            "firstname": "Ting-Ting",
            "initials": "TT",
            "lastname": "Wang"
        },
        {
            "affiliation": "Department of Anesthesiology, Shanghai Changning Maternity & Infant Health Hospital, Shanghai 200050, China. 13817340402@163.com.",
            "firstname": "Shuang",
            "initials": "S",
            "lastname": "Cao"
        }
    ],
    "conclusions": "For parturients during natural delivery, combined spinal-epidural anesthesia can reduce anxiety, provide labor analgesia, shorten labor time, and reduce postoperative stress levels but did not result in a motor block.",
    "copyrights": "\u00a9The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.",
    "doi": "10.5498/wjp.v13.i11.838",
    "journal": "World journal of psychiatry",
    "keywords": [
        "Anxiety level",
        "Combined spinal-epidural anesthesia",
        "Labor analgesia",
        "Motor block",
        "Natural delivery"
    ],
    "methods": null,
    "publication_date": "2023-12-11",
    "pubmed_id": "38073901\n35083920\n35093596\n32989801\n33607215\n4048757\n32050997\n16198532\n16285214\n35831799\n33914329\n33758132\n32695003\n31898488\n34999514\n34392103\n31308355",
    "results": "In comparison to the control group, in the joint group, the VAS scores for the first, second, and third stages of labor were lower (",
    "title": "Effects of combined spinal-epidural anesthesia on anxiety, labor analgesia and motor blocks in women during natural delivery.",
    "xml": "<Element 'PubmedArticle' at 0x788503f87ec0>"
}