Journal of Neonatal Biology

Impact of neuraxial labor analgesia on neonatal outcomes

20^th International Conference on Neonatology and Perinatology

December 04-06, 2017 | Madrid, Spain

Ling-Qun Hu

Executive director of No Pain Labor & Delivery - Global Health Initiative, USA

Keynote: J Neonatal Biol

Abstract:

An education program, No Pain Labor & Delivery - Global Health Initiative (NPLD-GHI), was implemented at the Second Hospital of Wenzhou Medical College, China in 2010 to increase practice of neuraxial labor analgesia (NA). A two-phase impact study was conducted to assess the impact of increased NA on neonatal outcome. In Phase I study, NA was utilized in the first stage of labor. Data was collected during three time periods: baseline (01/2009-06/2009, NA=0%), phase-in (07/200905/2010), and post-NPLD-GHI (06/2010-06/2011, NA~50%). In Phase II study, NA was used in both first and second stages of labor, and 2014 ACOG definition for arrest of labor was used. This phase collected data from 03/2014-05/2015. The initial 3 months of this period were considered baseline. The primary outcome was NICU admission rate, which was compared between pre- and post-interventions, for each study phase. Statistical significance was defined at p<0.05. The NA rate increased from 0% to ~50% of 15,415 deliveries after NPLD-GHI intervention (Table 1, Figure 1) in Phase I study. Our measured variables showed no significant changes. In Phase II study, improved rates of NICU admission, 7-day mortality, Apgar 0-3, antibiotics usage, and intubation from 10,414 deliveries were observed (Table 1, Figure 2) with better maternal outcomes. Our data indicate the improvement of neonatal outcomes with implementation of combined NA throughout two stages of labor and the 2014 ACOG definition for arrest of labor.

Biography :

Ling-Qun Hu graduated from Zhejiang University School of Medicine in 1984. He was an Internist in China and a Researcher in Canada. In 2001, after his residency training in USA, he became an Anesthesiologist at Northwestern University Feinberg School of Medicine. He is the Founder and Executive Director of No Pain Labor & Delivery - Global Health Initiative and the Editor-in-Chief of its journal. He has published three books as an author or associate-author and five books as a chief translator or associate-chief translator. He has published 23 papers in reputable journals and serves as an Editorial Board Member of three.