To compare the puerperal’s incidence of hypotension and neonate Apgar in different position after epidural labor analgesia

Objective：To compare the puerperal’s incidence of hypotension，analgesia effect and neonate Apgar in backlying-lateral position and lateral decubitus after 0.1% ropivacaine epidural labor analgesia . Methods:20-32 years old puerperal (ASA Ⅰ~Ⅱ ) average devide into 2 groups, backlying-lateral position( group A ) and lateral position(group B).After L2-3 epidural labor analgesia , group A keep backlying position 10 minites then change to lateral position while group B always take lateral position, both groups monitoring SBP、MAP、VAS in 10 minites(T1)and 30 minites(T2) , fetus heart rates and neonate Apgar scores. Results： SBP、MAP degrade obviously(P<0.05) after analgesia in both groups comparing with ante-analgesia(T0), SBP、MAP、SBP fluctuate extent and MAP fluctuate rate, VAS in group A is lower than group B（P<0.05）on T1 time;while there have no diferencet in hypotension incidence, neonate Apgar between group A and group B（P>0.05）. conclusion: comparing with lateral decubitus, backlying-lateral position could decrease blood pressure fluctuation and gain more better analgesia effect rapidly.