The role of continuous analgesia during labor in pregnant women with hypertensive disorders: a comparative study on pain relief, anxiety, depression, and maternal-infant outcomes

作者：Huang T, Liu H, Ren J, Gu X · 发表于：Hypertension in pregnancy · 年份：2026 · DOI：10.1080/10641955.2025.2583822 · 研究领域：Anxiety、Depression、Pain Management、Analgesia, Obstetrical、Hypertension, Pregnancy-Induced、Humans、Female、Pregnancy、Retrospective Studies、Adult、Pregnancy Outcome、Pain Measurement

OBJECTIVE: To evaluate and compare the effects of continuous analgesia versus standard pain management on pain intensity, psychological status (anxiety and depression), and maternal-infant outcomes in pregnant women with hypertensive disorders. METHODS: This retrospective cohort study analyzed 124 pregnant women with hypertensive disorders admitted between December 2021 and December 2023. Participants were categorized into two groups based on the labor analgesia received: a non-continuous analgesia group (n = 51) and a continuous analgesia group (n = 73). Outcome measures included pain scores at different stages of dilation (4 cm and 8 cm) and anxiety/depression levels assessed pre-delivery, post-delivery, and 24 hours postpartum. RESULTS: The continuous analgesia group demonstrated significantly lower pain scores at both 4 cm dilation (t = 8.888, P < 0.001) and 8 cm dilation (t = 9.604, P < 0.001) compared to the non-continuous group. Regarding psychological outcomes, the continuous analgesia group showed significantly lower anxiety levels pre-delivery (t = 2.606, P = 0.011), post-delivery (t = 2.343, P = 0.022), and 24 hours postpartum (t = 5.084, P < 0.001). Similarly, depression scores were significantly lower in the continuous analgesia group at all three time points: pre-delivery (t = 2.019, P = 0.046), post-delivery (t = 2.66, P = 0.009), and 24 hours postpartum (t = 4.103, P < 0.001). Correlation analysis revealed significant negative associations between continuous...