Objective To study the effects of using of epidural anesthesia and spinal anesthesia on mode of delivery , neonatal complications and contractions in the birth process . Methods 400 cases of maternal from May 2012 to May 2013 in Maternal and Child Health Hospital Lishui City were selected as study objects, and they were divided into two groups, 216 patients in the observation group were given the epidural anesthesia and spinal anesthesia, 184 patients of the control group were not implemented analgesia. The maternal and neonatal conditions of two groups were compared, maternal labor time, mode of delivery, maternal and neonatal complications and birth process oxytocin usage of two groups were observed. Results Among 216 patients in the observation group, there were 44 cases of cesarean, account-ing for 24.07%, among 184 patients in the control group, 76 cases of cesarean, accounting for 41.30%, the difference of two groups were statistically significant (P< 0.05). There were 44 cases were forceps delivery in the observation group, accounting for 20.37%; and 12 cases in the control group, accounting for 6.52%; the difference of two groups were sta-tistically significant (P<0.05). There were 120 cases of spontaneous vaginal delivery in the observation group, account-ing for 55.56%; and 94 cases of the control group, accounting for 51.09%. 64 cases were given the oxytocin in the ob-servation group, accounting for 29.63%, and 18 cases in the control group were given the oxytocin, accounting for 9.78%, the differences of two groups were statistically significant (P< 0.05 or P< 0.01). The incidence of prolonged active phase, fetal distress and prolonged second stage the observation group were 3.70%, 32.41% and 6.48% respec-tively; and those in the control group were 1.09%, 28.26%, 3.26% respectively, the differences of two groups were sta-tistically significant (P< 0.01). The incidence of post-partum hemorrhage and neonatal asphyxia in the ob-servation group were 4.63%and 29.63%, in the control group were 3.26% and 9.78%, the differences of two groups were statistically significant (P< 0.05). Conclusion Waist joint anesthesia analgesia childbirth can effectively reduce the rate of cesarean section, but will cause forceps midwifery rate increases, labor analgesia and prolonged sec-ond stage, prolonged active phase, but not increase the risk of postpartum hemorrhage and neonatal asphyxia. Waist joint anesthesia analgesia for childbirth puerperal childbirth analgesia not on maternal and neonatal adverse reaction, can be at ease in clinical application.%目的：研究分娩产妇运用硬膜外阻滞和蛛网膜下腔阻滞联合麻醉对产妇分娩方式、新生儿近期合并症以及产程中宫缩情况的影响。方法选择2012年5月~2013年5月于浙江省丽水市妇幼保健院分娩的400例产妇为研究对象，将其分为观察组(n=216)和对照组(n=184)。观察组患者运用硬膜外阻滞和蛛网膜下腔阻滞联合麻醉，对照组患者未实施分娩镇痛。对两组产妇及新生儿情况进行比较，观察两组产妇的产程时间、分娩方式、产妇和新生儿合并症及产程中宫缩素使用情况。结果观察组的216例患者中，44例实施了剖宫产，占24.07%；对照组的184例患者中，76例实施了剖宫产，占41.30%，两组比较差异有统计学意义(P<0.05)。观察组中，44例实施产钳助产，占20.37%；对照组中12例，占6.52%；两组比较差异有统计学意义(P<0.05)。观察组中，120例阴道顺产，占55.56%，对照组中阴道顺产94例，占51.09%；观察组中64例使用缩宫素，占29.63%，对照组中18例，占9.78%，两组比较差异均有统计学意义(P<0.05或P<0.01)。观察组活>期延长、胎儿窘迫以及第二产程延长发生率分别为3.70%、32.41%、6.48%；对照组中分别为1.09%、28.26%、3.26%，两组比较，差异均有高度统计学意义(P<0.01)；观察组产后出血以及新生儿窒息的发生率分别为4.63%、29.63%，对照组为3.26%、9.78%，两组比较差异均有统计学意义(P<0.05)。结论在产程中对产妇实施硬腰联合麻醉镇痛分娩，能够有效地降低剖宫产率，但是会引起产钳助产率升高，分娩镇痛与第二产程延长、活>期延长有一定关系，但是不会使产后出血及新生儿窒息的发生概率增加。腰-硬联合麻醉对分娩产妇实施分娩镇痛不会对产妇及新生儿产生不良反应，可以放心在临床上应用。
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