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Original Research

IJMDC. 2018; 2(September 2018): 86-91


Epidural analgesia and progress of labor, a retro and prospective study

Meaad Adel Alansari.




Abstract

Background: Pain during labor is a severe pain that women experiences. Epidural analgesia is used to relieve this pain. As epidural showed efficacy and safety, it became the standard of care. However, there are conflicts regarding its influence on neonates, time of delivery, and other outcomes.
Methodology: This prospective study included 100 females who were divided into two groups, the control and the epidural group, each of which had 50 females. The data about women, instruments used, and the recordings were collected, interviews were taken, and their opinions were investigated by survey.
Results: There were significant differences regarding several side effects including; nausea (P-value = 0.02), itching (P-value < 0.001), shivering (P-value = 0.006), backache (P-value = 0.006), and sedation (P-value = 0.03). The higher mean of duration of stage 2 was significantly (P-value < 0.001) associated with the epidural group, appearance, pulse, grimace, activity.
Conclusion: Epidural analgesia was associated < with few adverse effects and increased the duration of the second stage of labor. It had no effects on neonate and caused no post-delivery events which reflect its safety.
Keywords: Epidural analgesia; Pain relief; Neonate outcomes; Maternal outcomes.

Key words: Epidural analgesia, Pain relief, Neonate outcomes, maternal outcomes.





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