Write your message
Volume 7, Issue 3 (May & June 2022)                   J Obstet Gynecol Cancer Res 2022, 7(3): 8-8 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

ahmadi S, farahani K, Aklamli M, ahmadi K, Beheshti N. Spinal Analgesia in Labor on Maternal and Neonatal Outcomes: A retrospective cross sectional study. J Obstet Gynecol Cancer Res. 2022; 7 (3) :8-8
URL: http://jogcr.com/article-1-444-en.html
1- iran university of medical science , ahmadishahnaz2005@yahoo.com
2- Iran university of medical science
3- Shahrekord university
4- iran university of medical science
Abstract:   (58 Views)

Spinal analgesia  and entonox analgesia are pain relief method during labour. This  cross sectional study was done to determine the effect of spinal analgesia and enthonox analgesia  on duration of the first, second, and third stage of labor, Apgar score and maternal and fetal outcomes.
Methods:The files of 1000 patients whohad delivered in Shahid Akbarabadi Hospital and underwent painless delivery with Entonex gas and  spinal anesthesia were examined according to the criteria of inclusion criteria.280 cases were selected. spinal analgesia (SA)(n = 140) and entonox  analgesia (n = 140). In SA 25 μg of fentanyl, 1-2 mg of bupivacaine was administered. For the entonox group, entonox inhalation was administrated via a face-mask at the initiation of pain at eachcontraction.This enabled the women to breathe fresh gas in each inspiration.The duration of labour, mode of delivery, the side effects, and maternal satisfaction were also compared in two groups. Results: The duration of first stage in the SA group was significantly shorter than the second group (P<0.001), but the duration of the second stage in the SA group was longer (P<0.001). There were no significant differences in the rate of cesarean section, neonate Apgar and weight, PH and the partial pressure of carbon dioxide between the two groups. Measured pain was significantly lower in the spinal group (P = 0.01) concerning the VAS scores.Conclusions: spinal analgesia versus entonox analgesia is a safe, and suitable and effective method for pain reduction . it does not adversely affect the outcome of labour.

     
Systematic Review: Original Research | Subject: Obstetrics and Gynecology
Received: 2021/07/16 | Accepted: 2021/09/7 | Published: 2021/11/25

References
1. Whitburn LY, Jones LE, Davey M-A, McDonald S. The nature of labour pain: An updated review of the literature. Women and Birth. 2019;32(1):28-38. [DOI:10.1016/j.wombi.2018.03.004] [PMID]
2. Aziato L, Acheampong AK, Umoar KL. Labour pain experiences and perceptions: a qualitative study among post-partum women in Ghana. BMC Pregnancy and Childbirth. 2017;17(1):1-9. [DOI:10.1186/s12884-017-1248-1] [PMID] [PMCID]
3. Czech I, Fuchs P, Fuchs A, Lorek M, Tobolska-Lorek D, Drosdzol-Cop A, et al. Pharmacological and Non-Pharmacological Methods of Labour Pain Relief-Establishment of Effectiveness and Comparison. Int J Environ Res Public Health. 2018;15(12):2792. [DOI:10.3390/ijerph15122792] [PMID] [PMCID]
4. Akadri AA, Odelola OI. Labour pain perception: experiences of Nigerian mothers. Pan Afr Med J. 2018;30(1):288. [DOI:10.11604/pamj.2018.30.288.16672] [PMID] [PMCID]
5. Tan DJA, Sultana R, Han NLR, Sia ATH, Sng BL. Investigating determinants for patient satisfaction in women receiving epidural analgesia for labour pain: a retrospective cohort study. BMC Anesthesiol. 2018;18(1):50. [DOI:10.1186/s12871-018-0514-8] [PMID] [PMCID]
6. Shen X, Li Y, Xu S, Wang N, Fan S, Qin X, et al. Epidural Analgesia During the Second Stage of Labor: A Randomized Controlled Trial. Obstet Gynecol. 2017;130(5):1097-103. [DOI:10.1097/AOG.0000000000002306] [PMID]
7. Aasheim V, Nilsen RM, Vik ES, Small R, Schytt E. Epidural analgesia for labour pain in nulliparous women in Norway in relation to maternal country of birth and migration related factors. Sex Reprod Healthc. 2020;26:100553. [DOI:10.1016/j.srhc.2020.100553] [PMID]
8. Babazade R, Saasouh W, Naylor AJ, Makarova N, Udeh CI, Turan A, et al. The cost-effectiveness of epidural, patient-controlled intravenous opioid analgesia, or transversus abdominis plane infiltration with liposomal bupivacaine for postoperative pain management. J Clin Anesth. 2019;53:56-63. [DOI:10.1016/j.jclinane.2018.10.003] [PMID]
9. Wang TT, Sun S, Huang SQ. Effects of Epidural Labor Analgesia With Low Concentrations of Local Anesthetics on Obstetric Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Anesth Analg. 2017;124(5):1571-80. [DOI:10.1213/ANE.0000000000001709] [PMID]
10. Kamali A, Akbari S, Norouzi A, Shokrpour M. painless labor with epidural & spinal analgesia.
11. Ji J-W, Xu M-J, Han B, Chen L, Mu X-J. Feasibility study on continuous spinal analgesia in all stages of labor. Chinese Med J. 2020;133(5):618. [DOI:10.1097/CM9.0000000000000661] [PMID] [PMCID]
12. Imani F, Lotfi S, Aminisaman J, Shahmohamadi A, Ahmadi A. Comparison of Spinal Versus Epidural Analgesia for Vaginal Delivery: A Randomized Double Blinded Clinical Trial. Anesth Pain Med. 2021;11(1):e108335. [DOI:10.5812/aapm.112880]
13. Sharpe EE, Kim GY, Vinzant NJ, Arendt KW, Hanson AC, Martin DP, et al. Need for additional anesthesia after single injection spinal analgesia for labor: a retrospective cohort study. Int J Obstet Anesth. 2019;40:45-51. [DOI:10.1016/j.ijoa.2019.05.013] [PMID]
14. Rahmati J, Shahriari M, Shahriari A, Nataj M, Shabani Z, Moodi V. Effectiveness of Spinal Analgesia for Labor Pain Compared with Epidural Analgesia. Anesth Pain Med. 2021;11(2):e113350. [DOI:10.5812/aapm.113350] [PMID] [PMCID]
15. KHARODE A, SHRIVASTAVA D. MATERNAL AND FOETAL OUTCOME OF SINGLE DOSE SPINAL ANALGESIA FOR LABOUR PAINS.
16. Gupta S, Partani S. Neuraxial techniques of labour analgesia. Indian J Anaesth. 2018;62(9):658-66. [DOI:10.4103/ija.IJA_445_18] [PMID] [PMCID]
17. Nejmark MI, Ivanova O. Neuroaxial methods analgesia of labour. Regional Anesthesia and Acute Pain Management. 2020;14(1):19-25. [DOI:10.17816/1993-6508-2020-14-1-19-25]
18. DeLeon AM, CA. W. Spinal anesthesia: Technique. U: UpToDate, Maniker R ed. UpToDate [Internet]. Waltham: UpToDate. 2020.
19. Manouchehrian N, Rabiei S, Moradi A, Lakpur Z. Comparison of Intrathecal Injection of Fentanyl and Sufentanil on the Onset, Duration, and Quality of Analgesia in Labor: A Randomized, Double-Blind Clinical Trial. Anesth Pain Med. 2020;10(3):e99843. [DOI:10.5812/aapm.99843] [PMID] [PMCID]
20. Wong CA, Scavone BM, Peaceman AM, McCarthy RJ, Sullivan JT, Diaz NT, et al. The risk of cesarean delivery with neuraxial analgesia given early versus late in labor. N Engl J Med. 2005;352(7):655-65. [DOI:10.1056/NEJMoa042573] [PMID]
21. Cheng YW, Caughey AB. Second stage of labor. Clin Obstet Gynecol. 2015;58(2):227-40. [DOI:10.1097/GRF.0000000000000113] [PMID]
22. Tsen LC. What's new and novel in obstetric anesthesia? Contributions from the 2003 scientific literature. Int J Obstet Anesth. 2005;14(2):126-46. [DOI:10.1016/j.ijoa.2004.12.007] [PMID]
23. Rad P, Hejr H, Delaviz H, Vanda R. Intrathecal Analgesia Versus Non-analgesia in Labor on Maternal and Neonatal Outcomes. J clin care skills. 2020;1(1):31-6. [DOI:10.52547/jccs.1.1.31]
24. Rahimi R, Akbarianrad Z, Zahed Pasha Y. The effect of mode of delivery on the umbilical artery pH. Caspian J pediatr. 2016;2(1):113-7.
25. Huang J-H, Yu M, Zhang D-B, Pan J-P, Zhao X-T, Liu Q, et al. The Effects of Epidural Analgesia during Labor on Maternal and Neonatal Outcomes. 2020. [DOI:10.21203/rs.3.rs-56782/v1]
26. Akbas M, Akcan AB. Epidural analgesia and lactation. Eurasian J Med. 2011;43(1):45-9. [DOI:10.5152/eajm.2011.09] [PMID] [PMCID]
27. Olawin AM, Das JM. Spinal anesthesia. StatPearls [Internet]. 2020.
28. Fathi Najafi T, Asgarian Yazdi M, Mazloom SR. Efficacy of Spinal Analgesia on Stages of Labor 17 Shahrivar Hospital Mashhad-2005. Iran J Obstet Gynecol Infertil. 2007;10(2):55-62.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License Journal of Obstetrics, Gynecology and Cancer Research by Farname Inc is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Based on a work at http://jogcr.com/.

© 2021 CC BY-NC 4.0 | Journal of Obstetrics, Gynecology and Cancer Research (JOGCR)

Designed & Developed by : Yektaweb | Piblisher: Farname Inc.