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

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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
Spinal Analgesia in Labor on Maternal and Neonatal Outcomes: A retrospective cross sectional study
Shahnaz Ahmadi *1, Katayoon Farahani2, Majid Aklamli2, Kambiz Ahmadi3, Niloufar Beheshti4
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.

Keywords: Spinal Analgesia|nitrous oxide|Labor Pain|Pregnancy Outcome|labor stage ,
     
Systematic Review: Original Research | Subject: Obstetrics and Gynecology
Received: 2021/07/16 | Accepted: 2021/09/7 | Published: 2021/11/25
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