Is Epidural Analgesia Effective On Multiparous Or Primiparous Women? Our Findings On Labor Analgesia

Research Article
Ahmet Gultekin, Ebru Canakci, Bulent Hanedan
DOI: 
http://dx.doi.org/10.24327/ijrsr.2018.0901.1355
Subject: 
science
KeyWords: 
Labour analgesia, primiparous parturient, multiparous parturient
Abstract: 

Objective: The aim of labor analgesia is to carry out a safe and painless labor without affecting the vigilance and motor functions of mother, progress of labor and health of infant. Design: Retrospective study Setting: Ordu University, Faculty of Medicine, Training and Research Hospital Subject: Our study was conducted on 101 parturients with ASA I-II status and in whom labor began and vaginal delivery was planned. Intervention: Between January 2016, June 2017, 101 cases were divided into 2 groups. A total of 101 cases including 63 primiparous and 38 multiparous women were enrolled in our study. Main Outcome Measures: Demographic data, VAS (Visual analog scale) and VRS (Verbal Rating Scale) scores, motor block level, sensorial block level were recorded at the beginning, at 5th, 10th, 15th, 30th, 45th and 60th minutes and afterwards, at every half hour till the end of labor. Results: An advanced level of positive correlation was detected between the final VRS score and final VAS score, labor duration, elapsed time between two doses, cervical dilatation (p <0.001). When the VAS score was assessed for the second time, again, an advanced level of positive correlation was found between the final VAS, that is, labor duration, total dose, elapsed time between two doses in terms of minutes, final cervical dilatation (p <0.001). Conclusion: Epidural analgesia is a effective method of analgesia in labor analgesia. Given the increasing number of cesarean sections today, we suggest that encouraging pregnant women in painless labor will be quite beneficial.