Effects of epidural analgesia on labor, delivery and neonatal outcomes in patients performed epidural analgesia during labor
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: In this study, it is aimed to evaluate the effects of epidural analgesia on labor, delivery and neonatal outcomes in patients performed epidural analgesia during labor. Material and Methods: All patients admitted to Çukurova University Medical Faculty Hospital, Obstetrics and Gynecology Clinic because of the onset of labor spontaneously between 1 January 2013-31 December 2013 were included in the study. A total of 106 pregnant women that meet the inclusion criteria were enrolled in the study group. 251 pregnant women with the same characteristics and refuse epidural analgesia during labor were included as a control group. Groups were compared in terms of demographic characteristics, obstetric outcomes and neonatal outcomes. The p-value was taken as <0.05 for the level of statistical significance among the results. Results: Age, body mass index, gestational age and cervical dilatation on admission in the study group compared with the control group and there were no significant differences between the groups. The duration of the stages of birth was significantly long (p=0.001), vaginal delivery rates was statistically more, episiotomy procedure was significantly more (p=0.000) and the operative delivery rate was found significantly less compared to control patients in the group performed epidural analgesia during labor (p=0.009). There were no significant differences between the two groups for postpartum placental retention (p=0.158). When neonatal outcomes compared between two groups, while the neonates in the study group statistically significant more admitted to neonatal intensive care unit (p=0.001), there were not significant differences for 1. and 5. minutes APGAR scores between the two groups. Conclusion: In our study, we found that epidural analgesia during labor does not increase operative vaginal delivery and cesarean rates. Although there was an increase in the neonatal intensive care unit admission rates in newborns, we demonstrated no statistically significant difference for 1. and 5. minute APGAR scores between two groups. In light of these results our study revealed that epidural analgesia performed during delivery not only advantageable method of delivery for its comfort, it is also being a safe and exclusive method for both mothers and their babies. Copyright © 2015 by Türkiye Klinikleri.
Açıklama
Anahtar Kelimeler
Analgesia, epidural, Parturition, Pregnancy outcome
Kaynak
Turkiye Klinikleri Jinekoloji Obstetrik
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
25
Sayı
3
