Labor outcome in epidural and combined spinal epidural analgesia
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 9
Abstract
Objectives: 1) To compare the analgesic efficacy and side effects of CSE with conventional epidural analgesia. 2) To study the mode of delivery, fetal, maternal and neonatal complication with CSE as compared to epidural analgesia. Materials and Methods: A total of 64 women with full term live pregnancy in active labour with 3 cm dilatation of cervix requesting labour analgesia were enrolled into study after their informed consent.32 of them were given CSEA and rest of them were given epidural analgesia. Quality of analgesia was assessed with Pain relief scores noted using visual analog scale. Top ups are given as when the patient requests. The duration of labour, mode of delivery, apgar scores of the baby and complications in the mother or the baby are recorded. Results: There are no differences in duration of labour and the mode of delivery in both the groups are CSE group is associated with faster cervical dilatation rate of 1.90+/-1.48 and better pain relief score when compared to epidural group. Women in epidural required more number of top ups with average time interval between the top ups being 92.33mins.incidence of pruritus is more among the women of CSE group. Conclusion: CSE is a better method of pain relief in labour when compared to conventional epidural technique as it is associated with faster cervical dilatation and decreased need for top ups.
Authors and Affiliations
Thejaswini Jaiprakash, Srilakshmi Udutha, Asha Swarup, Jyothi G S
Keywords
Related Articles
- EP ID EP180101
- DOI -
- Views 99
- Downloads 0
Struma ovarii – an interesting case of ovarian tumor in pregnancy
Introduction: Dermoid tumors in pregnancy occur not infrequently. Struma ovarii comprises 1–4% of all dermoid tumors of the ovary, and very rarely presents in a malignant form, occurring in 0.3%–5% of all struma ovarii t...
A Review of progress and impact of Health Management Information System (HMIS) in Public Health Care system of India
The Government of India’s initiatives in public health have recorded noteworthy successes over time. Unfortunately, Indian health system is still ranked 118 among 191 Who Health Organization (WHO) member countries on ove...
Study of post - operative pain following lichtenstein mesh repair and Bassini’s repair for primary inguinal hernia
Introduction: The history of hernia is as old as the history of surgery. Inguinal hernias are the commonest of all hernias, surgery is the definitive treatment and hernia repair is the most commonly performed general sur...
Hemimegalencephaly
Hemimegalencephaly is a rare congenital structural malformation of brain due to defective neuronal proliferation, migration and organization, leading to hamartomatous overgrowth of all or part of one hemisphere. There is...
Dyslipidemia in HIV positive patients on first line antiretroviral therapy
Background: Abnormalities of lipid metabolism are common in human immunodeficiency virus (HIV)-infected patients and tend to be accentuated in those receiving highly active antiretroviral therapy (HAART). However, data o...