Effects and side effects of combined spinal epidural analgesia on progress of labor and delivery

Shohreh Malek khosravi; Negin Rezavend; Ali Karbasfroushan; Mariam Zanganeh; Yeghaneh Mokri

Journal of Kermanshah University of Medical Sciences

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Effects and side effects of combined spinal epidural analgesia on progress of labor and delivery

Author(s):

Shohreh Malek khosravi^1,*,

Negin Rezavend¹,

Ali Karbasfroushan²,

Mariam Zanganeh¹,

Yeghaneh Mokri³

1High Risk Pregnancy Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

2Dept. of Anesthesiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

3Dept. of Obstetric and Gynicology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 13, issue 4; e79584

Published online:Mar 19, 2010

Article type:Research Article

Received:Jun 02, 2009

Accepted:Oct 13, 2009

How to Cite:Shohreh Malek khosraviNegin RezavendAli KarbasfroushanMariam ZanganehYeghaneh MokriEffects and side effects of combined spinal epidural analgesia on progress of labor and delivery.J Kermanshah Univ Med Sci.13(4):e79584.

Abstract

Background: Conduction analgesia is one of the most effective routes for relief of labor pain. Combined spinal epidural analgesia may cause less maternal and neonatal complications. These study aimed to investigate the effects of combined spinal epidural analgesia on progress of labor delivery and related complications.

Methods: In a randomized clinical trial study 220 women in spontaneous labor at term were randomly assigned into case (Painless labor, n=110), which received combined spinal – epidural analgesia or normal delivery (n=110) as a control group. A written procedure manual that prescribed the intra partum management was followed for each participant woman. Indications for cesarean delivery and some complications were measured. The t-test was used for statistical analysis of data between two groups.

Results: 110 women were studied in each group and all data was collected. There was no significant difference in the rate of cesarean deliveries between case and control groups (9.1% in control group vs. 3.6 % in case group). Delayed delivery, hyperthermia and headache after delivery was significantly higher in the case group than the control group (p<0.05)

Conclusion: Combined spinal epidural analgesia increase delayed delivery, hyperthermia and headache after delivery but it doesn't affect the cesarean deliveries rate.

Keywords

Painless labor

combined spinal

epidural analgesia complications

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