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

authors:

avatar Shohreh Malek khosravi 1 , * , avatar Negin Rezavend 1 , avatar Ali Karbasfroushan 2 , avatar Mariam Zanganeh 1 , avatar Yeghaneh Mokri 3

High Risk Pregnancy Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
Dept. of Anesthesiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Dept. of Obstetric and Gynicology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

how to cite: Malek khosravi S, Rezavend N, Karbasfroushan A, Zanganeh M, Mokri Y. Effects and side effects of combined spinal epidural analgesia on progress of labor and delivery. J Kermanshah Univ Med Sci. 2010;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.

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