. 2007; 4(3): 173-177 | |||
The effects of epidural analgesia: maternal and fetal outcomesGülengül Köken1, Figen Kır Şahin1, Hüseyin Fidan2, Reşit Köken3, Emine Coşar1, Mesut Köse1, Mehmet Yılmazer11Department Of Obstetrics And Gynecology, Afyon Kocatepe Üniversity Medical Faculty,afyonkarahisar, Turkey2Department Of Anesteziology, Afyon Kocatepe Üniversity Medical Faculty,afyonkarahisar, Turkey 3Department Of Pediatric, Afyon Kocatepe Üniversity Medical Faculty,afyonkarahisar, Turkey OBJECTIVE: To evaluate the effect of epidural block on the duration of labor and maternal and fetal outcome in patients with labor. Material-METHODS: Seventy-four patients with uncomplicated pregnancies who presented in spontaneous labor to Afyon Kocatepe University Faculty of Medicine, Gynecology and Obstetrics Department were enrolled in to this prospective study and divided into two groups, given epidural analgesia and control group. In this study, 30 pregnant women who attempted with ≥4cm cervical dilatation and active labour phase were applied epidural analgesia. Clinical characteristics recorded included labor and delivery characteristics, neonatal outcome and pleasent from epidural block. Statistical analyses were done by student’s t and Mann-Whitney U tests. P<0.05 was accepted as significant. RESULTS: No significant differences were noted in age, gravidity, parity and gestational age between the two groups. There were no significant differences between the two groups in servical dilatation, labor duration, mode of delivery and intrapartum complication rate. Epidural analgesia revealed no detrimental effects on neonatal apgar scores, cord pH and birth weight. In the group of epidural analgesia 80% of the patients were very pleasent from labor analgesia, 26.7% of control group were very pleasent from epidural analgesia. CONCLUSION: Epidural analgesia has no detrimental effects on progress and outcome of labor, neonatal outcomes, and it gives a comfortable delivery experience to the patient. Keywords: delivery, epidural analgesia, maternal-fetal outcomesEpidural analjezinin maternal ve fetal etkileriGülengül Köken1, Figen Kır Şahin1, Hüseyin Fidan2, Reşit Köken3, Emine Coşar1, Mesut Köse1, Mehmet Yılmazer11Afyon Kocatepe Üniversitesi Tıp Fakültesi, Kadın Hastalıkları Ve Doğum Ana Bilim Dalı, Afyonkarahisar2Afyon Kocatepe Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Afyonkarahisar 3Afyon Kocatepe Üniversitesi Tıp Fakültesi, Çocuk Sağlığı Ve Hastalıkları Ana Bilim Dalı, Afyonkarahisar AMAÇ: Epidural analjezinin doğum süresi, maternal ve fetal sonuçlar üzerine etkisini araştırmak. GEREÇ-YÖNTEM: Çalışmaya prospektif olarak Afyon Kocatepe Üniversitesi Kadın Hastalıları ve Doğum bölümünde izlenen 30 epidural 44 kontol grubu olmak üzere spontan eylemde olan 74 hasta dahil edildi. Epidural analjezi servikal açıklık 4cm olup doğumun aktif fazına geçildiğinde uygulandı. Her iki grupta eylem ve doğum özellikleri, neonatal sonuçlar ve epidural analjeziden memnuniyet durumu kaydedildi. İstatistiksel analiz student t ve Mann-Whitney U testleriyle yapıldı. P<0.05 anlamlı olarak kabul edildi. Gülengül Köken, Figen Kır Şahin, Hüseyin Fidan, Reşit Köken, Emine Coşar, Mesut Köse, Mehmet Yılmazer. The effects of epidural analgesia: maternal and fetal outcomes. . 2007; 4(3): 173-177 Corresponding Author: Gülengül Köken, Türkiye |
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