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Journals / Batı Karadeniz Tıp Dergisi / 2024 / Cilt: 8 Sayı: 3

Evaluation of Epidural Analgesia for Vaginal Delivery: A Retrospective Analysis of a State Hospital

Vajinal Doğum için Uygulanan Epidural Analjezinin Değerlendirilmesi: Bir Devlet Hastanesinin Retrospektif Analizi

Keziban Bollucuoğlu(Zonguldak Bülent Ecevit Üniversitesi Tıp Fakültesi)0000-0002-7111-8685
Bengü Gülhan Köksal(ZONGULDAK BÜLENT ECEVİT ÜNİVERSİTESİ)0000-0002-1324-6144
Pages
307–313
Publication Date
2024-12-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This method dramatically reduces both the pain and stress of the mother and increases labour comfort, and we recommend it to all eligible pregnant women for a painless vaginal delivery.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Epidural analgesia is the most commonly preferred analgesia method for labour pain management.
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Key Findings & Data:Material and Methods: The files of pregnant women undergoing epidural analgesia for labour between January and December 2017 were examined retrospectively.
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Conclusion & Impact:This method dramatically reduces both the pain and stress of the mother and increases labour comfort, and we recommend it to all eligible pregnant women for a painless vaginal delivery.
🔬Design:Klinik Araştırma
📍Scope:2017 Verileri
⚙️Variables:Ağrısız doğum · epidural analjezi · gebe memnuniyeti

Abstract

Aim: Epidural analgesia is the most commonly preferred analgesia method for labour pain management. Our purpose is to examine the effects of epidural analgesia on the mother, fetus, and the labour process in this study. Material and Methods: The files of pregnant women undergoing epidural analgesia for labour between January and December 2017 were examined retrospectively. Demographic data, hemodynamic parameters, duration of labour stages, rates of conversion to caesarean section, visual analogue scale (VAS) scores before and after epidural, APGAR score, maternal and fetal side effects, and satisfaction of pregnant women were evaluated. Results: It was seen that VAS scores were 2-3 with our painless labor analgesia protocol, caesarean rate was 2% among 153 labourers, the hypotension rate was 3.9% as a material side effect, the pregnancy satisfaction rate and the rate of requesting another epidural were 85.6%, and the 1st- and 5th-minute APGAR scores were 9-10 without any adverse effects. Conclusion: Epidural analgesia is a method that should be applied with a multi-disciplinary approach by experienced practitioners and obstetricians. This method dramatically reduces both the pain and stress of the mother and increases labour comfort, and we recommend it to all eligible pregnant women for a painless vaginal delivery.

Özet

Amaç: Epidural analjezi doğum ağrısı kontrolünde en çok uygulanan analjezi yöntemidir. Amacımız; epidural analjezinin anne-fetus ve doğum eylemi üzerine etkisini araştırmaktır. Gereç ve Yöntemler: 2017 yılında (Ocak- Aralık) arasında doğum için epidural analjezi uygulanan gebelerin dosyaları retrospektif olarak incelendi. Gebelerin demografik verileri, hemodinamik parametreleri, doğum evrelerinin süreleri, sezeryana dönüş oranları, epidural öncesi ve sonrası vizuel analog skala (VAS) değerleri, APGAR skoru, maternal ve fetal yan etkiler, gebelerin memnuniyeti değerlendirildi. Bulgular: Ağrısız doğum analjezi protokolümüz ile VAS değerlerinin 2-3 olduğu , 153 gebeden sezaryana dönüş oranının %2 olduğu, maternal yan etki olarak hipotansiyon % 3,9 oranında görüldüğü, gebe memnuniyet oranının ve tekrar epidural tercih etme oranının %85,6, 1. ve 5. dak. APGAR skorunun da 9-10 olduğu, olumsuz bir etkisi olmadığı görüldü. Sonuç: Epidural analjezi; tecrübeli uygulayıcılarla kadın doğum doktoru ile işbirliği içerisinde multidisipliner yaklaşılması gereken bir müdahaledir. Annenin yaşadığı ağrı ile beraber stresini de büyük oranda azaltarak doğumun konforunu da artıran bu yöntemi ağrısız vajinal doğum için uygun tüm gebelere öneriyoruz.

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Cite This Article

Bollucuoğlu, K., Köksal, B. G. (2024). Evaluation of Epidural Analgesia for Vaginal Delivery: A Retrospective Analysis of a State Hospital. Batı Karadeniz Tıp Dergisi, Cilt: 8 Sayı: 3, 307–313. https://doi.org/10.29058/mjwbs.1569202

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