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Journals / Journal of Experimental and Clinical Medicine / 2021 / Cilt: 38 - Sayı: 4

Intramuscular meperidine analgesia at the beginning of active phase shortens labor duration without adverse effects on obstetric lacerations and neonatal outcomes

Mehmet GÜÇLÜ
Nazan YURTCU
Samettin ÇELİK
Canan SOYER ÇALIŞKAN
Şafak HATIRNAZ
Handan ÇELİK
Pages
594–598
Publication Date
2021-10-09
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusions: In case of limited use of neuroaxil analgesia in a busy state maternity hospital, intramuscular meperidine administration as obstetric analgesia seems beneficial in reducing the length of the active phase of the first stage of labor and the second stage of labor without adversely affecting obstetric lacerations and neonatal outcomes.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The primary objectives of this study were to evaluate the impact of intramuscular meperidine on shortening of the active phase of labor, the neonatal outcome and the rate and severity of perineal lacerations in term pregnant women in the first stage of labor.
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Key Findings & Data:Materials and Methods: A total of 571 primiparous term pregnant women delivered vaginally were included into this retrospective study.
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Conclusion & Impact:Conclusions: In case of limited use of neuroaxil analgesia in a busy state maternity hospital, intramuscular meperidine administration as obstetric analgesia seems beneficial in reducing the length of the active phase of the first stage of labor and the second stage of labor without adversely affecting obstetric lacerations and neonatal outcomes.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:obstetric analgesia · meperidine · normal vaginal delivery

Abstract

Objective: The primary objectives of this study were to evaluate the impact of intramuscular meperidine on shortening of the active phase of labor, the neonatal outcome and the rate and severity of perineal lacerations in term pregnant women in the first stage of labor. Materials and Methods: A total of 571 primiparous term pregnant women delivered vaginally were included into this retrospective study. In 437 of them, meperidine (100 mg IM) at the beginning of the active phase was administered and 134 women did not receive any meperidine dose. The length of labor phases, obstetric lacerations, and neonatal outcomes were recorded. Results: The results of this study showed that meperidine could be used safely as an obstetric analgesic with its additional benefit of shortening the active phase of the first stage and second stage of labor without increased risk of obstetric lacerations and perinatal adverse outcomes. Conclusions: In case of limited use of neuroaxil analgesia in a busy state maternity hospital, intramuscular meperidine administration as obstetric analgesia seems beneficial in reducing the length of the active phase of the first stage of labor and the second stage of labor without adversely affecting obstetric lacerations and neonatal outcomes.

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Cite This Article

GÜÇLÜ, M., YURTCU, N., ÇELİK, S., ÇALIŞKAN, C. S., HATIRNAZ, Ş., ÇELİK, H. (2021). Intramuscular meperidine analgesia at the beginning of active phase shortens labor duration without adverse effects on obstetric lacerations and neonatal outcomes. Journal of Experimental and Clinical Medicine, Cilt: 38 - Sayı: 4, 594–598. https://ajindex.com/articles/677877

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