Analgesia combinada raquiperidural em trabalho de parto: seus efeitos sobre o desfecho do parto

Abstract

There were no significant differences in the duration of labour, rate of instrumental vaginal delivery and emergency cesarean section, and neonatal outcome in parturients who received compared to those who did not receive CSE for labour analgesia.

Labor analgesia: Comparison of epidural patient-controlled analgesia and intravenous patient-controlled analgesia

“…[1][2][3][12][13][14][15][16][17][18] Singh ve ark. [30] doğum analjezisinde, kombine spinal epidural (KSE) ve diğer analjezi yöntemlerini karşılaştırmışlardır. KSE analjezi uyguladıkları hastalarda, spinal 0.5 mL %0.2 ropivakain +0.5 mL (25 μg) fentanil vermişler, epidural kateterden de %0.625 bupivakain +2 μg/ml fentanil ile infüzyon uygulamışlardır.…”

“…Yenidoğanda da, uygulamalara bağlı yan etkiler görülmemiştir. [30] Opioidlerin maternal vücut ısısını baskıladıkları görülmüştür. [5,31] Evron ve ark.…”

The Effect of Epidural-Spinal Anesthesia on Labor Outcome and Satisfaction in Parturient Mothers: A Randomized Controlled Trial

“…17 In another study, the length of the second stage of labor was not significantly different between the 2 groups. 11 One reason may be differences in the method of anesthesia and drugs used in the 2 studies.…”

“…4 Epidural-spinal anesthesia is a highly specialized technique that benefits from little use of pain-relieving and anesthesia medications, as well as high access to epidural anesthesia and continuation of anesthesia during labor. 10 Some studies have shown that the use of combined anesthesia (CA) leads to an increase in caesarean section, prolonged second stage of labor, postpartum headache and hyperthermia, 11 lower Apgar score, 12 and the need to use appliances such as vacuum delivery and forceps. 13 In contrast, some other studies have shown that using this method of analgesia does not affect birth outcomes.…”

“…13 In contrast, some other studies have shown that using this method of analgesia does not affect birth outcomes. 11 The aim of this study was to assess maternal and fetal outcomes in parturient mothers who underwent CA during labor.…”