Comparison of the outcomes of normal vaginal delivery with and without spinal anesthesia in mothers admitted to the maternity ward of Firoozabadi Hospital

Abstract

Introduction and Objective: The study of the methods of controlling labor pain is very important. One of the methods of pain relief is spinal anesthesia. Due to the different opinions about the effects of spinal anesthesia on the delivery process and maternal and fetal consequences, this study aimed to evaluate the effects of spinal anesthesia and compare it with normal vaginal delivery without spinal anesthesia. Methods: In this retrospective cohort study, 120 mothers, who were admitted to the maternity ward of Firoozabadi Hospital for delivery, were examined. The patients who met the inclusion criteria were divided into two groups of 60 people, one group receiving spinal anesthesia and one without spinal anesthesia, and then, were evaluated in terms of clinical variables and complications of the mother and fetus. Data were analyzed using SPSS statistical software. Results: The mean age of the mothers was 26.6 ± 5.9 years. Five mothers (4.2%) who received spinal anesthesia underwent emergency cesarean section and a significant difference was shown between the two groups ( P = 0.02). The mean duration of the active phase of labor did not show a statistically significant difference between the two groups ( P = 0.2), but the duration of the second phase of labor was significantly longer in the mothers who received spinal anesthesia ( P = 0.008). Conclusion: Spinal anesthesia can be used as a low-complication method in vaginal delivery to reduce pain.

Airway Management for Emergency Spinal Epidural Hematoma Evacuation With Awake Spine Surgery: Case Report and Literature Review

“…4,6 Spinal anesthesia has been utilized on pregnant patients during delivery even on a full stomach. 8 In the current article, we present a novel implementation of awake spine surgery in an emergent case of postoperative pSEH.…”

“…[NPO] prior to delivery), no identifiable research articles assess emergency hematoma evacuation by awake spine surgery. 8 However, in cases where a patient is not a good candidate for GA due to loss of NPO status, awake spine surgery can be beneficial. 7…”

Effect of spinal anesthesia with sufentanil on length of stages I and II of labor in singleton pregnant women: a randomized controlled trial

“…(10) A retrospective cohort study on 120 pregnant women who were divided into 2 groups, with one group receiving spinal anesthesia (n=60) and the other without spinal anesthesia (n=60), showed that the duration of stage II of labor was significantly longer in the women who received spinal anesthesia (p=0.008). (11) The anesthetic drug sufentanil has high solubility, short latency and about 7 hours of action, which makes it a potential effective option for providing fast analgesia. (12) In addition, sufentanil has been reported to cause less respiratory depression than morphine and fentanyl.…”