gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Evaluation of regional analgesia impactions in obstetrics


Author(s): Husam Mustafa Mohammad, Samar Antoine Abdulahad and Ban Khalid Abd Al-Qader*

Background: Epidural is the most effective form of pain relief in labor of laboring women in world. The aim is to assess effect of regional analgesia on labor pain, outcome of delivery and neonates.

Methods: An observational study included 100 pregnant woman. At period from 2017 to 2020. By using a questionnaire interview. Each woman was interviewed for about 10 minutes. These included age, gravida, abortion, past medical history, drug history and obstetric history. Examination of vital signs, general examination, abdominal and vaginal examination, sonography to assess fetal heart rate and abdominal examination to assess uterine contraction.

Results: 93% of women with epidural anesthesia were used oxytocin and there was significant association between groups (p=0.022). The labor pain was significantly high at those used oxytocin with epidural anesthesia (p<0.0001). Nausea, vomiting, low back pain, headache, urinary incontinence and retention, dizziness and drowsiness were recorded.

Conclusions: Epidural analgesia was not associated with a higher assisted delivery rate and higher rate of CS. EA not cause significant maternal or fetal heart rate complications. Importantly, EA associated with short labor stage.