Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1384
8
1
gregorian
2005
11
1
19
3
online
1
fulltext
en
EFFECTS OF EPIDURAL ANALGESI A WITH LOW-DOSE BUPIVACAINE AND FENTANYL ON THE PROGRESS OF LABOR AND MODE OF DELIVERY
Anesthesia
Anesthesia
Original Research: Clinical Science
Original Research: Clinical Science
Background and Objective: Epidural analgesia (EA) has been used to relieve
labor pain in many obstetric units, yet controversy persists about its effect on progress
and outcome in labor. The purpose of the current study was to evaluate the effect of EA
on the rate of cervical dilation and myometrial contractility.
Methods: In a 6-month period, 36 women who received standardized EA were
matched with the next two delivering women of72 patients of the same parity who did
not receive EA. The outcome variables were uterine activity, rate of cervical dilation,
oxytocin therapy, and operative deliveries.
Results: Intermittent EA with bupivacaine and fentanyl did not result in a change
in myometrial contractility and the rate of cervical dilation. Oxytocin therapy was significantly
higher in the epidural group than in the nonepidural group (p<0.002). Operative
deliveries were not more common in those without it (p>0.0S).
Conclusion: After intermittent low-dose bupivacaine and fentanyl EA, myometrial
contractility and the ability of the uterus to dilate the cervix are maintained with
oxytocin. Despite prolongation of the second stage of labor, cesarean delivery was not
common in the epidural group.
Labor, Epidural analgesia, Bupivacaine, Fentanyl
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http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-34&slc_lang=en&sid=1
S
ATASHKHOII
siminatashkhoii@yahoo.com
20031947532846003347
20031947532846003347
Yes
Departments of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, l.R. Iran.
M
JAFARI SHOBEIRI
20031947532846003348
20031947532846003348
No
S
NEGARGAR
20031947532846003349
20031947532846003349
No