View : 46 Download: 0

The degree of labor pain at the time of epidural analgesia in nulliparous women influences the obstetric outcome

Title
The degree of labor pain at the time of epidural analgesia in nulliparous women influences the obstetric outcome
Authors
Woo J.H.Kim J.H.Lee G.Y.Baik H.J.Kim Y.J.Chung R.K.Yun D.G.Lim C.H.
Ewha Authors
이귀용김종학정락경백희정김윤진우재희
SCOPUS Author ID
이귀용scopus; 김종학scopus; 정락경scopus; 백희정scopus; 김윤진scopus; 우재희scopus
Issue Date
2015
Journal Title
Korean Journal of Anesthesiology
ISSN
2005-6419JCR Link
Citation
vol. 68, no. 3, pp. 249 - 253
Publisher
Korean Society of Anesthesiologists
Indexed
SCOPUS; KCI scopus
Abstract
Background: The increased pain at the latent phase can be associated with dysfunctional labor as well as increases in cesarean delivery frequency. We aimed to research the effect of the degree of pain at the time of epidural analgesia on the entire labor process including the mode of delivery. Methods: We performed epidural analgesia to 102 nulliparous women on patients’ request. We divided the group into three based on NRS (numeric rating scale) at the moment of epidural analgesia; mild pain, NRS 1–4; moderate pain, NRS 5–7; severe pain, NRS 8–10. The primary outcome was the mode of delivery (normal labor or cesarean delivery). Results: There were significant differences in the mode of delivery among groups. Patients with severe labor pain had a significantly higher cesarean delivery compared to patients with moderate labor pain (P = 0.006). The duration of the first and second stage of labor, fetal heart rate, use of oxytocin and premature rupture of membranes had no differences in the three groups. Conclusions: Our research showed that the degree of pain at the time of epidural analgesia request might influence the rate of cesarean delivery. Further research would be necessary for clarifying the mechanism that the augmentation of pain affects the mode of delivery. Key Words Epidural analgesia, Labor pain, Obstetric delivery. © the Korean Society of Anesthesiologists, 2015.
DOI
10.4097/kjae.2015.68.3.249
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE