Volume 25, Number 3 (10-2017)                   Sci J Hamadan Nurs Midwifery Fac 2017, 25(3): 37-49 | Back to browse issues page



DOI: 10.21859/nmj-25035

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Radnia N, Ataollahi M, Tavakolian S, Movafagh N, Otogara M, Shirmohammadi-Khorram N et al . Effect of spinal and epidural Analgesia on maternal and neonatal outcomes in normal vaginal deliveries. Sci J Hamadan Nurs Midwifery Fac. 2017; 25 (3) :37-49
URL: http://nmj.umsha.ac.ir/article-1-1627-en.html

1- Assistant professor Hamadan University of Medical Sciences
2- MSc in Midwifery Hamadan University of Medical Sciences
3- MSc in Clinical Psychology Hamadan University of Medical Sciences
4- PhD of health education and health promotion, Department of public health, health sciences research center, faculty of health, Hamadan University of Medical sciences, Hamadan, Iran.
5- MSc in Biostatistics Hamadan University of Medical Sciences
6- PhD Candidate of Reproductive Health Shahid Beheshti University of Medical Sciences , faridehkazemi21@yahoo.com
Abstract:   (1701 Views)

Background. One of the main goals of medicine has been to reduce labor pain and requests from patients for pain relief is sufficient reason to use pain relief methods. This study was conducted to compare the efficacy of spinal and epidural Analgesia on maternal and neonatal outcomes.

Methods. This study was a quasi-experimental clinical trial that was conducted on 126 pregnant women. Pregnant women who had inclusion criteria and informed consent were enrolled in the study and were assigned to spinal and epidural groups.  The control group were selected from among those meet inclusion criteria but were unwilling to do analgesia. Three groups were compared using statistical tests. P<0.05 was also considered significant.

Results. The results showed that during the first and second stages of labor was shorter in the control group compared to spinal and epidural groups but this difference was not statistically significant. Compare the method of delivery, Apgar and episiotomy pain scores showed no statistically significant difference among the three groups. None of the participants did not develop complications such as headache and hyperthermia.

Conclusion. The findings of this study showed that none of the methods of analgesia had not the negative impact on maternal and neonatal outcomes. Due to contradictory results in different studies, further studies in the same condition and with matching groups in terms of confounding variables is necessary.

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Type of Study: Research | Subject: Midwifery
Received: 2016/10/31 | Accepted: 2017/01/17 | Published: 2017/02/9

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