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J Obstet Gynecol Neonatal Nurs · Feb 1994
Comparative StudySelf-administered versus nurse-administered epidural analgesia after cesarean section.
- S C Gordon, S K Gaines, and R P Hauber.
- Northlake Regional Medical Center, Tucker, Georgia.
- J Obstet Gynecol Neonatal Nurs. 1994 Feb 1;23(2):99-103.
ObjectiveTo compare two methods of administering analgesia by the epidural route after cesarean sections.DesignQuasi-experimental.SettingThe postpartum area of a large community hospital.ParticipantsFifty women undergoing planned cesarean sections with epidural anesthesia.InterventionsThe control group received continuous epidural analgesia with nurse-administered boluses and the experimental group with self-administered boluses.Main Outcome MeasuresPain control, side effects from medication, amount of medication required, postoperative activity levels, and patient satisfaction.ResultsSubjects receiving continuous epidural analgesia with self-administered boluses of analgesic used significantly less fentanyl and fewer supplemental intravenous pain medications than subjects receiving continuous epidural analgesia with nurse-administered boluses of analgesic.ConclusionsSubjects in self-administered group required less pain medication than subjects in nurse-administered group.
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