Articles: analgesia.
-
Randomized Controlled Trial Clinical Trial
Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are receiving intravenous oxytocin?
Some studies suggest that epidural analgesia prolongs labor and increases the incidence of cesarean section, especially if it is administered before 5 cm cervical dilation. The purpose of the current study was to determine whether early administration of epidural analgesia affects obstetric outcome in nulliparous women who are receiving intravenous oxytocin. ⋯ Early administration of epidural analgesia did not prolong labor or increase the incidence of operative delivery, when compared with intravenous nalbuphine followed by late administration of epidural analgesia, in nulliparous women who were receiving intravenous oxytocin.
-
Am. J. Obstet. Gynecol. · Jun 1994
Clinical TrialIntrathecal narcotics for obstetric analgesia in a community hospital.
Our objective was to establish whether intrathecal narcotics for obstetric analgesia offer an adequate and cost-effective alternative to epidural analgesia with minimal side effects in our small, semirural community hospital with limited anesthesia coverage. ⋯ In our hospital with limited anesthesia services intrathecal narcotics offer excellent labor pain relief with manageable side effects and without adverse obstetric outcome.
-
to assess the impact of obstetric procedures and analgesia/anaesthesia during delivery on breast feeding at six weeks post-delivery. ⋯ improved perineal suturing expertise, less delay before suturing, more effective pain relief for perineal discomfort, efforts to reduce the incidence of urinary frequency will result in improved breast feeding rates. Where a woman has had pethidine late in the first stage of labour she should be given extra help with breast feeding. Extra help should also be given to a woman separated from her baby, due to admission to the neonatal unit.
-
Comparative Study
Continuous regional analgesia in comparison with intravenous opioid administration for routine postoperative pain control.
This study compares retrospectively the postoperative analgesia provided via intravenous opioids with continuous regional techniques (interpleural and epidural infusions) administered as a clinical routine by an anaesthesia-based Acute Pain Service. In 2630 patients no severe complications resulting in morbidity or mortality occurred; the rate of potentially serious complications was in the 0.5% range and comparable between the techniques. ⋯ Patient satisfaction with these techniques was higher than with intravenous opioid administration. In conclusion, continuous regional analgesia in a routine clinical setting is comparable to intravenous opioid administration with regard to safety, but results in significantly better analgesia with fewer side effects.