Does bupivacaine and fentanyl combination for epidural analgesia shorten the duration of labour?
| Autor: | Jale Maral, Serkan Guclu, Berrin Korkut, Esin Celik, Aysun Afife Kar, Pınar Üşar, Nur Sahin, Mine Genc |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Fentanyl Young Adult Pregnancy Active phase medicine Humans Prospective Studies Anesthetics Local Bupivacaine Labor Obstetric business.industry Vaginal delivery Obstetrics and Gynecology Surgery Analgesia Epidural Analgesics Opioid Epidural catheter Anesthesia Drug Therapy Combination Female business medicine.drug |
| Zdroj: | Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 35(7) |
| ISSN: | 1364-6893 |
| Popis: | In this study we aimed to explore the effects of epidural analgesia achieved by a combination of low-dose bupivacaine and fentanyl infused through an epidural catheter on mother, foetus and labour process in nulliparous at-term pregnant women during vaginal delivery. This study was designed in a prospective, randomised controlled manner. Epidural analgesia was achieved in 50 nulliparous women. Fifty nulliparous women did not undergo epidural analgesia procedure. The duration of the first stage of labour was significantly shortened, while the second stage was significantly lengthened in pregnant women who underwent epidural analgesia (p < 0.05). In conclusion, starting epidural analgesia application during the active phase of the first stage of labour may shorten the duration of the first stage compared with the group of nulliparous women not undergoing epidural analgesia. The factor that has an impact on this may be the addition of fentanyl to bupivacaine used for epidural analgesia. |
| Databáze: | OpenAIRE |
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