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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 9, Sept 2014 pp 491-493
Research Article
Labor outcome in epidural and combined spinal epidural analgesia
Thejaswini Jaiprakash1, Srilakshmi Udutha2, Asha Swarup3, Jyothi G S4
1,2Assistant Professor, Department of Obstetrics and Gynaecology, Vydehi Institute of Medical, Sciences and Research Centre, No 82, EPIP area, Whitefield Bangalore 560066, Karnataka, INDIA.
3,4Professor, Department of Obstetrics and Gynaecology, MSRMC, Mathikere, Bangalore, Karnataka, INDIA.
Abstract
Objectives: 1) To compare the analgesic efficacy and side effects of CSE with conventional epidural analgesia. 2) To study the mode of delivery, fetal, maternal and neonatal complication with CSE as compared to epidural analgesia. Materials and Methods: A total of 64 women with full term live pregnancy in active labour with 3 cm dilatation of cervix requesting labour analgesia were enrolled into study after their informed consent.32 of them were given CSEA and rest of them were given epidural analgesia. Quality of analgesia was assessed with Pain relief scores noted using visual analog scale. Top ups are given as when the patient requests. The duration of labour, mode of delivery, apgar scores of the baby and complications in the mother or the baby are recorded. Results: There are no differences in duration of labour and the mode of delivery in both the groups are CSE group is associated with faster cervical dilatation rate of 1.90+/-1.48 and better pain relief score when compared to epidural group. Women in epidural required more number of top ups with average time interval between the top ups being 92.33mins.incidence of pruritus is more among the women of CSE group. Conclusion: CSE is a better method of pain relief in labour when compared to conventional epidural technique as it is associated with faster cervical dilatation and decreased need for top ups.
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