Effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women: A randomized control trial
Background & Aim: Episiotomy is one of the most common surgical procedures in obstetrics, which requires analgesia. Entonox gas is known to have analgesic and sedative properties. However, no studies have been found on the analgesic effects of Entonox on episiotomy incision. Therefore, this stud...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2017-01-01
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| Series: | Journal of Midwifery & Reproductive Health |
| Subjects: | |
| Online Access: | http://jmrh.mums.ac.ir/article_7965_650dcd8c8ab305211b593d7fd1301faa.pdf |
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| author | Azam Honarmandpour Zahra Abbaspour Sara Ziagham Nahid Javadifar |
| author_facet | Azam Honarmandpour Zahra Abbaspour Sara Ziagham Nahid Javadifar |
| author_sort | Azam Honarmandpour |
| collection | DOAJ |
| description | Background & Aim: Episiotomy is one of the most common surgical procedures in obstetrics, which requires analgesia. Entonox gas is known to have analgesic and sedative properties. However, no studies have been found on the analgesic effects of Entonox on episiotomy incision. Therefore, this study aimed to compare the effects of Entonox and lidocaine on pain intensity during episiotomy incision in nulliparous women. Materials and Methods: This randomized controlled trial was conducted on 120 term nulliparous women, who met the inclusion criteria. Subjects were selected by randomized sampling and equally divided into two groups of intervention and control (n=60). In the intervention group, Entonox gas was applied two minutes before episiotomy incision until the end of the procedure. On the other hand, the control group received 5 ml of lidocaine 2% as routine care before episiotomy incision. Data were collected using visual analogue scale to compare the study groups in terms of pain intensity. In addition, patient satisfaction with pain management technique during episiotomy and side effects of Entonox were assessed. Data analysis was performed in SPSS version 22 using Mann-Whitney U and Chi-square tests, and P value of less than 0.05 was considered statistically significant. Results: In this study, no significant difference was observed between the intervention and control groups regarding pain intensity (P=0.52). Moreover, no significant difference was observed in the satisfaction level of the two groups (P=0.70). Conclusion: According to the results of this study, Entonox could be used as an effective and noninvasive alternative to lidocaine to reduce pain during episiotomy incision without significant side effects. |
| first_indexed | 2024-12-16T23:10:06Z |
| format | Article |
| id | doaj.art-11c92469b3ce47c2b4fd5fc1a0a94061 |
| institution | Directory Open Access Journal |
| issn | 2345-4792 2345-4792 |
| language | English |
| last_indexed | 2024-12-16T23:10:06Z |
| publishDate | 2017-01-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Midwifery & Reproductive Health |
| spelling | doaj.art-11c92469b3ce47c2b4fd5fc1a0a940612022-12-21T22:12:27ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922345-47922017-01-015179179910.22038/jmrh.2016.79657965Effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women: A randomized control trialAzam Honarmandpour0Zahra Abbaspour1Sara Ziagham2Nahid Javadifar3MSc, Nursing & Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranPhD, Assistant Professor, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Midwifery, Shushtar Faculty of Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranPhD, Assistant Professor, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranBackground & Aim: Episiotomy is one of the most common surgical procedures in obstetrics, which requires analgesia. Entonox gas is known to have analgesic and sedative properties. However, no studies have been found on the analgesic effects of Entonox on episiotomy incision. Therefore, this study aimed to compare the effects of Entonox and lidocaine on pain intensity during episiotomy incision in nulliparous women. Materials and Methods: This randomized controlled trial was conducted on 120 term nulliparous women, who met the inclusion criteria. Subjects were selected by randomized sampling and equally divided into two groups of intervention and control (n=60). In the intervention group, Entonox gas was applied two minutes before episiotomy incision until the end of the procedure. On the other hand, the control group received 5 ml of lidocaine 2% as routine care before episiotomy incision. Data were collected using visual analogue scale to compare the study groups in terms of pain intensity. In addition, patient satisfaction with pain management technique during episiotomy and side effects of Entonox were assessed. Data analysis was performed in SPSS version 22 using Mann-Whitney U and Chi-square tests, and P value of less than 0.05 was considered statistically significant. Results: In this study, no significant difference was observed between the intervention and control groups regarding pain intensity (P=0.52). Moreover, no significant difference was observed in the satisfaction level of the two groups (P=0.70). Conclusion: According to the results of this study, Entonox could be used as an effective and noninvasive alternative to lidocaine to reduce pain during episiotomy incision without significant side effects.http://jmrh.mums.ac.ir/article_7965_650dcd8c8ab305211b593d7fd1301faa.pdfEpisiotomyEntonoxPain intensityLidocaine |
| spellingShingle | Azam Honarmandpour Zahra Abbaspour Sara Ziagham Nahid Javadifar Effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women: A randomized control trial Journal of Midwifery & Reproductive Health Episiotomy Entonox Pain intensity Lidocaine |
| title | Effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women: A randomized control trial |
| title_full | Effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women: A randomized control trial |
| title_fullStr | Effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women: A randomized control trial |
| title_full_unstemmed | Effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women: A randomized control trial |
| title_short | Effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women: A randomized control trial |
| title_sort | effects of entonox in comparison of lidocaine on pain severity during episiotomy incision in nulliparous women a randomized control trial |
| topic | Episiotomy Entonox Pain intensity Lidocaine |
| url | http://jmrh.mums.ac.ir/article_7965_650dcd8c8ab305211b593d7fd1301faa.pdf |
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