Influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia: retrospective view

<p><strong>Background:</strong> Labour with epidural analgesia (EDA) is related to prolongation of the second stage of labour and increase in the instrumental vaginal delivery rate. It’s not related to higher caesarean section rate. With this review we wanted to compare our results...

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Main Authors: Jasna Uranjek, Katja Juvan-Kramer
Format: Article
Language:English
Published: Slovenian Medical Association 2006-12-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/2049
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author Jasna Uranjek
Katja Juvan-Kramer
author_facet Jasna Uranjek
Katja Juvan-Kramer
author_sort Jasna Uranjek
collection DOAJ
description <p><strong>Background:</strong> Labour with epidural analgesia (EDA) is related to prolongation of the second stage of labour and increase in the instrumental vaginal delivery rate. It’s not related to higher caesarean section rate. With this review we wanted to compare our results with the literature.</p><p><strong>Methods:</strong> Retrospective analysis of labour in EDA in years 2004 and 2005 in Slovenj Gradec General Hospital was done. A comparison with a control group without EDA in the same time period was made. Three different EDA protocols were used during that period. They were compared to control group and between each other. Parturient women data, length of labour, instrumental vaginal delivery rate, caesarean section rate and newborn data were obtained and compared. Analgesic effect, complication rate and influence on labour and delivery were assessed according to EDA protocol used.</p><p><strong>Results:</strong> We found statistically significant prolongation of the second stage of labour and increase in the instrumental vaginal delivery rate when EDA was used. Emergency caesarean section rate was not increased. There were no adverse effects on the fetus. All EDA protocols provided clinically efficient analgesia. 0.2 % levobupivacaine with 1 µg of fentanyl/ml of local anaesthetic provided statistically significant most effective analgesia.</p><p><strong>Conclusions:</strong> EDA means improved quality of labour for a parturient woman. Risk for labour complication with optimal treatment in second stage of labour, which is most affected with EDA, is low.</p>
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spelling doaj.art-fd5c88c2c13e4cec8b4f0bc76d21e48b2022-12-22T03:18:54ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242006-12-0175121537Influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia: retrospective viewJasna UranjekKatja Juvan-Kramer<p><strong>Background:</strong> Labour with epidural analgesia (EDA) is related to prolongation of the second stage of labour and increase in the instrumental vaginal delivery rate. It’s not related to higher caesarean section rate. With this review we wanted to compare our results with the literature.</p><p><strong>Methods:</strong> Retrospective analysis of labour in EDA in years 2004 and 2005 in Slovenj Gradec General Hospital was done. A comparison with a control group without EDA in the same time period was made. Three different EDA protocols were used during that period. They were compared to control group and between each other. Parturient women data, length of labour, instrumental vaginal delivery rate, caesarean section rate and newborn data were obtained and compared. Analgesic effect, complication rate and influence on labour and delivery were assessed according to EDA protocol used.</p><p><strong>Results:</strong> We found statistically significant prolongation of the second stage of labour and increase in the instrumental vaginal delivery rate when EDA was used. Emergency caesarean section rate was not increased. There were no adverse effects on the fetus. All EDA protocols provided clinically efficient analgesia. 0.2 % levobupivacaine with 1 µg of fentanyl/ml of local anaesthetic provided statistically significant most effective analgesia.</p><p><strong>Conclusions:</strong> EDA means improved quality of labour for a parturient woman. Risk for labour complication with optimal treatment in second stage of labour, which is most affected with EDA, is low.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/2049epidural analgesiabupivacainelevobupivacainefentanylthe second stage of labourinstrumental vaginal delivery
spellingShingle Jasna Uranjek
Katja Juvan-Kramer
Influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia: retrospective view
Zdravniški Vestnik
epidural analgesia
bupivacaine
levobupivacaine
fentanyl
the second stage of labour
instrumental vaginal delivery
title Influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia: retrospective view
title_full Influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia: retrospective view
title_fullStr Influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia: retrospective view
title_full_unstemmed Influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia: retrospective view
title_short Influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia: retrospective view
title_sort influence of diferent concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia retrospective view
topic epidural analgesia
bupivacaine
levobupivacaine
fentanyl
the second stage of labour
instrumental vaginal delivery
url http://vestnik.szd.si/index.php/ZdravVest/article/view/2049
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